BadgerCare Plus Core Plan presentation
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  • Income-eligible adults, from age 19 through 64 who do not have children or do not have dependent children under age 19 living with them, may be able to enroll

BadgerCare Plus Core Plan presentation BadgerCare Plus Core Plan presentation Presentation Transcript

  • 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
      • FoodShare
      • Family Planning Waiver
      • Heating Assistance
      • Tax Credits
      • WIC
      • And more!
    • Personalized results and next steps for applying
  • 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
    • 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).
    • 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 Design
  • 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
    • 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**
    • 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.)
    BadgerCare Plus Core Plan Non-Covered Services
  • 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
    • 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?
    • BC+ for children and families
    • Strengthening Partner Network
    • FNS and CHIPRA Outreach Grants
    • Claire Smith
    • Senior Communications Specialist
    • Division of Health Care Access and Accountability
    • Wisconsin Department of Health Services
    • 608-266-1334
    • [email_address]