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Express Enrollment

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 ACCESS (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.

Terms Defined

Express Enrollment (EE): The online application in ACCESS for making PE determinations.

Presumptive Eligibility (PE): The determination of whether an applicant is eligible to temporarily enroll in BadgerCare Plus or Family Planning Only Services.

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
  Children Pregnant Women Family Planning
Only Services
Adults
Parents and Caretakers
Qualified Hospitals X X X X
Providers X X X  
Partners X      

Qualified Hospitals
Hospitals that are Medicaid-enrolled and certified through ForwardHealth for Express Enrollment will be considered a qualified hospital.

Information and training for qualified hospitals to use the "Am I Eligible" tool in ACCESS (exit DHS) and the temporary process in the ForwardHealth Portal (exit DHS) to make PE determinations:

Providers
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
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.

 

Training for New Express Enrollment Process in ACCESS

Qualified Hospitals: Only qualified hospitals should attend a training listed below.

Location Date and Time Registration
Holiday Inn South
4751 Owen Ayres Ct
Eau Claire WI 54701
September 15, 2014
Check-in 1:00 p.m. to 1:30 p.m.
Training 1:30 p.m. to 4:00 p.m.
Register here
Rural Wisconsin Health Cooperative
880 Independence Lane
Sauk City WI 53583
September 17, 2014
Check-in 9:30 a.m. to 10:00 a.m.
Training 10:00 a.m. to 12:30 p.m.
Register here
Holiday Inn
150 S Nicolet Rd
Appleton WI 54914
September 22, 2014
Check-in 1:00 p.m. to 1:30 p.m.
Training 1:30 p.m. to 4:00 p.m.
Register here
Wheaton Franciscan Healthcare Wauwatosa
5th Floor Conference Center, Rooms 5B & C
201 North Mayfair Road
Wauwatosa, WI 53226
September 22, 2014
Check-in 1:00 p.m. to 1:30 p.m.
Training 1:30 p.m. to 4:00 p.m.
Register here
Howard Johnson Inn
2101 N Mountain Rd
Wausau WI 54401
September 25, 2014
Check-in 1:00 p.m. to 1:30 p.m.
Training 1:30 p.m. to 4:00 p.m.
Register here
Online Live Webcast October 2, 2014
10:30 a.m. to Noon
NA

 

Partners and Providers: Partners and providers who are NOT a qualified hospital may participate in the training below.

Location Date and Time Registration
Online Live Webcast

Note: This webcast will include information about the Single-Streamlined Application Phase II in ACCESS (this information will be presented after the Express Enrollment information).

September 23, 2014
10:00 a.m. to Noon
NA

Top

Information about Express Enrollment

  • Presumptive Eligibility for Children Fact Sheet P-10168 (English, Hmong, Spanish) (02/14) (PDF 584 KB)
  • Presumptive Eligibility for Pregnant Women Fact Sheet P-10169 (English, Hmong, Spanish) (02/14) (PDF 196 KB)
  • Family Planning Only Services Fact Sheet P-10068 (English, Hmong, Spanish) (08/13) (PDF 235 KB)

Contact

For questions about Express Enrollment, email DHSxpressenrollment@dhs.wisconsin.gov.

Last Revised:  September 16, 2014