SSI-Related Medicaid

Supplemental Security Income (SSI)-Related Medicaid provides health care coverage for adults age 65 or older or for people determined blind or disabled by the Disability Determination Bureau. SSI-Related Medicaid is typically thought of as “Medicaid.” 

Other Medicaid Programs

Wisconsin has many different types of Medicaid programs. The program you may be eligible for depends on your income, assets, and type of care you need.

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."

Other Information

HMO Enrollment Changes for Medicaid Supplemental Security Income Members

As of January 2018, certain Supplemental Security Income (SSI) members must be enrolled in an HMO of the member’s choice. Learn more about the HMO enrollment changes for Medicaid SSI members.

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

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.

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

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.

Last Revised: March 15, 2019