State of Wisconsin
Department of Health Services

Release 24-01
April 03, 2024

View History

11.1 Premium or Cost Share

Nonpayment of a MAPPMedicaid Purchase Plan premium will result in nonfinancial ineligibility for an adult age 19 or older (see Section 26.5 MAPP Premiums).

Nonpayment of a Home and Community-Based Waivers cost share will result in nonfinancial ineligibility for an adult age 19 or older (see Section 28.1 HCBWLTC Eligibility Groups and Cost Sharing).

Members under age 19 cannot lose their health care during their 12-month continuous coverage period for failure to pay a premium or cost share (see Section 1.2 Continuous Coverage for Qualifying Children).

This page last updated in Release Number: 23-04
Release Date: 12/18/2023
Effective Date: 01/01/2024


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