BadgerCare Plus definition

BadgerCare Plus means the Medical Assistance program described in this section.
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BadgerCare Plus. The program that merges Family Medicaid, BadgerCare, and Healthy Start to form a comprehensive health insurance program for low income children and families. Coverage will include: • All children (birth to age 19) with incomes above 185 percent of the • Pregnant women with incomes between 185 and 300 percent of the FPL. • Parents and caretaker relatives with incomes between 185 and 200 percent of the FPL. • Caretaker relatives with incomes between 44 and 200 percent of the FPL. • Parents with children in ▇▇▇▇▇▇ care with incomes up to 200 percent of the • Youth (ages 18 through 20) aging out of ▇▇▇▇▇▇ care. • Farmers and other self-employed parents with incomes up to 200 percent of the FPL, contingent on depreciation calculations.
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BadgerCare Plus. The program that merges Family Medicaid, BadgerCare, and Healthy Start to form a comprehensive health insurance program for low income children and families. Coverage will include: • All children (birth to age 19) with incomes above 185 percent of the • Pregnant women with incomes between 185 and 300 percent of the FPL. • Parents and caretaker relatives with incomes between 185 and 200 percent of the FPL. • Caretaker relatives with incomes between 44 and 200 percent of the FPL. • Parents with children in ▇▇▇▇▇▇ care with incomes up to 200 percent of the • Youth (ages 18 through 20) aging out of ▇▇▇▇▇▇ care.
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Examples of BadgerCare Plus in a sentence

  • Policy on the Pharmacy Services Lock-In Program can be found in the BadgerCare Plus and Medicaid Pharmacy Provider Handbook.

  • Pay for emergency ambulance services based on established BadgerCare Plus and/or Medicaid SSI criteria for claims payment of these services.

  • Members may visit the Wisconsin Medicaid and BadgerCare Plus Non-emergency Medical Transportation webpage for more information.

  • The County is encouraged to find additional ways to involve BadgerCare Plus members in quality improvement initiatives and in soliciting member feedback on the quality of care and services the County provides.

  • For outpatient hospital services the Department will provide each managed care program per diem outpatient rates based on the BadgerCare Plus fee-for-service equivalent.

  • Abuse also includes member practices that result in unnecessary costs to the BadgerCare Plus and/or Medicaid SSI program.

  • In addition, members who have commercial insurance that limits them to a restricted provider network (e.g., PPOs, PHOs, etc.) may be eligible for an exemption from enrollment in a BadgerCare Plus or Medicaid SSI HMO.

  • Rides can include public transportation such as a city bus, non-emergency ground ambulance, rides in specialized medical vehicles (SMV), or rides in other types of vehicles depending on a member’s medical transportation needs, as well as compensated use of private motor vehicles for transportation to and from BadgerCare Plus and Medicaid SSI covered services.

  • Be responsible for the provision and payment of all Contract services provided to all BadgerCare Plus members listed as ADDs or CONTINUEs on either the Initial or Final Enrollment Reports generated for the month of coverage.

  • BadgerCare Plus eligible, if all other enrollment eligibility requirements are met.