Wisconsin does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
Medicaid in Wisconsin
The Wisconsin Department of Health Services administers the Medicaid Program. Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.dhs.wisconsin.gov/.
Medicaid Managed Care
Some Wisconsin Medicaid Program beneficiaries are enrolled in managed care plans, called Badgercare Plus.
Basic information about Badgercare Plus can be found at: http://www.dhs.wisconsin.gov/LTCare/Generalinfo/CMOs.htm.
Some managed care plans cover individual Wisconsin counties and independent cities. The Medicaid website has jurisdictional information: http://www.dhs.wisconsin.gov/LTCare/Generalinfo/CMOs.htm.
Badgercare Plus Beneficiaries Participating in Managed Care
Managed care plans participating in Badgercare Plus offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Reporting Problems
The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office:
http://www.dhs.wisconsin.gov/medicaid/
800-362-3002
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies.
Managed Care Plans Participating in Badgercare Plus
Care Wisconsin
Plan Website: http://www.carewisc.org/
Provider Enrollment: http://www.carewisc.org/providers
Community Care Connections of Wisconsin
Plan Website: http://www.communitycareofcentralwisconsin.org/
Provider Enrollment: http://www.communitycareofcentralwisconsin.org/ProviderNetwork/
Community Care, Inc.
Plan Website: http://www.communitycareinc.org/
Provider Enrollment: http://www.communitycareinc.org/ForProviders/default.htm
ContinuUs
Plan Website: http://www.continuus.org/
Provider Enrollment: http://www.continuus.org/Provider-115
Independent Care (ICare)
Plan Website: http://www.icare-wi.org/
Provider Enrollment: http://www.icare-wi.org/providers
Lakeland Care District
Plan Website: http://www.lakelandcaredistrict.org/
Provider Enrollment: http://www.lakelandcaredistrict.org/pages/provider.html
Milwaukee County Department of Family Care
Plan Website: http://www.familycaremilwaukeecounty.com/
Provider Enrollment: http://www.familycaremilwaukeecounty.com/providers.aspx
Western Wisconsin Cares
Plan Website: http://www.wwcares.org/
Provider Enrollment: http://www.wwcares.org/?page_id=64