Medicaid in Wisconsin offers long-term care and numerous medical services to children, parents and caretakers, pregnant women, disabled, and elderly.

Medicaid benefits in Wisconsin include medical checkup, early screening and immunization, laboratory services, prescription drugs, medical transportation, and long-term health care for those living in nursing homes. For detailed list of benefits, you can visit DHS portal.

To receive these Medicaid benefits in Wisconsin, individuals need to meet general and income eligibility guidelines. Applicants who fall into one of the Medicaid categories under general eligibility will receive benefits if they meet income guidelines. The income guidelines for the program are based on Federal Poverty Level (FPL).

Although the state of Wisconsin has not expanded the Medicaid under the ACA, Medicaid in Wisconsin covers everyone in a Medicaid category and requiring financial assistance. The income limits for Medicaid go as high as 300% of the FPL for some categories in Wisconsin.

Medicaid in Wisconsin is funded by federal and state government. Unfortunately, the state government has missed out on the additional $248 million that it could have received from the federal government by expanding state Medicaid.

Applying for Medicaid benefits in Wisconsin is easy through the BadgerCare website. Alternatively, you can also apply for benefits by visiting your nearest DHS office.

For more information about the program, contact your nearest DHS office. A trained Medicaid worker will help you with everything, from information to practical help with Medicaid application.

Eligibility Requirements

Medicaid in Wisconsin covers almost everyone under the poverty line without expanding the Medicaid under the ACA. Here are the Medicaid categories.

- Children

- Parents and caretakers

- Elderly and disabled

- Pregnant women

Income eligibility

In order to receive Medicaid benefits, you will need to meet the income guidelines set by the state.

- For children, the income limits for Medicaid benefits in Wisconsin is set to 300% of the FPL.

- Pregnant women can qualify for Medicaid benefits if their household income is up to 300% of the FPL.

- For adults falling under any Medicaid category, the income limit is set at 100% of the FPL.

Medicaid Application Instructions

If you are living in Wisconsin and you need Medicaid benefits, you will have abundant options at your disposal to apply for the benefits. Follow any of the routes below to start your application for benefits.

Apply online

You can apply online for Medicaid benefits in Wisconsin by visiting access.wisconsin.gov. Alternatively, you can visit ForwardHealth portal to start your online application.

Apply by phone

You can also apply for Wisconsin Medicaid by phone. Dial 1-800-318-2596 to initiate your application for benefits.

Apply by mail

You can easily send your Medicaid application by mail. You can download the application form from this link.

Print the downloaded application and send it to an appropriate address depending on where you live in Wisconsin. Use this tool to find the address for mail according to your county of residence.

Apply in person

Finally, you can submit an application for Wisconsin Medicaid in person by visiting your local Wisconsin Income Maintenance Agency. To find an office of an agency near your residence, you can use this map.