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Wisconsin Medicaid Disability

Wisconsin Medicaid is a program administered by the Department of Health Services that can provide health care benefits to certain persons with disabilities. If a student has not been determined disabled by the Social Security Administration, but he/she is disabled, they can apply for Medicaid benefits based on their disability. A parent/young adult may also apply for Medicaid if they have already applied for Social Security Disability Income or SSI and are waiting for a decision. Note: If a student is determined disabled by the Social Security Administration and he/she receives Supplemental Security Income, the student will automatically receive Medicaid benefits.

Applying for Medicaid Disability

To apply for Medicaid Disability, contact the local county/tribal human or social services agency (local agency). For a listing of local health departments go to dhs.wisconsin.gov/localhealth/index.htm. For a listing of tribal health centers go to dhs.wisconsin.gov/localhealth/counties/tribal.htm

The local agency will submit a Medicaid Disability application to the Department of Health Services, Disability Determination Bureau (DDB), who will make a disability determination. The DDB may send other forms that ask for more information about the jobs a person has had or about daily activities. This additional information is needed to complete the application. If additional medical information is needed, the DDB may schedule a medical examination at no cost to the applicant. It is the responsibility of the applicant to attend the examination on time and on the date scheduled. If one does not attend any scheduled special examinations or does not furnish additional information requested, the application may be denied for insufficient evidence or information. The disability determination is based on medical and other information provided by a person’s health care providers. If after completing the application and before the final decision a person:

• Sees any new providers
• Is scheduled for more medical tests, or
• Is hospitalized, they should contact the DDB as soon as possible. This additional information will be needed for the disability determination.

Enrollment Determination
The applicant will receive a notice regarding their enrollment. If the application is denied, the notice will include the rights to appeal. Note: If the applicant’s address or telephone number has changed, they should contact the DDB as soon as possible.

Wisconsin Medicaid Presumptive Disability
If an applicant is in need of urgent medical services, and will likely be determined to be disabled by the DDB, but have not yet been found disabled by the DDB, they may apply for Medicaid presumptive disability. If determined presumptively disabled, the applicant will be able to receive Medicaid covered services, until receiving their final disability determination.

To apply for Medicaid Presumptive Disability, contact your local health department or tribal health center. For a listing of local health departments go to dhs.wisconsin.gov/localhealth/index.htm.
For a listing of tribal health centers go to dhs.wisconsin.gov/localhealth/counties/tribal.htm Under some circumstances, the local agency will be able to determine enrollment for presumptive disability. A presumptive disability determination is not the final decision. All Medicaid disability applications must still be sent to the DDB for a final determination.

Requesting Determination for Multiple Program Benefits
In addition to Medicaid Disability, the DDB processes applications for Social Security Disability Insurance (SSDI) and Supplemental Security Income Disability (SSI). The disability requirements are the
same for all three programs. If also applying for SSDI or SSI the DDB will try to process the application request at the same time. For more information contact one of the following:

• Local county health department listing – dhs.wisconsin.gov/localhealth/index.htm
• Tribal health center listing – dhs.wisconsin.gov/localhealth/counties/tribal.htm
• Member Services at 1-800-362-3002 (TTY and translation services are available)
• Disability Determination Bureau at 1-800-423-1938 or 1-608-266-1565
• Wisconsin Medicaid web page at dhfs.wisconsin.gov/medicaid/, or
• Disability Determination Bureau web page at dhfs.wisconsin.gov/ddb/index.htm

Medicaid Enrollment Renewal
If enrolled in Medicaid, BadgerCare or the Family Planning Waiver Program, one must participate in a Medicaid enrollment renewal at least once a year to assure that there is no interruption in Medicaid coverage. If the enrollment renewal is not completed, enrollment for Medicaid will end. If enrolled in a Medicaid HMO and a renewal is not completed, there may be difficulty in obtaining
services from the HMO, for up to 30 days from the date that the renewal was completed.
Enrollment renewals will be scheduled at different times, depending on the type of benefits one receives. Below is a list of Medicaid programs and when enrollment renewals are required. Renewals are required for the following Medicaid programs every 12 months:

• Medicaid for the Elderly, Blind or Disabled
• BadgerCare Plus
• Family Planning Waiver Program

When is the Renewal Due?
Notifications will be sent by mail by the local county/tribal human or social services agency one month prior to when the renewal is due. (For example, if the renewal is due in April, the notice will
be sent in March.) Renewals done for W-2, FoodShare, Caretaker Supplement or Child Care programs will also be considered a renewal for Medicaid.

How Will the Medicaid Enrollment Renewal Take Place?
The renewal may be completed by mail, telephone or face-to-face with a worker at the local county/tribal social or human services agency.

How Does the Renewal Work?
Parents/young adults will be asked to update and provide changes in information needed to renew enrollment such as income, assets, expenses, and the people who live in the home. A few days after the renewal is complete, a notice explaining any changes that may have occurred in the person’s Medicaid enrollment will be sent.

