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ACA update: Paper applications sent to BadgerCare beneficiaries

The Wisconsin Department of Health Services (DHS) sent reminder letters this week to current BadgerCare Plus beneficiaries who may no longer be eligible for the state’s Medicaid program because of income-limit changes included in the state’s 2013-2015 budget. A paper application for purchasing health insurance through the federal government’s Health Insurance Marketplace is included in the mailing.

The letter also includes special instructions that tell Marketplace applicants who currently have only BadgerCare Plus for health insurance to answer “No” to Question 1 in Step 4 (on page 6 of the paper application). This indicates that the applicant’s BadgerCare Plus coverage may be ending December 31 and allows the Marketplace to process the application.

Current adult Medicaid beneficiaries with household incomes above 100 percent of the federal poverty level (FPL) and those with children and incomes above 300 percent of FPL will no longer be eligible for BadgerCare Plus as of January 1. Affected beneficiaries must apply for health insurance and enroll by December 15 to ensure benefits beginning January 1. Note: This deadline may move to April 1, 2014 if the State Legislature supports Gov. Scott Walker’s call today for a three-month delay. Click here to learn more about the proposed delay.

To assist patients with this transition, physicians can visit the ForwardHealth Provider Portal to request a list of their patients who are transitioning from Medicaid to the Health Insurance Marketplace. Lists can be requested by individual National Provider Identifier only, which means health systems cannot access a list for all of their physicians. Instructions are provided after logging in to the Provider Portal.

The Wisconsin Medical Society’s website features a special section on the Affordable Care Act with information to assist physicians and their staff with this transition and to help answer patients’ questions including a link to the letters about BadgerCare eligibility.

Back to November 14, 2013 Medigram