Wisconsin Department of Health Services Will Expand Presumptive Eligibility for BadgerCare Plus Express Enrollment

DHS Logo

ForwardHealth Community Partners

ForwardHealth logo

Updates for local agencies, community-based organizations, and providers who provide assistance to members of Wisconsin's health and nutrition public assistance programs.


Wisconsin Department of Health Services Will Expand Presumptive Eligibility for BadgerCare Plus Express Enrollment

In response to the COVID‐19 pandemic, the Wisconsin Department of Health Services (DHS) is temporarily altering certain policy requirements to protect the health and safety of members.

Effective April 11, 2020, DHS will expand presumptive eligibility for BadgerCare Plus Express Enrollment through the online Express Enrollment application in ACCESS for Partners and Providers to include children through age 18 in households with an income of up to 306 percent of the federal poverty level.

Providers and partners who are approved to make presumptive eligibility determinations are encouraged to help applicants obtain temporary enrollment for BadgerCare Plus through the Express Enrollment process.

Because enrollment through the Express Enrollment process is temporary, it is important for members to apply for ongoing BadgerCare Plus, Family Planning Only Services, or Medicaid coverage. Also, ongoing coverage is necessary for long-term care. Partners are encouraged to assist members with this process.

More information about the presumptive eligibility expansion is available in ForwardHealth Alert 012, titled “ForwardHealth Will Expand Presumptive Eligibility for Express Enrollment.”