|
State of Wisconsin |
Release 26-01 |
Use these instructions to complete the finish and submit section. If they go to this section without completing the application, a pop-up displays asking them to complete any unfinished sections. They can continue to submit their application without completing all sections.
If any required information is missing when the applicant selects Start on the Finish and Submit section a pop-up asks if they want to complete it now. While the applicant can submit the application at any time, they should complete as much of it as possible before submitting.
The A few questions about you page displays if the applicant opens the Finish and Submit section before completing the other sections. For Katie Beckett Medicaid-only applications, if a parent is applying for their child, they must enter their own information rather than the child's.
The page gathers the minimum amount of information required to submit an application and the applicant isn't asked to repeat information.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
| Questions | How to answer |
| Name | Enter the full legal name of the applicant. They can choose to enter a middle initial or suffix. |
| Date of birth |
This field displays if the applicant is applying for Katie Beckett Medicaid-only. Select the date from the calendar. |
| Your address | Enter the full address of the applicant. |
| Select a county | Select the county from the drop-down menu. |
| Are you currently homeless? (optional) | Select Yes, No, or I don’t know. |
| Do you have a separate mailing address? |
Select Yes or No. If the applicant selects yes, the next question displays. |
Your mailing address |
Enter the full mailing address of the applicant. |
| Do you live on Tribal lands? |
Select Yes or No. If they aren't sure if they live on Tribal lands, use this map of Tribal lands in Wisconsin to confirm. This question isn’t asked for Katie Beckett Medicaid-only applications. If the applicant selects yes, the next two questions display. |
What Tribal lands do you live on? |
Select the Tribal lands from the drop-down menu. |
| Do you want to apply through your county agency or your tribal agency? |
Select Yes or No. If they aren't sure if they live on Tribal lands, use this map of Tribal lands in Wisconsin to confirm. If the applicant selects yes, the next two questions display. |
What Tribal lands do you live on? |
Select the Tribal lands from the drop-down menu. |
Do you want to apply through your county agency or your tribal agency? |
Select Use my income maintenance agency or This question isn’t asked for Katie Beckett Medicaid-only applications. |
| Primary phone number (optional) |
This field is required for those applying for W-2, JAL, or Emergency Assistance. Enter the primary phone number of the applicant. |
| Phone type (optional) | Select the phone type from the drop-down menu. |
| Email address (optional) |
This field displays if the applicant is applying for Katie Beckett Medicaid-only. Enter and re-enter to confirm the email address of the household member. |
| Do you have additional household members who want to apply for benefits? |
This question displays if the applicant is applying for Katie Beckett Medicaid-only. Include the names of any children applying for Katie Beckett Medicaid. |
Once an applicant confirms their information, potentially eligible applicants have the opportunity to add Caretaker Supplement (CTS) to their benefit application. If the applicant selects Yes, all children included display in the CTS application. IM agencies determine eligibility based on eligibility rules.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
The next page the applicant sees depends on the programs they are applying for.
| If the application includes... | Continue to... |
| FoodShare | STEP 2: YOU MAY BE ABLE TO GET FOODSHARE BENEFITS FASTER |
| Health care without FoodShare | STEP 3: HELP PAYING MEDICAL EXPENSES |
| W-2 or JAL without FoodShare or Health care | STEP 4: APPLICATION INTERVIEWS |
| Emergency Assistance only or Katie Beckett Medicaid only | STEP 5: ACKNOWLEDGE PROGRAM RIGHTS AND RESPONSIBILITIES |
The You may be able to get FoodShare benefits faster page asks questions to determine if the applicant can get FoodShare benefits faster. ACCESS uses the answers on this page to determine if the application should use the standard timeline, or priority timeline to determine FoodShare eligibility.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
| Questions | How to answer |
| Have you received FoodShare or SNAP this month? (optional) | Select Yes or No. |
| Are you currently living in a shelter for domestic violence? (optional) | Select Yes or No. |
| Is anyone in your household a migrant or seasonal farm worker? (optional) |
Select Yes or No. If the applicant selects yes, the next two questions display. |
Did their job end in the last 30 days? (optional) |
Select Yes or No. |
Will they get more than $25 from a new job or other source of income in the next 10 days? (optional) |
Select Yes or No. |
| What is your household total gross income this month? (optional) | Enter the total gross income for this month. |
| What is the total value of your household’s money and investments? (optional) | Enter the total value of money and investments. |
| How much will your [household] pay for housing this month? (optional) | Enter the amount paid for housing this month. |
| Does your household pay for any utilities that are used to heat your home? (optional) | Select Yes or No. |
| Has your household received help from the Wisconsin Home Energy Assistance Program (WHEAP) in the past 12 months? (optional) | Select Yes or No. |
| Does your household pay for any utilities that are not used to heat your home? (optional) | Select Yes or No. |
| What utility bills does your household pay? Choose all that apply. (optional) |
Select the utility bill or bills paid. If the applicant selects fuel oil or kerosene, the next question displays. |
Your standard utility credit amount |
Enter the standard utility credit amount. |
The next page the applicant sees depends on the programs they are applying for.
