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Wisconsin Medicaid Fact Sheet

Emergency Medicaid

PDF (16 KB)

Emergency Medicaid is short term medical coverage for people who have an emergency medical condition and cannot get regular Medicaid because of immigration or citizenship status.

A medical emergency is a medical problem which could put your health at serious risk or harm if you do not get medical care.

Note: Emergency Medicaid will only pay for emergency services. It is possible that you will have to pay the cost of health care you receive, if it is not an emergency. Labor and delivery costs are considered emergency services.

People who can get Emergency Medicaid are:

  • Age 65 or older,
  • Blind or disabled,
  • Under the age of 19,
  • Pregnant,
  • Have children in the home, and
  • Have income and assets at or below Medicaid limits.

Note: Social Security Numbers are not required. No information provided will be shared with the United States Citizenship and Immigration Services (USCIS) (formerly INS).

Emergency Medicaid Begin and End Dates

Emergency Medicaid begins on the first day you get emergency medical care and ends when your condition is no longer an emergency. For pregnant women, Emergency Medicaid coverage will end 60 days after the delivery.

How to Apply

You can apply for Emergency Medicaid through the local county/tribal human or social services agency (local agency). You can apply by mail, telephone or in person. To get an application, ask for help completing the application, or to find the local agency, call Recipient Services at 1-800-362-3002, or visit the Medicaid web site at: dhs.wisconsin.gov/medicaid1/contacts/index.htm.

Emergency Medicaid for Pregnant Women

Emergency Medicaid pays the labor and delivery cost for pregnant women. If you are pregnant, you can apply for Emergency Medicaid one month before your due date. Also, you will be able to get Emergency Medicaid for 60 days from the date of delivery. Emergency Medicaid can cover emergencies and the delivery, but will not pay for prenatal or postpartum care or any other service that is not an emergency.

Important Note: Pregnant women may be able to get benefits under the BadgerCare Prenatal Program. This program covers routine doctor visits and hospital care. Your BadgerCare Prenatal Program benefits will end at the end of the month in which you have your baby.

For more information about the BadgerCare Prenatal Program, visit the Department of Health and Family Services’ web site at http://dhs.wisconsin.gov/badgercare/factsheets/phc10026.htm.

For More Information:

The Department of Health and Family Services is an equal opportunity employer and service provider. If you have a disability and need to access this information in an alternate format, or need it translated to another language, please contact (608) 266-3356 or 1-888-701-1251 (TTY). All translation services are free of charge.

For civil rights questions call (608) 266-9372 or 1-888-701-1251 (TTY).

PHC 10072 (10/06)

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin