Express Enrollment

Training presentations for the Express Enrollment process in ACCESS for qualified hospitals, providers, and partners are listed below.

 

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

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).

Information About Express Enrollment

Contact Information

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

Last Revised: September 30, 2016