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Wisconsin Department of Health Services

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ACCESS

BadgerCare Plus for Families 

Family Planning Only Services

FoodShare

Medicaid

SeniorCare

Caretaker Supplement

Fair Hearing Request

Fair Hearing Withdrawal

Find a Provider

Eligibility Management (Income Maintenance) Home >> Customer Help >> BadgerCare Plus Help

BadgerCare Plus Help

To see if you may be able to enroll or to apply online, go to access.wi.gov.

Forms

Fair Hearing Request DHA 28, (PDF 100KB) *(exit DHS) To request a hearing if you don't agree with a decision about your benefits.

Fair Hearing Voluntary Withdrawal   DHA 17, (PDF 10KB) *(exit DHS) If you want to withdraw your request for a hearing.

Self-Employment Income Report (SEIRF) form F-00107, (English, Hmong, Spanish) (PDF  KB) Use this form to report self-employment income.

Publications

ForwardHealth Enrollment and Benefits handbook, P-00079, (English, Spanish (PDF, 667KB) A handbook will be mailed to each family who applies for a ForwardHealth Plan.  Translations will be available in the near future.

Guide to Applying for Wisconsin's Health and Nutrition Programs P-16091, (English, Hmong, Spanish), (PDF 181KB)

Other Links

Agency Directory - To find the telephone number and address of your local agency.

More information about BadgerCare Plus Core Plan can be found at badgercareplus.org/core/index.htm.

Find a provider If you need to find a BadgerCare Plus provider in your area.

Income Limits - To find current income limits.

Legal Services - To find the name and telephone number of who in your area can provide you with legal help.  You may also go to:

 

Last Revised: October 15, 2013