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This page is intended for partners to serve as a central
resource for Express Enrollment.
What is Express Enrollment?
Express Enrollment is the
online application used in
(exit DHS) to make presumptive eligibility (PE) determinations to temporarily
enroll individuals in
BadgerCare Plus or
Family Planning Only Services until a full
application is completed and processed. PE determinations are based on preliminary
household and financial information provided by the applicant. This process
allows the applicant to receive immediate health care coverage, for a short
period of time, while his or her full application for on-going
Medicaid, BadgerCare Plus or Family Planning Only Services is completed and processed.
Express Enrollment (EE): The online application in ACCESS for making
Presumptive Eligibility (PE): The determination of whether an applicant is
eligible to temporarily enroll in BadgerCare Plus or Family Planning Only
Temporary Enrollment (TE): When an applicant has been found eligible to
temporarily enroll in BadgerCare Plus or Family Planning Only Services. The
temporary enrollment period ends on the last day of the month, following the
month the PE determination was made.
Who can make PE determinations?
||PE Determinations for
Parents and Caretakers
Qualified Hospitals and Providers
Hospitals that are Medicaid-enrolled and certified through ForwardHealth for
Express Enrollment will be considered a qualified
hospital. Providers that are Medicaid-enrolled and certified through ForwardHealth as an
Express Enrollment Provider will be able to make PE determinations for children,
pregnant women and Family Planning Only Services.
Partners who meet the Express Enrollment criteria and are certified through
ForwardHealth as an Express Enrollment Partner will be able to make PE
determinations for children.
The training below is provided for
Express Enrollment Training for Qualified Hospitals Webcast
Enrollment Training for Qualified Hospitals Presentation
(10/14) (PDF 930 KB)
Partners and Providers
Partners and providers who are NOT a qualified hospital
should view the training below.
Express Enrollment Training for Partners and Providers Webcast
Enrollment Training for Partners and Providers Presentation
(09/14) (PDF 1 MB)
Note: This webcast includes information about the Single-Streamlined
Application Phase II in ACCESS (presented after
the Express Enrollment information).
Information about Express Enrollment
- ACCESS - Application / Apply for Benefits Card P-00874 (English,
(PDF 569 KB)
- Family Planning Only Services −
Temporary Enrollment P-10068a (English,
(PDF 228 KB) (09/14)
- Presumptive Eligibility for Children Fact Sheet P-10168
584 KB) (02/14)
- Presumptive Eligibility for Pregnant Women Fact Sheet P-10169
(PDF 196 KB) (02/14)
For questions about Express Enrollment, email
November 17, 2014