MedicaidCoverageHigh impact
Introducing the BadgerCare Plus Basic Plan
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 1, 2010
We identified it
Jun 20, 2026
Summary
Wisconsin's BadgerCare Plus is launching a new Basic Plan on July 1, 2010, providing limited coverage for Core Plan waitlist members with fee-for-service billing, $130 monthly premiums, and significant service limitations including visit caps and deductibles.
Action Required
By July 1, 2010: Billing team must verify BadgerCare Plus Basic Plan enrollment for all Wisconsin patients presenting ForwardHealth cards using Portal, WiCall, or 270/271 transactions. Update systems to track service limitations: 10-visit annual cap for physician/specialist visits, 5 ambulatory surgery visits, 1 authorized inpatient stay per year, and $7,500 deductible for subsequent hospital services. Train staff to recognize new Basic Plan identification cards and refer pregnant members to Member Services at (800) 362-3002.