33.1 SeniorCare Introduction

SeniorCare is a prescription drug assistance program for Wisconsin residents who are 65 years of age or older and meet the program’s enrollment requirements.

SeniorCare is administered by DHSDepartment of Health Services, through EM CAPOEnrollment Management Central Application Processing Operation. IM consortia and tribal agencies are not responsible for determining eligibility for SeniorCare, but may need to coordinate with workers in the EM CAPO for mixed cases. Mixed cases include people eligible for SeniorCare and:

FoodShare, or
A Medicare Savings Program, or
An unmet Medicaid deductible, or
Child care assistance, or
Are participating in a Department of Workforce Development (DWD) employment program, such as W-2Wisconsin Works.

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: 19-01
Release Date: 4/19/2019
Effective Date: 4/19/2019

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