BadgerCare Plus Handbook
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  4. 5.7 Other Health Insurance

State of Wisconsin
Department of Health Services

Release 26-02
April 15, 2026

View History

5.7 Other Health Insurance

The IM Agency should collect insurance coverage information on both the custodial and absent parents and caretakers at applicationA request for BadgerCare Plus coverage. The request must be on the Department's application or registration form and must contain name, address, and a valid signature. The applicant must submit a signed and completed application form to complete the application process., review, person add, or when insurance changes and enter it into the Medical Coverage Page in CWWCARES Worker Web. The web-based pages used in the CARES operations.. The fiscal agentA private contractor to the State, selected through a competitive procurement process, who operates the State's approved MMIS (Medicaid Management Information System). The Fiscal Agent agreement includes claims processing and other services like data warehousing and manage care enrollment services. will complete an insurance search and return verified insurance information through the CWW / MMIS interface.

5.7.1 Policies Not to Report

The following policies should not be entered on the Medical Coverage Page in CWW or reported to the Fiscal Agency on the Health Insurance Information form (F-10115).

  1. HMOs for which the State pays all or part of the premium.
  2. Health Insurance Risk Sharing Plans (HIRSP).
  3. Medicare (enter in CWW on the Medicare Page).
  4. Indian Health Service (IHS). IHS is the exception to the rule that Medicaid is the payer of last resort. For Native Americans who are Medicaid clients, IHS is the payer of last resort. Do not enter these policies on CARESThis system supports the Income Maintenance operations for DHS and DCF. CARES is used to determine eligibility, issue benefits, track premium payments, and manage support for BadgerCare Plus, EBD Medicaid, W-2, Child Care, and Work Programs..
  5. Policies that pay benefits only for treatment of accidental injury.
  6. Policies that may be described as health insurance, but which pay only weekly or monthly based on the insured’s disability.
  7. Limited insurance plans that pay only if there is a specific diagnosis, such as cancer policy. Report them only if the person insured has been diagnosed as having the disease they are insured against and if the benefits are assignable.
  8. Life Insurance.
  9. Other types of insurance types that do not cover medical services.

This page last updated in Release Number: 14-01
Release Date: 02/07/14
Effective Date: 02/01/14

The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10171