16-01 Version of 33.1 SeniorCare Introduction
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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. 

33.1 Introduction

SeniorCare is a prescription drug assistance program for Wisconsin residents who are at least 65 years old and meet the program’s eligibility criteria. SeniorCare began September 1, 2002.

 

SeniorCare is designed to help seniors with covered prescription drug costs. Eligible participants are issued SeniorCare identification cards and may receive SeniorCare benefits.

 

There is neither an asset test nor estate recovery for SeniorCare. Participation levels are determined by comparing the anticipated annual income of the FTG to a percentage of the FPL corresponding to the FTG size.

 

SeniorCare is administered by DHS , through EM CAPO . County and tribal agencies are not responsible for determining eligibility but may need to coordinate with workers in the EM CAPO for mixed cases. Mixed cases include people eligible for SeniorCare and:

  1. FoodShare, or

  2. A Medicare Savings Program , or

  3. An unmet Medicaid deductible, or

  4. Child care assistance, or

  5. Are participating in a Department of Workforce Development (DWD) employment program, such as W-2 .

 

Although SeniorCare is a subprogram of Medicaid, only the portions of the handbook that are referenced in Chapter 33 SeniorCare apply to SeniorCare policy.

 

 

 

This page last updated in Release Number: 16-01

Release Date: 06/10/2016

Effective Date: 06/10/2016

 

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