Wisconsin Well Woman Medicaid

Wisconsin Well Woman Medicaid provides health care coverage for women under age 65 who need treatment for breast or cervical cancer or certain precancerous conditions.

Eligibility

You may be able eligible for Wisconsin Well Woman Medicaid if you:

  • Are enrolled in the Wisconsin Well Woman Program through Well Woman Program Local Coordinating Agencies.
  • Are under age 65 and have been screened for breast or cervical cancer by the Wisconsin Well Woman Program.
  • Are a resident of Wisconsin.
  • Are a U.S. citizen or qualifying immigrant.
  • Provide a Social Security Number or apply for one.
  • Are not able to get private or public health care coverage for treatment of breast or cervical cancer.
  • Have a diagnosis of breast or cervical cancer, or a precancerous condition of the cervix, and need treatment for the breast or cervical cancer, or a precancerous condition of the cervix, as identified by the Wisconsin Well Woman diagnosing provider.

You may also be eligible for Wisconsin Well Woman Medicaid if you are enrolled in the Family Planning Only Services Program and you:

  • Have been screened for, and diagnosed with, cervical cancer or a precancerous condition of the cervix and found to be in need of treatment for cervical cancer, or have received a clinical breast exam through the Family Planning Only Services Program and through follow up medical testing outside of the Family Planning Only Services Program are diagnosed with breast cancer and found to be in need of treatment for breast cancer.
  • Are not able to get private or public health care coverage for treatment of breast or cervical cancer.

Note: Women who have been screened through the Wisconsin Well Woman Program and are not able to get Medicaid because of their immigration status may be able to get Emergency Services Medicaid.

Presumptive Eligibility (Temporary Medicaid) Only Available to Women Enrolled in the Well Woman Program

Presumptive eligibility is "temporary" Medicaid you can get only if you are first enrolled in the Well Woman Program. Temporary Eligibility allows you to get health care, including breast and cervical cancer treatment while you apply for continuous Well Woman Medicaid through the Well Woman Processing Unit.

Temporary Medicaid can begin on the date you were diagnosed by a "certified Medicaid provider" if a presumptive eligibility application is submitted to Medicaid by the provider. Temporary Medicaid begins on the date you are diagnosed and will end at the end of the month following the month of diagnosis.

If you wish to continue to get Medicaid benefits, your Well Woman Program Local Coordinator will help you send an application to your Well Woman Processing Unit Coordinator or your health care provider should submit the Well Woman Medicaid determination form to the Well Woman Processing Unit by mail or fax.

Getting Services

You will get a ForwardHealth card in the mail. Until you get your card, you must take your completed Wisconsin Well Woman Program enrollment form (F-44818) and the Wisconsin Well Woman Medicaid Determination Form (F-10075) to each appointment. This shows your health care provider that you have applied for temporary Medicaid.

Resources

  • Contact Member Services at 800-362-3002 about covered services.
  • Contact Wisconsin Well Women Medicaid staff for information about a specific application by calling 608-266-1720 or faxing 608-267-3381
  • Learn more about the Wisconsin Well Woman Program

Print-friendly Wisconsin Well Woman Medicaid fact sheet, P-10065

Last Revised: March 26, 2019