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MedicaidCoverageMedium impact

Expansion of the BadgerCare Plus Core Plan for Adults with No Dependent Children

Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jul 15, 2009
We identified it
Jun 20, 2026
Days to comply

Summary

Wisconsin's BadgerCare Plus Core Plan expanded enrollment to low-income adults with no dependent children starting June 15, 2009, with coverage beginning July 15, 2009. This creates a new Medicaid population with specific eligibility requirements and service limitations that billing teams must understand for proper claims processing.

Action Required

Action needed
By July 15, 2009: Billing team must update patient eligibility verification processes to identify BadgerCare Plus Core Plan members. Verify member enrollment status through ForwardHealth system before providing services. Train staff on Core Plan service limitations and 12-month enrollment periods. Update billing system to properly process Core Plan claims under fee-for-service initially, then HMO enrollment starting October 1, 2009.