WISCONSIN MEDICAID PROGRAMS 2001-2002
Healthy Start and Badgercare income guidelines shown are current as of May 1, 2001
Other income guidelines specified are current as of January 1, 2002
| PROGRAM | ELIGIBILITY | SERVICES | INCOME/ASSET* | BACK DATE |
DEDUCTIBLE | APPLICATION SITE |
|---|---|---|---|---|---|---|
| HEALTHY START PRESUMPTIVE ELIGIBILITY | Pregnant women | Temporary Medicaid card for ambulatory, prenatal care | Income 185% FPL, or $2721, no asset test | No | No | County Public Health Agency and other designated sites |
| HEALTHY START | Pregnant women and children under 6 | All Medicaid services | Income
185% FPL, or $2721, no asset test FFU |
Yes | Yes | County Dept. of Social Services |
| HEALTHY START NEWBORN | Birth to end of 12 mos.; born to Medicaid recipient | All Medicaid services | No income or asset test | Yes | NA | County Dept. of Social Services |
| HEALTHY START OBRA KIDS | Children age 6 to 19 | All Medicaid services | Income
100% FPL, or $1470, no asset test FFU |
Yes | Must now use medically needy guidelines | County Dept. of Social Services |
| MEDICALLY
NEEDY (A) |
Disabled, blind, 65 and over | All Medicaid services | Income--varies Assets--varies |
Yes | Yes | County Dept. of Social Services |
| MEDICALLY NEEDY | Children age 6 to 19 with income above 100% FPL | All Medicaid services | Income
at $822 No asset test FFU |
Yes | Yes | County Dept. of Social Services |
| MEDICAID THROUGH AFDC | Low income families with deprived children | All Medicaid services | Income
(Area 1) $772 No asset test |
Yes | No | County Dept. of Social Services |
| BADGERCARE | Children age 6 to 19. Parents of children birth to age 19 | All Medicaid services | Income 185% FPL, or $2721, no asset test | 1st of month | No | County Dept. of Social Services |
| SSI (A) |
Disabled, blind, 65 and over | All Medicaid services and cash | Income--varies Assets--varies |
Yes | No | Social Security Administration |
| KATIE BECKETT (A) |
Disabled children under age 19, living at home, level of care | All Medicaid services | Income
of child only $1635/mo Asset of child $2000 |
Yes | No | Katie
Beckett Program PO Box 7851 Madison, WI 53707 |
| MEDICAID
PURCHASE PLAN (A) |
Employed, disabled adults | All Medicaid services | Family
income 250% FPL Assets of individual $15,000 |
Yes | No | County Dept. of Social Services |
| INSTITUTIONS (A) |
Disabled, 65 & over, in institutions | All Medicaid services | Income--varies Assets--varies |
Yes | No | County Dept. of Social Services |
| COMMUNITY
WAIVER: CIP-1A, CIP-1B, CIP-II, COP-W (A) |
Disabled, 65 and over, requiring special services and a level of care | All Medicaid services and payment of special services | Income
at $1635/mo Assets $2000 for one person, or medically needy guidelines |
Yes | Yes | County Dept. of Social Services |
| ADOPTION ASSISTANCE | Pre-adopted children with special needs | All Medicaid services | No income or asset test | No | No | Adoption Agency |
| FOSTER CHILDREN | Children in foster care | All Medicaid services | Income of child only as family of one. No asset test. | Yes | Yes | County Dept. of Social Services |
| TUBERCULOSIS (A)) |
TB related needs | Medicaid for TB related services only | Income--varies Assets--varies |
Yes | No | County Dept. of Social Services |
| EMERGENCY (A) |
Non-citizens | Medicaid for emergency services only | Income--varies Assets--varies |
Yes | Yes | County Dept. of Social Services |
| QMB/SLMB/QDWI (A) |
Medicare recipients | Medicaid for Medicare premiums, deductibles, co-pays | Income--varies Assets--varies |
Varies | No | County Dept. of Social Services |
MEDICAID IS NOT: MEDICARE
FPL = Federal Poverty Level
(A) = Assets evaluated for eligibility
FFU = Family Fiscal Unit
Copyright 1992-01
ABC for Health
152 W Johnson St, Ste 206
Madison, WI 53703-2213
(608) 261-6939
Last update: January 8, 2002