MedicaidCoverageMedium impact
Introducing the 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 introducing the BadgerCare Plus Core Plan for Childless Adults effective January 1, 2009, covering basic health services with limited benefits compared to standard Medicaid. Providers must verify enrollment in this new plan type and understand the specific coverage limitations and copayment structure ranging from $0.50 to $3.00.
Action Required
By January 1, 2009: Billing team must update enrollment verification procedures to identify BadgerCare Plus Core Plan members and apply correct copayment amounts ($0.50-$3.00 based on service fees). Update billing system to recognize new ForwardHealth ID cards for Core Plan members. Train staff on limited coverage restrictions including emergency-only dental, generic-only drugs (except specified brand names), and $2,500 annual DME limit. Verify member enrollment before each service as Core Plan has different benefits than Standard BadgerCare Plus.