| If the application includes... | Continue to... |
| Health care or Family Planning Only Services | STEP 3: HELP PAYING MEDICAL EXPENSES |
| W-2 or JAL but not health care | STEP 4: APPLICATION INTERVIEWS |
| Emergency Assistance Only | STEP 5: ACKNOWLEDGE PROGRAM RIGHTS AND RESPONSIBILITIES |
The Help paying medical expenses page displays for applicants who are applying for health care or Family Planning Only Services and have requested backdated coverage.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
| Questions | How to answer |
| Has your household had any changes since the beginning of [month]? | Select Yes or No. |
The next page the applicant sees depends on the programs they are applying for.
| If the application includes... | Continue to... |
| W-2 or JAL only | STEP 4: APPLICATION INTERVIEWS |
| Any other programs | STEP 5: ACKNOWLEDGE PROGRAM RIGHTS AND RESPONSIBILITIES |
This page allows the applicant to schedule their interview now or over the phone later if applying for W-2 or JAL. The applicant should set up an appointment time in ACCESS.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
| Questions | How to answer |
| Do you want to schedule a phone appointment with your W-2 agency now? | Select Yes or No. |
| Do you want to schedule a phone interview with your agency right now? |
If the applicant is applying for Emergency Assistance this question displays. Select Yes or No. |
The Schedule your [W-2], [Job Access Loans], or [Emergency Assistance] interview appointment page shows a table of available appointment times for workers at their local W-2 agency over the next five business days.
If the applicant decides not to schedule their interview or none of the times work, they are responsible for calling their agency to set up the appointment time.
A rights and responsibilities page displays for each program on the application. Each page prompts the applicant to review and acknowledge the rights, responsibilities, and additional rules. The applicant must acknowledge each program page in order to submit their application.
The Good Cause notice page asks the applicant if they have good cause to not work with the Child Support Agency to locate the absent parent. The applicant should claim good cause if cooperating with the Child Support Agency creates safety concerns for the applicant or their child.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
.png)
The final page asks the applicant to provide an electronic signature to submit their application. If the application includes a request for health care and a household member is potentially eligible for a long-term care program, this page includes a signature section for the applicant’s spouse if they are married. They must read the electronic signature acknowledgement and enter their name in the available field.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
Some applicants may be able to confirm their ID and get real-time eligibility results for some programs. If they are eligible, the applicant can choose to answer questions to confirm their ID on the real-time eligibility page.
The questions to confirm their ID are through an outside service. The questions change each time. The applicant has two tries to confirm their identity in this way. The application is still submitted even if they choose not to confirm their ID or are unable to confirm their ID in ACCESS.
The Thank you for submitting your application! page displays. This page includes the application number, the ability to download and print the application, agency contact information, upcoming interview appointments (if applicable), and Your-to-do list.
From this page the applicant can submit documents or return to the account home page. See Section 6.1 Submit Documents Introduction.
Show/Hide an example of the pageShow/Hide an example of the page
.png)
The application is complete! The applicant sees the Apply for Benefits Account Home Page with the status of their applications and any next steps they need to complete. See Section 4.12 Using ACCESS to set a filing date.
This page last updated in Release Number: 25-01
Release Date: 10/18/2025
Effective Date: 10/18/2025
Notice: The content within this guide is the responsibility of the State of Wisconsin's Department of Health Services (DHS) and the Department of Workforce Development (DWD).
Publication Number: P-16101