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State of Wisconsin |
Release 24-03 |
The application filing date helps determine when an applicant can start getting benefits if they meet program rules (see SECTION 2.8 BEGIN DATES).
The filing date is the day a signed, valid application/registration form (F-10101 or F-10182) or registration form (F-10129) is received by the IM agency or the next business day if it is received after the agency's regularly scheduled business hours.
When a request for assistance is made by telephone, the filing date is set when a telephonic signature or signed application/registration form is received by the agency.
The filing date on an ACCESS application is the date the application is electronically submitted.
Low Income Subsidy (LIS, also called Extra Help) application information sent to DHS electronically from the Social Security Administration (SSA) is considered a request for Medicare Savings Programs (MSP). The filing date for the MSP request is the filing date set by SSA for the LIS application.
Because the LIS data sent by SSA does not provide enough information to determine if the applicant is eligible for Medicaid or MSP, the LIS data is used to establish a request for assistance (RFA). The contact date is the date when DHS receives the LIS data from SSA. In order for the agency to determine if the LIS applicant is eligible for Medicaid and MSP, the applicant must submit a completed application within 30 days of the RFA contact date. If the applicant does not submit a timely application, the RFA is withdrawn automatically.
The filing date for applications received from the Federally Facilitated Marketplace (FFM) is the date the application was submitted to the FFM.
This page last updated in Release Number: 23-02
Release Date: 04/17/2023
Effective Date: 04/17/2023
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