1.1 INTRODUCTION TO MEDICAID

1.1.1 Introduction

Medicaid is a state/federal program that provides health coverage for Wisconsin residents that are elderly, blind, or disabled. Medicaid is also known as Medical Assistance, MA, and Title 19.

When a person applies, eligibility is tested under appropriate categorie(s) of Medicaid. S/he is eligible if s/he meets all non-financial and financial requirements.

1.1.2 Categories of Medicaid

There are different categories of Medicaid:

• SSI-related Medicaid

• MAPP

• Institutional Long Term Care

• Home and Community Based Waivers Long Term Care

• Family Care Long Term Care

• Partnership Long Term Care

• Program of All-Inclusive Care for the Elderly (PACE)

• Katie Beckett

• Tuberculosis (TB) -related

• Medicare Premium Assistance (MPA): QMB, SLMB, SLMB+, QDWI;

• Emergency Medicaid

A person may fit into one (or more) of the above categories based on non-financial factors. A person is eligible if s/he meets all Medicaid non-financial and financial requirements. Individuals who are not elderly, blind or disabled (EBD) may be eligible for BadgerCare+ (BC+). See the BC+ Handbook for more information.

• Another related program is SeniorCare, which provides prescription drug coverage for persons 65 and older.

EBD Medicaid is available to those who are:

• 65 or older, or

• Blind or disabled as determined by the Disability Determination Bureau (DDB)

1.1.3 How to Apply

The following application options are available for anyone who is applying for EBD Medicaid.

ACCESS online application at https://access.wisconsin.gov/
Face-to-Face Interview at the local county/tribal office
Mail-In
Telephone Interview

Click here to view the Directory of local county/tribal agencies in Wisconsin or call 1 (800) 362-3002.

This page last updated in Release Number: 04-02

Release Date: 07/01/03

Effective Date: 07/01/03