WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #397
Enrollment Eligibility
BadgerCare Plus HMOs
Members enrolled in BadgerCare Plus are eligible for enrollment in a BadgerCare Plus HMO.
An individual who receives Tuberculosis-Related Medicaid, SeniorCare, or Wisconsin Well Woman Medicaid cannot be enrolled
in a BadgerCare Plus HMO.
Information about a member's HMO enrollment status and other health insurance (for example, commercial health insurance,
Medicare, Medicare Advantage Plans) coverage may be verified by using Wisconsin's EVS (Enrollment Verification System) or
the ForwardHealth Portal.
SSI HMOs
Members of the following subprograms are eligible for enrollment in a Medicaid SSI HMO:
• Individuals ages 19 and older who meet the SSI and SSI-related disability criteria
• Dual eligibles for Medicare and Medicaid
Individuals who are living in an institution, nursing home, or participating in a Home and Community-Based Waiver program are
not eligible to enroll in an SSI MCO.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
640590b292ecbac61a466a9da4a4518b9a896ea82a0ecd62b46f40562c5d063b
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