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Medicaid : Legal Action of Wisconsin
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YOUR RIGHT
TO RECEIVE
MEDICAID
 
TYPES OF
MEDICAID
 
INCOME &
ASSET LIMITS
 
INCOME &
ASSETS
 
APPLYING FOR
MEDICAID
 
MEDICAID & W-2
 
MEDICAID
DEDUCTIBLE
 
MEDICAID
EXTENSIONS
 
GETTING
MEDICAL
SERVICES
 
MEDICAID
HMOs
 
MEDICAID
SERVICES
 
MEDICAID
PAYMENT
PROBLEMS
 
RULES FOR
SPECIAL
GROUPS
 
FAIR HEARINGS
 
TELEPHONE
NUMBERS
 
HMOs IN
MILWAUKEE
 
PUBLICATIONS
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GETTING MEDICAL SERVICES

How do I know I have Medicaid?
Once you are found eligible for Medicaid you will be mailed a notice which will tell you that you have been found eligible. You should also get a Medicaid card in the mail.

Note: Your paper Medicaid card will soon be changed to a plastic magnetic card called the "Forward" card, which will be valid for as long as you remain eligible. You will not get a paper Medicaid card each month. You will also get one "Forward" card for each member of your family. Pay attention to the notices you receive to make sure you are eligible. If you receive a notice telling you that your Medicaid will be terminated, immediately contact your caseworker.

If you request a fair hearing before the termination date, your Medicaid must continue until the fair hearing.  See  FAIR HEARINGS

If any information on the Medicaid card is wrong you must contact your caseworker and get it corrected. If you have trouble doing this and it is stopping you from getting health care, request a fair hearing.

What do I do if I don't get my Medicaid card?
If you don't get your Medicaid card after you have been found to be eligible, call the Medicaid Recipient Hotline at 800-362-3002. The hotline can tell you if you or any family member is eligible for that month. If eligible, you can ask them to send you a replacement card. If they tell you that you are not eligible, contact your caseworker or request a fair hearing.

How do I use my Medicaid card?
Before you get medical services, make sure that the provider (doctor or hospital) accepts Medicaid. If the provider does not accept Medicaid, call around for a provider who does.

Note: if you decide to get services from a provider who does not accept Medicaid, after being told that the service will not be covered by Medicaid, you may be held responsible for the bill. If a health care provider takes you to court to collect an unpaid medical bill, contact Legal Action of Wisconsin at 414-278-7722. 

If you do not have a Medicaid card at the time you receive services, but get a card later, ask your caseworker to backdate the card.  Your Medicaid card can be backdated up to three months before your application date if you were otherwise eligible.  There is no backdating for BadgerCare except to the first day of the month of application. 

Note: If your Medicaid card is backdated, make sure you inform your doctor or hospital to bill the state Medicaid program.  They have six months from the date of the backdate to submit the bills to the state.  If you do not inform your medical provider of your eligibility for Medicaid, you can be held responsible for the bill.  See MEDICAID PAYMENT PROBLEMS

 
 
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