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The Wisconsin Medicaid SSI HMO Program Guide

Wisconsin Forward Cards

Below are two Wisconsin Forward Cards. These cards are issued to individuals eligible for Medicaid SSI coverage.

The white Forward Health card is the new Wisconsin Medicaid SSI ID card. This new card will be issued to new members, upon request, or when a card is lost or stolen.

Picture of New FordwardHealth ID Card

The current blue Forward card is still valid and can still be used.

Current blue Forward ID card.

What is the Medicaid SSI Managed Care Program?

The SSI Managed Care program is a group of health plans that provide health care services for those who receive Medicaid SSI or SSI-related Medicaid because of a disability determined by the Disability Determination Bureau.

Enrolling in an HMO

The Wisconsin Medicaid SSI Managed Care program is a way to provide Medicaid benefits to the SSI population. You may have the opportunity to be involved in a comprehensive health care system. This is a health plan that gives you access to a wide range of services that address both your medical and community service needs. The health plan considers you a valuable partner in making choices about your health and community needs. Following are the requirements to be able to receive SSI HMO services:

  • Live in one of the SSI HMO service areas,
  • Be 19 years of age or older,
  • Receive Medicaid SSI or SSI-related Medicaid because of a disability determined by the Disability Determination Bureau,
  • Not live in an institution or nursing home,
  • Not be participating in the Home and Community Waivers Program (for example CIP or COP).

Benefits of an SSI HMO

A primary care provider or primary care clinic of your choice will help you manage your health care needs.

SSI HMO members do not have copayments for covered services, except for pharmacy. SSI HMOs provide access to health care 24 hours a day, seven days a week. Some SSI HMOs provide all your health care in one location.

Additional services available include:

  • An assessment of your medical and social service needs.
  • A care plan that includes both medical and social services.
  • Health Care Coordinator to help you arrange for your care and services.
  • Help in choosing health care providers near your home.
  • Help in finding the right health care services.

Next — Services the Medicaid SSI HMO Covers
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Wisconsin Medicaid Recipient Section