Medicaid for the Elderly, Blind, or Disabled

Possible Phone Scam Alert

May 10, 2017: The Wisconsin Department of Health Services (DHS) is urging you to be aware of a potential scam where a caller claims to represent the Wisconsin Department of Health and Human Services. In some cases, the caller may have personal information about you such as the address of your health care provider. The caller will then say they need to verify your personal information as well as obtain additional information. If you receive a phone call like this, you should hang up immediately. DHS will not call you seeking personal or financial information for your health care benefits. 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.

To file a complaint with the FTC go to their website at https://www.ftc.gov/, or call 1-877-FTC-HELP. If you think your identity has been stolen, report it on the FTC’s website at https://www.identitytheft.gov/, or call 1-877-ID-THEFT.

Announcements

DHS is seeking feedback on a draft plan for monitoring access to fee-for-service health care through its Medicaid program.

 

Wisconsin's ForwardHealth 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 United States citizens or legal immigrants.

The type of Medicaid plan you may be eligible for depends on your income, assets, and type of care you need.

Programs

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.

Other Information

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.

Personal Care Services for Fee-for-Service Medicaid

Personal care services are services that help with medically necessary daily activities so that a person can stay in his or her home. Medicaid members who get personal care services on a fee-for-service basis need to have their health and personal care needs assessed each year.

Find Help in Your Area

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".

HIPAA Privacy Notices

Equal Opportunities Information

Last Revised: May 25, 2017