If you are eligible for Wisconsin Medicaid for the Elderly, Blind, or Disabled or SSI Medicaid, you will be enrolled for 12 months unless there are changes that impact your eligibility. While enrolled, you may need to know about the following:
Using Your ForwardHealth Card
Shortly after you become enrolled in a Medicaid plan, you will get a plastic ForwardHealth card in the mail, unless you used to be enrolled in Medicaid, BadgerCare Plus, or the Family Planning Only Services Program.
If you used to be enrolled in Medicaid, BadgerCare Plus, or the Family Planning Only Services Program, you will not automatically get a new ForwardHealth card. You can use the same card you used before if you still have it. If you did not keep your ForwardHealth card, you can ask for a new card through your ACCESS account or by calling Member Services at 800-362-3002.
Your ForwardHealth card will include your name, a 10-digit identification number, a magnetic stripe, a place for your signature, and the Member Services telephone number. Once you get your ForwardHealth card, you should sign it in the space provided.
You will need to show your ForwardHealth card when you have an appointment or pick up a prescription at a pharmacy.
Picking an HMO
Certain people enrolled in Medicaid for the Elderly, Blind, or Disabled or SSI Medicaid get their health care through HMOs (health maintenance organizations). If you need to pick an HMO, you will be sent an HMO choice enrollment booklet and a letter telling you which HMOs you can choose from. If you do not choose an HMO by the deadline in the letter, one will be picked for you. To enroll in an HMO or have your HMO questions answered, call an HMO enrollment specialist at 1-800-291-2002.
Keep in mind, if you have a particular provider you want to see, you should check to make sure the provider is in the HMO network you select, or you may have to change providers.
Here is information to help you pick your HMO:
|HMO||Counties Covered by HMO|
|Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kewaunee, La Crosse, Lafayette, Manitowoc, Marquette, Monroe, Oconto, Outagamie, Ozaukee, Richland, Rock, Sauk, Shawno, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago|
|Adams, Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Douglas, Dunn, Eau Claire, Forest, Grant, Green, Iowa, Iron, Jackson, Juneau, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Price, Richland, Rusk, St. Croix, Sauk, Sawyer, Shawano, Taylor, Trempealeau, Vernon, Vilas, Washburn, Wood|
|Adams, Brown, Calumet, Columbia, Crawford, Dane, Dodge, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Manitowoc, Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Winnebago|
|Brown, Calumet, Dodge, Door, Florence, Fond du Lac, Forest, Green Lake, Jefferson, Kenosha, Kewaunee, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago|
You must report any of the following changes within 10 days of the change:
- You move to a new address.
- Someone moves in or out of your home.
- Someone becomes pregnant or gives birth.
- Your living arrangement changes (for example you are incarcerated or you go into a nursing home).
- You get married or divorced.
- Someone in your home has a change in health insurance.
- Someone has a change in expected tax filing status.
If you have a change in income that makes your gross monthly income go over the Medicaid limit, you must report the change by the 10th day of the next month. You can report changes to your local income maintenance agency or tribe, online through ACCESS, or by using the Medicaid Change Report, F-10137.
Renewing Your Coverage
Your coverage must be renewed yearly. About one month before your coverage ends, you will get a letter with information about how to renew your coverage.