MedicaidMedicaid Health Insurance helps persons with low income
What is Medicaid?
Medicaid is Wisconsin’s program for health care and long-term care for persons with low income.
There are a variety of programs each with different rules for eligibility both financial and non-financial. Brown County Economic Support, a.k.a. Bay Lake Consortium determines eligibility.
Go to www.dhs.wisconsin.gov/medicaid/index.htm to read about program benefit information based on your individual situation.
How to Apply for Medicaid Health Care
Medicaid applications require many forms. You can apply for most programs in a variety of ways such as:
- Online at access.wisconsin.gov
- Call Bay Lake Consortium 1-888-794-5747
- Or with the help of an ADRC Benefit Specialist 920-448-4300
Bay Lake Consortium
Medicaid Eligibility and Case Management
Medicare is complicated. ADRC staff and specially trained volunteers are here to answer your questions and take the mystery out of Medicare. Below are a few sample questions.
How to apply for Medicaid Long-Term Care
Long-term care is for persons who are no longer able to complete day-to-day activities such as bathing, dressing, meal prep, etc. without assistance.
ADRC Information & Assistance – start here
ADRC is the place to start to learn about and apply for the Medicaid long-term care program.
The application process is very extensive, we are here to guide you through it.
There are two Medicaid long-term care programs in Wisconsin called Family Care and IRIS.
Click on this Family Care – IRIS link for more information.
Your Assets and Medicaid
Assets are part of the eligibility review in applying for Medicaid. The topics below talk about some options available to preserve assets as well as information about how divestment and estate recovery work.
A type of trust created to help preserves the assets of people with disabilities. WISPACT trust assets are not counted when applying for Medicaid. Go to www.wispact.org for more information.
There are certain types of burial assets that are not counted for Medicaid eligibility. Read Planning for Funeral and Burial Expenses for more information.
Estate recovery is a program where the state of Wisconsin can recoup some of the money that was spent on long-term care Medicaid programs such as Family Care or IRIS or Institutional Medicaid. Helpful information can be found on-line at www.dhs.wisconsin.gov/medicaid/
Spousal Impoverishment Protection
Provides protection for spouses of persons who qualify for long-term care coverage. The rules are designed to protect the income and asset of the spouse who is not applying for long-term care Medicaid. This Spousal Impoverishment Protection flyer has more information.
When applying for Medicaid for long-term care the eligibility office looks back in time to determine if the applicant transferred any income, assets, or property for less than fair market value (known as Divestment), for the purpose of becoming eligible for long-term care Medicaid program. If divestment is determined there may be a penalty assessed before the person will be found eligible for Medicaid. Read Answering Your Questions about Divestment for more information.