Badgercare plus core plan update
Download
1 / 14

BadgerCare Plus Core Plan Update - PowerPoint PPT Presentation


  • 753 Views
  • Updated On :

BadgerCare Plus Core Plan Update. Covering Kids and Families Wisconsin October 26, 2009. ForwardHealth Health and Nutrition Programs. dhs.wisconsin.gov/forwardhealth. Am I Eligible Tool. Simple 10-15 minute screening Shows what benefits families may be eligible to receive: BadgerCare Plus

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'BadgerCare Plus Core Plan Update' - daniel_millan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Badgercare plus core plan update l.jpg

BadgerCare Plus Core Plan Update

Covering Kids and Families Wisconsin

October 26, 2009


Forwardhealth health and nutrition programs l.jpg
ForwardHealth Health and Nutrition Programs

  • dhs.wisconsin.gov/forwardhealth


Am i eligible tool l.jpg
Am I Eligible Tool

  • Simple 10-15 minute screening

  • Shows what benefits families may be eligible to receive:

    • BadgerCare Plus

    • FoodShare

    • Family Planning Waiver

    • Heating Assistance

    • Tax Credits

    • WIC

    • And more!

  • Personalized results and next steps for applying


Badgercare plus core plan l.jpg
BadgerCare Plus Core Plan

  • Was designed for low-income adults with no dependent children, most of whom have been chronically uninsured

  • Is for individuals who are not pregnant, disabled, or qualified for any other BadgerCare Plus, Medicaid, or Medicare program

  • Will provide access to basic health care services, including primary and preventive care

    Enroll at access.wi.gov

    No paper applications!


The enrollment services center l.jpg
The Enrollment Services Center

  • Enrollment Services Center will take all applications for adults with no dependent children:

    • BadgerCare Plus Core Plan

    • FoodShare

    • Family Planning Waiver

  • Enrollment Services Center will determine eligibility and provide ongoing case management

  • The ESC will be comprised of a combination of state and vendor staff

  • The vendor is Automated Health Services (AHS).


Badgercare plus core plan program design l.jpg
BadgerCare Plus Core Plan Program Design

Eligibility Requirements

  • Adults between ages 19 and 64 who are low-income adults and have no dependent children

  • Individuals who are not pregnant, disabled, or qualified for any other BadgerCare Plus, Medicaid, or Medicare program

  • Must be a citizen or a qualifying immigrant


Badgercare plus core plan program design8 l.jpg
BadgerCare Plus Core Plan Program Design

Eligibility Requirements

Income up to 200% of the Federal Poverty Level (FPL)

$20,800 annual income for single person (~$10/hour)

$28,000 annual income for married couple (~13.46/hour for both)

Reporting requirements

Move out of state, turn 65, change living arrangement, death, obtain health insurance, or become eligible for BC+, Medicaid or Medicare.


Badgercare plus core plan covered services l.jpg
BadgerCare Plus Core Plan Covered Services

  • The BadgerCare Plus Core Plan will cover these services:

    • Doctor visits Hospital services

    • Emergency room visits Emergency ambulance rides

    • Emergency dental services Physical therapy

    • Occupational therapy Durable medical equipment

    • Speech therapy Cardiac rehabilitation

    • Dialysis/kidney-related services

    • Some disposable medical supplies

    • Chiropractic Services (effective July 1, 2009)

    • Generic and some brand name prescription drugs

      **For More Information See Covered Services Handout**


Badgercare plus core plan non covered services l.jpg
BadgerCare Plus Core Plan Non-Covered Services

  • The BadgerCare Plus Core Plan does not cover these services:

    • Non-emergency dental services

    • Hearing services

    • Routine vision exams

    • Home health care

    • Hospice

    • Nursing home care

    • Podiatry

    • Non-emergency transportation

    • Inpatient mental health/substance abuse treatment

    • Reproductive health services (These services are covered by the Family Planning Waiver.)


Core plan waitlist l.jpg
Core Plan Waitlist

  • Core Plan Suspended Friday, Oct. 9

    • Number of applications received was greater than the number of spots available

  • Governor Doyle also directed DHS to design a proposal to offer some basic level of self-funded coverage for those on the Core Plan waiting list. 

    • More information available in late November 


Applying for the core plan l.jpg
Applying for the Core Plan

  • Apply online at access.wi.gov

  • The BC+ Core Plan has a four step enrollment process:

    • Application

    • Health Survey (Health Needs Assessment)

    • HMO Selection (Available January 2010)

    • Payment

  • If you are assisting with a Core Plan application and the individual has a question that you cannot answer, they can call 800-291-2002


  • What s next l.jpg
    What’s next?

    • BC+ for children and families

    • Strengthening Partner Network

    • FNS and CHIPRA Outreach Grants


    Slide14 l.jpg

    Claire Smith

    Senior Communications Specialist

    Division of Health Care Access and Accountability

    Wisconsin Department of Health Services

    608-266-1334

    [email protected]


    ad