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Wisconsin Medicaid Expansion
Medicaid Expansion:
Wisconsin does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Wisconsin:
The Wisconsin Department of Health Services administers the Medicaid Program. Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.dhs.wisconsin.gov/.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: https://www.forwardhealth.wi.gov/WIPortal/Enrollment%20Criteria/tabid/325/Default.aspx.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.dhs.wisconsin.gov/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some Wisconsin Medicaid Program beneficiaries are enrolled in managed care plans, called Badgercare Plus.
Basic information about Badgercare Plus can be found at: http://www.dhs.wisconsin.gov/LTCare/Generalinfo/CMOs.htm.
Some managed care plans cover individual Wisconsin counties and independent cities. The Medicaid website has jurisdictional information: http://www.dhs.wisconsin.gov/LTCare/Generalinfo/CMOs.htm.
Badgercare Plus Beneficiaries Participating in Managed Care:
Managed care plans participating in Badgercare Plus offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Badgercare Plus:
Care Wisconsin
 
Community Care Health Plan
 
Independent Care (ICare)
 
 
 
 
 
 
 
 
 
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