Wisconsin Presumptive Eligibility for Pregnant Women FAQ

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The PE for Pregnant Women program allows Qualified Providers (QPs) to grant immediate, temporary Medicaid coverage for ambulatory prenatal care and prescription drugs for conditions related to pregnancy to low-income, pregnant patients, pending their formal Medicaid application.
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BADGERCARE PLUS One, eligibility is based on household income, so if you are married and your spouse works, you will not be eligible if your combined income is above $17,240 a year.

Medicaid can also deny pregnant women because their household size is too small relative to the total income. Therefore, you do not want to omit a dependent unknowingly or include an extra wage earner and hurt your eligibility.

The BadgerCare Plus Prenatal Plan provides health care coverage for pregnant women who are not eligible for BadgerCare Plus because of their immigration status or because they are in prison or jail. It is designed to provide better birth outcomes.

Applicants must apply and be eligible for ongoing Medicaid or BadgerCare Plus benefits in order to receive coverage for pregnancy-related inpatient services, such as labor and delivery services.

To be eligible for this benefit program, you must be a resident of Wisconsin and meet all of the following: Either 18 years of age and under or a primary care giver with a child(ren) 18 years of age and under, and. A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S, and.

How do I apply for emergency Medicaid coverage for childbirth? If you do not have legal status, you must show you are applying for emergency Medicaid. To do this, you should ask the hospital where you gave birth for a discharge summary. You must send in the discharge summary with your application.

The BadgerCare Plus Prenatal Plan provides health care for pregnant women who have been denied BadgerCare Plus because of their immigration or citizenship status or who are in prison or jail. This plan covers services such as: Prenatal care. Doctor and clinic visits.

Applicants must apply and be eligible for ongoing Medicaid or BadgerCare Plus benefits in order to receive coverage for pregnancy-related inpatient services, such as labor and delivery services.

The BadgerCare Plus Prenatal Plan provides health care coverage for pregnant women who are not eligible for BadgerCare Plus because of their immigration status or because they are in prison or jail. It is designed to provide better birth outcomes.

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Wisconsin Presumptive Eligibility for Pregnant Women FAQ