For More Information:

• Contact Member Services at 1-800-362-3002 (TTY and translation services are available)
• Visit the Wisconsin Medicaid web site at dhfs.wisconsin.gov/medicaid/, or
• Call the local county/tribal social or human services agency or the county Medicaid outstation site

Independent Care Health Plan
Friends for Health. Friends for Life.
www.icare-wi.org

So You Want to Work? Wisconsin FACETS (Family Assistance Center for Education, Training & Support) is hosting a FREE informative workshop. Representatives from IndependenceFirst, the Department of Vocational Rehabilitation, the Volunteer Center of Milwaukee, Creative Employment Opportunities and the Equal Employment Opportunity Commission will lead a panel discussion on career options, employment rights and job resources for people with disabilities.  This workshop is ideal for parents, educators, service providers and especially transition-aged students who want to learn more about employment opportunities and resources available in the area.

Wednesday April 10, 2013

6:00-8:00 p.m.

At WI FACETS

600 W. Virginia St., Suite 501

Milwaukee, WI 53204

Registration is required: Contact Matthew at 414-374-4645 x203 or mzellmer@wifacets.org.

Hurry, the deadline is approaching to take our survey and to be entered to win a prize 

Independent Care Health Plan (iCare) is interested in learning more about the basic behavior of iCare Facebook fans and their awareness of iCare and the services it provides.

By answering this brief survey, you help iCare learn valuable information about how we can provide better services to our community and be entered into our sweepstakes for a chance to win a prize. But you must act now!  The deadline is 3/31/2013!

To see the great prizes available to you if you are a winner in our sweepstakes, visit the gift headquarters Sapphire Gift Level. Choose from jewelry, electronics, watches, and much more! We look forward to hearing from you!

To learn more about iCare visit us online at www.icare-wi.org. To complete the survey for your chance to be entered into our sweepstakes, click here.

NO PURCHASE OR PAYMENT OF ANY KIND IS NECESSARY TO ENTER OR WIN. VOID WHERE PROHIBITED. PROVIDING YOUR E-MAIL ADDRESS IS OPTIONAL AND IS NOT REQUIRED TO QUALIFY FOR A PRIZE. Sweepstakes open to the general public. Sweepstakes starts 12:01 AM CT on 11/28/12 and ends 11:59 PM CT on 3/31/13. Five winners will be selected by 4/3/13 and notified by phone and/or e-mail by 4/7/13. Winners will receive a prize worth up to $50. The winners will be selected from a drawing by a panel of judges comprised of iCare employees. Odds of winning depend on the number of entries received. To enter the sweepstakes, fill out the Independent Care Health Plan Facebook Survey and submit it online or by mail and send to Independent Care Health Plan, Facebook Survey Sweepstakes, 1555 N. RiverCenter Dr., Suite 206, Milwaukee, WI 53212. Sponsor: Independent Care Health Plan.

Friends for Health. Friends for Life.

www.icare-wi.org

Some of the great prizes available if you are a winner of our Facebook Survey sweepstakes!

iCare Facebook Survey – 2012

Independent Care Health Plan (iCare) is interested in learning more about the basic behavior of iCare Facebook fans and their awareness of iCare and the services it provides.

By answering this brief survey, you help iCare learn valuable information about how we can provide better services to our community and be entered into our sweepstakes for a chance to win a prize.

To see the great prizes available to you if you are a winner in our sweepstakes, visit the gift headquarters Sapphire Gift Level.  Choose from jewelry, electronics, watches, and much more! We look forward to hearing from you!

To learn more about iCare visit us online at www.icare-wi.org.   To complete the survey for your chance to be entered into our sweepstakes, click here.

NO PURCHASE OR PAYMENT OF ANY KIND IS NECESSARY TO ENTER OR WIN. VOID WHERE PROHIBITED. PROVIDING YOUR E-MAIL ADDRESS IS OPTIONAL AND IS NOT REQUIRED TO QUALIFY FOR A PRIZE. Sweepstakes open to the general public. Sweepstakes starts 12:01 AM CT on 11/28/12 and ends 11:59 PM CT on 1/30/13. Five winners will be selected by 2/3/12 and notified by phone and/or e-mail by 2/7/12. Winners will receive a prize worth up to $50. The winners will be selected from a drawing by a panel of judges comprised of iCare employees. Odds of winning depend on the number of entries received. To enter the sweepstakes, fill out the Independent Care Health Plan Facebook Survey and submit it online or by mail and send to Independent Care Health Plan, Facebook Survey Sweepstakes, 1555 N. RiverCenter Dr., Suite 206, Milwaukee, WI 53212. Sponsor: Independent Care Health Plan.

Friends for Health. Friends for Life.

www.icare-wi.org