The following tables list what you are required to provide as proof of
your answers and items you can use. If you need help getting any items of
proof, call your agency and ask for help.
|
Proof Needed and Items You Can Use |
BadgerCare Plus |
Medicaid |
FoodShare |
|
U.S. Citizenship (See
note)
|
Yes
|
Yes
|
Yes |
Immigration
Status — Anyone who is not a U.S. citizen can use a copy of
his or her:
-
Alien Registration card
- Naturalization certificate
|
Yes
|
Yes
|
No
|
|
Identity
(See
note)
-
U.S. passport
-
Military dependent ID card
-
State driver license
-
Military ID or draft record
-
School picture ID
-
Native American Tribal document
- For children under 18 applying for health care, a signed
Statement of Identity form.
|
Yes
|
Yes
|
Yes
|
| Disability — You may be
asked to provide proof of disability or blindness if the state is
not able to get this information. If so, you may provide an
approval letter from the State Disability Determination Bureau or
award letter from the Social Security Administration. |
No
|
Yes
(if disabled)
|
Yes
(if disabled)
|
|
Assets
-
Bank statements
-
Deeds
-
Titles
- Contracts
- Life insurance policies, etc.
|
No
|
Yes
|
Yes |
| Health Insurance — The
State of Wisconsin will check for you to see if employer health
insurance is available to you and/or your family members. |
Yes
|
No
|
No
|
|
Child Support Paid or Received
— You can use:
-
Court order
- Payment record from other state
|
Yes
|
Yes
|
Yes
|
| Pregnancy — You can use a
note or letter from your health care provider that confirms the
pregnancy and includes the due date. |
Yes
|
Yes
|
No
|
|
Job Income and Wages — Proof of
all job income and wages for all family members who have a job.
-
Check stubs (for the last 30 days)
-
An Employer Verification of Earnings
(EVF-E) form
-
A letter from the employer.
If you choose a letter, it must have the same information as
the EVF-E form. Note: If you want to use an EVF-E form, ask the
agency to send one to you. Your employer must complete and sign
this form. Return the completed form to your agency. |
Yes
|
Yes
|
Yes
|
|
Self-Employment Income — Proof
of income for all family members who are self-employed.
|
Yes
|
Yes
|
Yes
|
|
Other Income — You must provide
proof of all other income for
everyone in your home. Other income may
include alimony, child support, disability or sick pay, interest
or dividends, Veterans Benefits, workers compensation,
unemployment insurance, etc. You can use:
- Pension statement
- Current award letter
|
Yes
|
Yes
|
Yes
|
|
Proof May be Needed and Items You Can Use, if
You Want to Get the Credit |
BadgerCare |
Medicaid |
FoodShare |
|
Rent or House Payments — Some
items you can use:
|
No |
Yes
|
No |
|
Utility Costs — Some items you
can use are:
|
No |
Yes
|
No |
|
Medical Costs/Expenses (some
examples are doctor visits, insurance premiums, hearing aids,
transportation and lodging to see a health care provider,
dentures, hearing aids, prosthetics; etc.) — Items you can use:
-
Billing statement/Itemized receipts
-
Medicare card showing Part
"B" coverage
-
Health insurance policy showing
premium coinsurance, copay or deductible
- Medicine or pill bottle with price on label
|
Yes |
Yes |
Yes
|
