The following are resources that may be helpful if you are applying for or getting benefits from the Family Planning Only Services Program:
Applicant Resources
- Application
- Online—ACCESS
- Paper—BadgerCare Plus Application Packet, F-10182
- Authorized representative
- Release of Confidential Information Authorization for Wisconsin Medicaid, BadgerCare Plus, FoodShare, Family Planning Only Services, SeniorCare, and Caretaker Supplement, F-02340
- ForwardHealth program resources
- Guide to Applying for Wisconsin's Health, Nutrition, and Other Programs, P-16091
- Request for Fair Hearing form
- Family Planning Only Resources fact sheet, P-02314
- Covering Wisconsin How-To Sheet: Family Planning for Men and Women, English
Member Resources
- ACCESS. This is an online tool that lets you:
- Check your benefits.
- Report changes.
- Renew your benefits.
- Authorized representative
- Release of Confidential Information Authorization for Wisconsin Medicaid, BadgerCare Plus, FoodShare, Family Planning Only Services, SeniorCare, and Caretaker Supplement, F-02340
- Information Change Report, F-10183
- Free or low-cost health clinics
- Find a provider
- ForwardHealth Enrollment and Benefits Handbook, P-00079
- ForwardHealth program resources
- Non-emergency medical transportation
- Request for Fair Hearing form
Have questions about the Family Planning Only Services Program?
Call Member Services at 1-800-362-3002, Monday through Friday, from 8:00 a.m. to 6:00 p.m.
Last Revised: January 17, 2019
