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How to Apply for Medicaid in Wisconsin

In Wisconsin, where to apply for Medicaid depends on if the applicant would rather apply for Medicaid online, by mail, by phone or by fax. The Medicaid application that you access online is the same as a paper application, so it does not matter how you apply for Medicaid as long as you complete the application correctly and provide the right documentation. If you need to know where do you sign up for Medicaid, you can do so through the state’s online tool. Through the Wisconsin official website, you can submit a Medicaid application form and also report changes to your application and access your account. If an applicant has a disability and needs the Wisconsin Medicaid application in an alternate format or if they need to have it translated into another language, then he or she can do so through the state agency. These services are offered free-of-charge.

What information does the Wisconsin Medicaid application require?

Now that you know where to sign up for Medicaid in Wisconsin, you are going to need to know what documents are required. Federal law states that all U.S. citizens applying for Medicaid must show proof of their citizenship and identity to confirm Medicaid eligibility in WI. When applying for Medicaid, examples of what an applicant can use to prove both his or her citizenship and identity include a U.S. passport, a Certificate of U.S. Citizenship and a Certification of U.S. Naturalization. Examples of what an applicant can use to prove only his or her citizenship include a U.S. birth certificate, a U.S. State Department Report of Birth Abroad and a U.S. citizen ID card. When submitting a Wisconsin Medicaid application form, examples of documents that only prove identity include a driver’s license or an ID card issued by local, state or federal government.

An applicant submitting a Medicaid application in Wisconsin may authorize a representative to apply on his or her behalf. To do so, you must fill out the Authorized Representative page on the Medicaid application form, which will allow that person to not only complete the application but also sign the application for you. In WI, a legal guardian and a conservator of power of attorney may apply for an applicant without the authorization of the applicant. If a Medicaid applicant has a question about his or her Wisconsin Medicaid application form or needs help filling out the application, then he or she can set up an appointment with the local agency to discuss questions either in person or by phone. When applying for Medicaid, your Social Security Number (SSN) is required because a check of your information on Medicaid application is confirmed with government agencies such as the Social Security Administration, the Internal Revenue Service (IRS), the Department of Revenue and the Department of Workforce Development. Additionally, the Department of Health Services will match an applicant’s name and SSN with information provided by health insurance carriers to determine if the applicant has any other forms of health insurance. On a Wisconsin Medicaid application, any personally identifiable information and an applicant’s SSN is only used for the administration of the Wisconsin Medicaid program.

If a person in your household is not applying for Medicaid in Wisconsin, then you do not need to provide the SSN information for that person. Any applicants who apply for Medicaid but do not provide their SSN or SSN application information, will not be eligible for benefits. However, if you are applying for Emergency Services because of your immigration status, then you do not need to provide your SSN information on Medicaid application requests. When an applicant submits a Medicaid application form in WI, his or her SSN will not be shared with the United States Citizenship and Immigration Services (USCIS).

When an applicant applies for Medicaid in WI, he or she will also be required to provide proof of all assets. An example of an applicant’s proof of assets includes a copy of his or her bank statement showing the value of his or her bank account on the date in which the application is completed. A property tax bill and a vehicle title or registration form are also examples. When submitting a Medicaid application form, applicants will need to list all the assets that are owned by them and their spouses, which include assets that are owned jointly with any other persons. Download our comprehensive Medicaid guide for more details about applying to the government health insurance program.

What happens after I complete a Wisconsin Medicaid application form?

If on the day you submit a Wisconsin Medicaid application you have all of the required documents available, then you can provide a copy of each with your application. If you apply for Medicaid online, then you can also scan or upload any proof to your online account. It is crucial that when an applicant is applying for Wisconsin Medicaid that he or she does not send original documents in the mail. An applicant may also either bring in the original documents or send photocopies of those documents with the application. Applicants can contact their agency about their Wisconsin Medicaid application and ask for assistance if they are having trouble getting the documents they need to provide proof.

When applying for Wisconsin Medicaid, an applicant has 30 days from the date of his or her application to provide proof. Your U.S. citizenship or identity may already be on file if you receive Medicare, Supplement Security Income (SSI) or Social Security Disability Income. An applicant will be notified if he or she needs to provide this information. If you are an alien applying for Medicaid in WI, then the U.S. Department of Homeland Security will verify the status of all immigrants. If on your Medicaid application any information is missing, conflicting or vague, then you may be contacted by the agency to provide the accurate information if that information would, in turn, affect the decision about enrollment in Medicaid coverage.

What happens after I submit my Medicaid application in Wisconsin?

The application date on a Wisconsin Medicaid application form is the date in which the Medicaid office gets the signed application. A decision about your Medicaid application will be mailed to you within 30 days of your application date. Any unsigned documents will be returned to you. It is important to submit the documentation for your Wisconsin Medicaid application as soon as possible since the date your coverage will begin, if you meet all the requirements, is based on the application date. Learn more about Medicaid in our detailed Medicaid guide here.

My Wisconsin Medicaid application is denied? Can I appeal it?

An applicant who has applied for Wisconsin Medicaid has the right to appeal any action that is taken regarding his or her application. If an applicant does not agree with a decision regarding the application, then he or she can request a fair hearing. An applicant may request a fair hearing either by phone, online or by mail. An applicant can also contact the local agency about his or her Wisconsin application for Medicaid if he or she has any general questions regarding rights and responsibilities or the appeal process.