Medicaid, BadgerCare Plus and Family Planning Waiver Registration Application F-10129
Use this form to start your application process and to set your application date. You can also do this online at ACCESS.wi.gov.
Medicaid Disability Application F-10112
Use this form to if you need a disability determination.
Medicaid / FoodShare Wisconsin Authorization of Representative F-10126
Designate someone to apply for Medicaid for you.
Medicaid Health Insurance Information F-10115
Request For Fair Hearing DHA-28 (PDF 50 KB) — To request a Fair Hearing.
Fair Hearing Voluntary Withdrawal DHA-17 (PDF 11 KB) — To withdraw your Fair Hearing request.
BadgerCare Plus Application Packet F-10182
ACCESS.wi.gov — Apply Online