Applications

Adobe Acrobat Reader^® is needed to view PDF files.

BadgerCare Plus Application Packet, HCF 101082 (725 KB)

• Hmong, HCF 10182H (PDF, 201 KB)
• Spanish, HCF 10182S (PDF, 752 KB)

Medicaid Disability Application, HCF 10112 (PDF, 263 KB)

Medicaid, BadgerCare and Family Planning Waiver Registration Application, HCF 10129 (PDF, 10 KB)

• Hmong, HCF 10129H (PDF, 75 KB)

• Russian, HCF 10129R (PDF, 102 KB)

• Spanish, HCF 10129S (PDF, 74 KB)

Medicaid / FoodShare Wisconsin Authorization of Representative, HCF 10126 (PDF, 9 KB)

• Hmong, HCF 10126H (PDF, 57 KB)

• Russian, HCF 10126R (PDF, 104 KB)

• Spanish, HCF 10126S (PDF, 60 KB)

ACCESS — Apply Online

Wisconsin Medicaid for the Elderly, Blind and Disabled Application / Review, HCF 10101  (PDF, 782 KB)

• Hmong, HCF10101H (PDF, 801 KB)
• Russian, HCF 10101R (PDF, 1.10 MB)
• Spanish, HCF 10101S (PDF, 790 KB)