Wisconsin Application for Presumptive Eligibility for Medicaid

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Multi-State
Control #:
US-0538BG
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Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

Wisconsin Application for Presumptive Eligibility for Medicaid is an essential tool for individuals seeking quick access to healthcare coverage. This streamlined application process enables qualified individuals to receive temporary coverage while their full Medicaid application is being reviewed. Keywords: Wisconsin, Application, Presumptive Eligibility, Medicaid, healthcare coverage, temporary coverage, application process There are three types of Wisconsin Application for Presumptive Eligibility for Medicaid available to fulfill the specific needs of applicants: 1. Aftercare Plus Application for Presumptive Eligibility: This application is designed for low-income adults, families, and pregnant individuals residing in Wisconsin. It provides temporary healthcare coverage until the full Medicaid application is processed. 2. Family Planning Only Services Application for Presumptive Eligibility: This specialized application is intended for individuals who are seeking coverage solely for family planning services. It offers temporary benefits until the regular Medicaid application is reviewed. 3. Emergency Services Application for Presumptive Eligibility: Aimed at individuals requiring immediate medical attention, this application provides temporary coverage for emergency services while the complete Medicaid application is being assessed. Wisconsin Application for Presumptive Eligibility for Medicaid is a simplified process that enables individuals to access necessary healthcare services promptly. It offers temporary coverage, ensuring that eligible individuals do not face delays in receiving vital healthcare during the regular application review period. Applicants can choose the appropriate type of application based on their specific needs, such as general healthcare coverage, family planning services, or emergency care. To apply, individuals can visit their local Medicaid office or apply online through the official Wisconsin Department of Health Services website. The application requires information regarding income, residency status, household members, and other relevant details to determine eligibility for presumptive Medicaid coverage. Upon submission, the application is promptly reviewed, and if qualified, the applicant will receive a temporary Medicaid identification card. This card can be presented to healthcare providers to access covered services until the full Medicaid application is processed. It is important to note that Presumptive Eligibility coverage does not guarantee long-term Medicaid eligibility. Overall, the Wisconsin Application for Presumptive Eligibility for Medicaid streamlines and expedites the healthcare coverage process for eligible individuals, providing temporary access to necessary medical services. It effectively bridges the gap between application submission and approval, ensuring that healthcare needs are met without undue delay.

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Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Who is eligible for Wisconsin Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

$2,000 or less in cash/non-exempt assets if single. If married and both spouses need nursing home level of care the limit is raised to $3,000. ii. One home is exempt (equity limit $858,000) if planning to return, a spouse, a child under 21, or a disabled person resides in it.

A person must be a Wisconsin resident to be eligible for WI Medicaid. S/he must: Be physically present in Wisconsin (there is no required length of time the person has to have been physically present), and. Express intent to reside in Wisconsin.

The FPL changes based on the number of people in a family, and the current limits are available on the Wisconsin Medicaid website. As of April 2023, the income limits for a single person applying for regular Medicaid are $1,616 per month, with an asset limit of $2,000.

A decision on your Medicaid will be mailed to you within 30 days of your application date. Unsigned forms will be returned. It is important to apply as soon as possible since the date your benefits will begin, if you meet all program rules, is based on your application date.

Who is eligible for Wisconsin BadgerCare Plus? Household Size*Maximum Income Level (Per Year)1$43,7402$59,1603$74,5804$90,0004 more rows

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Wisconsin Application for Presumptive Eligibility for Medicaid