Express Enrollment

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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 ACCESS 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.

Definitions

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 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.

ForwardHealth Portal Provider Enrollment Information

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.

Express Enrollment Training

Qualified Hospitals

The training below is provided for qualified hospitals:

Partners and Providers

Partners and providers who are NOT a qualified hospital should view the training below:

Note: The webcast and presentation include information about the Single-Streamlined Application Phase II in ACCESS (presented after the Express Enrollment information).

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Information About Express Enrollment

Contact Information

For questions about Express Enrollment, call the ForwardHealth Portal Helpdesk at 866-908-1363.

Last Revised: June 22, 2016