MedicaidAdministrativeMedium impact
Member Enrollment Verification for BadgerCare Plus Core Plan for Childless Adults
Wisconsin Medicaid (ForwardHealth)·WI·Medical Policy
Effective date
Jan 1, 2009
We identified it
Jun 20, 2026
Summary
Wisconsin is implementing BadgerCare Plus Core Plan for Childless Adults starting January 1, 2009. Providers must verify member enrollment before providing services as this plan has different coverage, copayments, and services than standard BadgerCare Plus plans.
Action Required
Before January 1, 2009: All staff must verify member enrollment for every BadgerCare Plus member using ForwardHealth Portal, WiCall, or other approved methods to determine if they are enrolled in Core Plan vs Standard/Benchmark plans. Update front desk procedures to check enrollment status at each visit as coverage may change. Train staff on different copayment and coverage rules for Core Plan members.