Express Enrollment

Announcements

  • Express Enrollment training for partners, providers, and qualified hospitals can be found in the PowerPoint presentation below.
  • The ForwardHealth Update Changes to the Express Enrollment Process was published on September 30, 2016.

 

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 determinations to temporarily enroll individuals in BadgerCare Plus or Family Planning Only Services until a full application is completed and processed. Presumptive eligibility 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 ongoing Medicaid, BadgerCare Plus, or Family Planning Only Services is completed and processed.

Definitions

  • Express Enrollment: The process of making a presumptive eligibility determination to temporarily enroll an individual in BadgerCare Plus or Family Planning Only Services.
  • Presumptive eligibility: The determination of whether or not an applicant is eligible to temporarily enroll in BadgerCare Plus or Family Planning Only Services.
  • Temporary enrollment: Short-term eligibility for BadgerCare Plus or Family Planning Only Services.

Who Can Make PE Determinations?

  Presumptive Eligibility Determinations for
  Children Pregnant Women Family Planning
Only Services
Adults Younger than Age 65,
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

The presentation meets the Express Enrollment training requirement for partners, providers, and qualified hospitals that are approved by ForwardHealth to complete Express Enrollment applications.

Express Enrollment Training for Partners, Providers, and Qualified Hospitals

Information About Express Enrollment

Contact Information

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

Last Revised: October 3, 2016