08-03 Version of 4.1 Who is Nonfinancially Eligible for Medicaid?
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State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

4.1 Who is NonFinancially eligible for Medicaid?

To be eligible for Medicaid, an individual must meet the following criteria:

 

  1. Be elderlyAnyone 65 years old or older, blind, or disabled (see Section 5.1 Elderly or Section 5.2 Determination of Disability)

  2. Be a resident of the state of Wisconsin (see Section 6.1 Residency Eligibility)

  3. Be a U.S. citizen or Qualifying Immigrant (see Section 7.1 US Citizens and Nationals)

  4. Cooperate with medical support liability (see Section 8.1 Medical Support)

  5. Cooperate with TPLThird Party Liability. The obligation a third party (not Wisconsin Medicaid or the Medicaid member) has to pay the bills for a Medicaid member’s medical services. (see Section 9.1 Third Party Liability)

  6. Provide SSNSocial Security number or apply (see Section 10.1 SSN Requirements)

  7. Pay a premium if required (see Section 11.1 Premium or Cost Share)

  8. Pay a community waiver/FamilyCare cost share if required (see Section 11.1 Premium or Cost Share)

 

 

 

This page last updated in Release Number: 08-03

Release Date: 08/13/08

Effective Date: 08/13/08

The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030