To see if you may be able to enroll or to apply online, go
to
ACCESS.wi.gov.
This page is a quick way
to find forms and publications that you may need. Click on the
name of the program below for which you need more information.
View
a listing of health clinics for those with no health insurance
Family Planning Only
Services Forms and Publications
FoodShare
Wisconsin Forms and Publications
BadgerCare
Plus Forms and Publications
BadgerCare
Plus Basic Plan
BadgerCare
Plus Core Plan Publications
Medicaid Forms
and Publications
Caretaker
Supplement Forms and Publications
SeniorCare Forms and
Publications
Member
Updates
Other Links
To see if you may be able to enroll or to apply for these
programs go to
ACCESS.wi.gov.
Agency
Directory — To find the telephone number and address of your local
county or tribal agency. Customers seeking policy clarification should contact the
agency in their county.
Contact a Disability Benefit Specialist or Benefit Specialist at your
local Aging and Disability Resource Center (ADRC) or County Aging
Office. To find the specialist in your area, go to
dhs.wisconsin.gov/aging/EBS/counties.htm or call 1-800-362-3002.
Key Contacts
— P-16108 (PDF, 64KB) To get common telephone numbers and web links.
A Guide to Applying for Wisconsin's Health and Nutrition
Programs — P-16091, (English,
Hmong,
Spanish)
(PDF,
181KB)
ForwardHealth Enrollment
and Benefits handbook, P-00079, (English)
(PDF, 667KB) A handbook will be mailed to each family who
applies for a ForwardHealth Plan. Translations will be available
in the near future.
Non-Emergency Medical Transportation
Healthy
Start, Grow Smart: Baby's first year — one month at a time
Renewal Help — Information
about renewing your benefits.
Fair Hearing
Request — DHA 28
Fair
Hearing Voluntary Withdrawal — DHA 17
(PDF, 10KB) — If you want to withdraw your request for a hearing.
Agency
Directory — To find the telephone number and address of your local
county or tribal agency. Customers seeking policy clarification should contact the
agency in their county.
dhs.wisconsin.gov/aging/EBS/counties.htm or call 1-800-362-3002 to
contact a Disability Benefit Specialist or Benefit Specialist at your
local Aging and Disability Resource Center (ADRC) or County Aging
Office.
Key Contacts
— P-16108 (PDF, 64KB) To get common telephone numbers and web links.
HMO Ombuds Brochure — P-12002, (English,
Hmong,
Russian,
Spanish)
Income Limits - Current Income limits for Wisconsin's
health care and FoodShare
programs
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:
Disability
Rights of Wisconsin — Disability Rights Wisconsin is a private non
profit organization which helps people across Wisconsin gain access to
services and opportunity through its advocacy and legal expertise.*(exit
DHS)
Last Revised:
June 19, 2013