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Recipient Eligibility

Medicaid Identification Cards

Presumptive Eligibility for the Family Planning Waiver Program Temporary Cards

Qualified providers may issue white paper PE for the FPWP identification cards for women to use temporarily until they receive a Forward card. The identification card is included with the Presumptive Eligibility for the Family Planning Waiver Program application, HCF 10119. The PE for the FPWP identification cards have the following message printed on them: “Wisconsin Medicaid Presumptive Eligibility for the Family Planning Waiver Temporary Identification Card.” The PE for the FPWP provider indicates the dates of eligibility on the card. Providers should accept the card as proof of eligibility for those dates.

Providers are encouraged to keep a photocopy of the PE for the FPWP card.

Refer to the Medicaid Web site for more information on the FPWP.

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