Starting in January 2018, in order to provide high quality care for adult Wisconsin Medicaid members, certain Supplemental Security Income (SSI) members must enroll in an HMO of the member’s choice. Members who do not choose an HMO will have one chosen for them. HMO enrollment will be done by region with the last region enrolling by June 2018. Learn more about the HMO enrollment changes for Medicaid SSI members.
Wisconsin's Medicaid plans for the elderly, blind or disabled provide health care for those who are:
- Age 65 or older, blind or disabled,
- With family income at or below the monthly program limit, and
- Who are U.S. citizens or legal immigrants.
The type of Medicaid plan or program you may be eligible for depends on your income, assets, and type of care you need.
Learn more about how the Medicaid Purchase Plan (MAPP) program is helping those with disabilities to live independent lives.
Children Come First helps coordinate care for youth in Dane County who have a mental health challenge, so they can stay in their home.
Community Waivers help elderly, blind or disabled people live in their own homes or in the community, rather than a state institution or a nursing home.
Emergency Services Plan only covers medical services needed for the treatment of an emergency medical condition for documented and undocumented non-citizens.
Family Care is a long-term care program for groups who are elderly, people with physical disabilities or with developmental disabilities.
Medicaid Deductible plan can help if you have high medical bills and your income is over the Medicaid program income limits.
Medicaid Purchase Plan provides health care for people with disabilities who work.
Medicare Savings Programs (also called Medicare Premium Assistance) can help some people pay their Medicare Part A and B premiums, coinsurance and deductibles.
Tuberculosis (TB) Related Services help people who need treatment for tuberculosis.
Well Woman Medicaid Plan helps women who have been diagnosed with and are in need of treatment for breast and cervical cancer.
Wraparound Milwaukee coordinates care for youth in Milwaukee County who have serious behavioral, emotional, and mental health needs to help them stay in their home and/or community.
Other Health Care Programs
If you are not elderly, blind or disabled, and you are in need of health care coverage, you may be able to enroll in a BadgerCare Plus, including Family Planning Only Services and BadgerCare Plus Prenatal Services. For more information call Member Services at 1-800-362-3002.
To see what programs you may be able to enroll in, visit ACCESS.wi.gov and click on "Am I Eligible?" or go directly to "Apply for Benefits."
Estate Recovery Program
The Estate Recovery Program provides information about which members and programs are affected, how the recovery of an estate is made in order to collect repayment for certain services, and situations where repayment may not be recovered from an estate.
Find Help in Your Area
- Medicaid contacts.
- Call Member Services at 1-800-362-3002 to contact a Disability Benefit Specialist or Elder Benefit Specialist at your local Aging and Disability Resource Center (ADRC) or County Aging Office.
Be Aware of Phone Scams
If you are getting health care benefits, DHS will not call you seeking personal or financial information. If you are getting FoodShare benefits, your agency will call you to complete a FoodShare interview and may ask you to verify certain information to ensure they are talking with the correct person. If you are unsure of who you are talking to, hang up, and call your agency or Member Services at 1-800-362-3002.
The Federal Trade Commission (FTC), the nation's consumer protection agency, advises consumers not to give out personal or financial information to people you do not know through phone calls, emails, or knocks on your door. Scam artists want your information to commit identity theft, charge your existing credit cards, debit your checking account, open a new credit card, checking, or savings account, write fraudulent checks, or take out loans in your name.
Access Monitoring Plan
DHS has published an access monitoring plan to evaluate access to health care for individuals who receive health care coverage through Wisconsin’s fee-for-service Medicaid program.
HIPAA Privacy Notices
DHS is committed to protecting the privacy of your medical information.
Equal Opportunities Information
You have the right to be treated fairly and equally.