Frequently asked questions (FAQs) regarding the BadgerCare Reform Demonstration Waiver Amendment.
Rewarding Work: BadgerCare Reform
DHS has launched the application process for the Section 1115 BadgerCare Reform Demonstration Waiver Amendment, which includes policy changes aimed at helping more people move from government dependence to true independence by encouraging work and providing incentives for healthy lifestyles. Amendments to the Section 1115 Demonstration Waiver, known as the BadgerCare Reform Demonstration Waiver, are reforms that build on Governor Scott Walker’s “Wisconsin Works for Everyone” initiative, aimed at helping more people move into employment. These reforms affect non-pregnant adults without dependent children who are mentally and physically able to work, and who are receiving government-funded health care benefits. It also assists BadgerCare Plus members who are battling addiction. The reforms are based on changes in state law under 2015 Wisconsin Act 55. DHS must obtain approval from the Centers for Medicare and Medicaid Services (CMS) before these changes can take effect.
Section 1115 demonstrations and waiver authorities in section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children’s Health Insurance Program (CHIP). Learn more about all current and concluded state programs authorized under these authorities.
Two public information sessions were held to provide information about the waiver and to collect comments from the public regarding the waiver request. All public comments were due by May 19, 2017. Details of the waiver amendments can be found in the waiver documents below.
Milestone dates of the Section 1115 BadgerCare Reform Demonstration Waiver Amendment:
- March 27, 2017: Notification to tribes
- April 19, 2017 – May 19, 2017: Full waiver is posted, public comment period
- April 26, 2017: Public hearing in Wausau
- May 1, 2017: Public hearing in Milwaukee
- May 1, 2017: Tribal consultation
- June 7, 2017: Submit final waiver amendment application to CMS
Copies of waiver documents are posted below for you to download at no charge.
- June 7, 2017: BadgerCare Reform Childless Adults Waiver – Waiver Amendment Final Application (PDF, 10 MB)
- Section 7.2 Summary of Public Comments and Wisconsin DHS Response (pages 25-33 of the final application) (PDF)
- April 25, 2017: BadgerCare Reform Childless Adults Waiver – Presentation English, Hmong, Spanish (PDF)
- April 19, 2017: BadgerCare Reform Childless Adults Waiver – Waiver Amendment Draft Application (PDF)
- April 19, 2017: BadgerCare Reform Childless Adults Waiver – Full Public Notice (PDF)
- April 17, 2017: BadgerCare Reform Childless Adults Waiver – Abbreviated Public Notice (PDF)
You can also request copies of the waiver documents by contacting Al Matano at:
Division of Medicaid Services
P.O. Box 309
Madison, WI 53707-0309
Public Hearings & Comments
Two public hearings were held to solicit input on the BadgerCare Reform Demonstration Waiver Amendment:
Monday, May 1, 2017
4:00 p.m. – 7:00 p.m.
Milwaukee Center for Independence
MCFI Main Campus, Harry and Jeanette Weinberg Building
2020 W. Wells St.,
Milwaukee, WI 53233
Notice of Public Hearing
Watch a recording of the live webcast.
In addition, written comments were accepted from April 19, 2017, through May 19, 2017. Written comments were able to be sent to the Division of Medicaid Services at:
P.O. Box 309
Madison, WI 53707-0309