Katie Beckett Medicaid: Forms and Publications

You can now manage your Katie Beckett Medicaid coverage online!

You can access your child’s Katie Beckett Medicaid coverage by using the MyACCESS mobile app or online at ACCESS (ACCESS in Spanish)! This also means you can renew your child’s coverage, report changes, and use the MyACCESS app!
 

What you need to know

  • Get started: Create an account on ACCESS (ACCESS in Spanish) or download the MyACCESS app. You can use the same login information for the website and app.
  • Already have an account? Use your existing ACCESS account for Katie Beckett Medicaid.

Need help with your ACCESS account?

If you have questions, contact Member Services at 800-362-3002 or visit the ACCESS Help page.

Below is a list of all Katie Beckett Medicaid documents. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned number Title Release date Sort ascending File type Language Available to order
F-03102 Katie Beckett Disability Evaluation Form 11/2022 Word English
P-02991S Children's Services Programs: Cross Comparison, Spanish 02/2022 PDF Spanish
P-02991H Children's Services Programs: Cross Comparison, Hmong 02/2022 PDF Hmong
P-02991 Children's Services Programs: Cross Comparison 02/2022 PDF English
P-03061S Children's Programs Eligibility and Functional Screen, Spanish 07/2021 PDF Spanish
P-03061H Children's Programs Eligibility and Functional Screen, Hmong 07/2021 PDF Hmong
P-03061 Children's Programs Eligibility and Functional Screen 07/2021 PDF English
N/A ForwardHealth Member Update 2021-04: You Will Keep Your Health Care Benefits During the COVID-19 Public Health Emergency 06/2021 PDF English
F-21076H Informed Consent - Children's Long-Term Support Functional Screen, Hmong 03/2021 Word Hmong
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya 03/2021 Word Rohingya
F-21076 Informed Consent – Children's Long-Term Support Functional Screen 03/2021 Word English
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese 03/2021 Word Vietnamese
F-21076S Informed Consent - Children's Long-Term Support Functional Screen, Spanish 03/2021 Word Spanish
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen 03/2021 PDF Karen
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali 03/2021 Word Somali
P-02889 Collecting a Telephonic Signature 01/2021 PDF English
F-10115 BadgerCare Plus / Medicaid Health Insurance Information 01/2011 PDF English
F-10115S BadgerCare Plus / Medicaid Health Insurance Information, Spanish 01/2011 PDF Spanish
F-82009AA Confidential Information Release Authorization: Katie Beckett Program (3/15/2017) 07/2008 Word English
F-82009AAH Confidential Information Release Authorization: Katie Beckett Program, Hmong (3/15/2017) 07/2008 PDF Hmong
F-82009AAS Confidential Information Release Authorization: Katie Beckett Program, Spanish (3/15/2017) 07/2008 PDF Spanish

Glossary

 
Last revised September 12, 2025