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Five Percent Cost Share Limit for Health Care Premiums and Copays

This operations memo announces the implementation of a federally mandated five percent cost share limit for health care premiums and copays for BadgerCare Plus, Medicaid for the Elderly Blind or Disabled (EBD Medicaid), and SSI Medicaid members. An automated process will track and enforce the five percent cost share limit. This memo also announces that certain member populations will no longer be charged copays for Medicaid or BadgerCare Plus-covered services.

Memo Issued By
Official Memo Number
Memo Issue Date
May 22, 2020
Last revised December 16, 2022