15.1 Introduction

Most BadgerCare Plus Members need to join an HMO. For more details and some exceptions, see pages 4-5 of the Wisconsin BadgerCare Plus HMO Guide.

An HMO is a group of doctors, clinics, and hospitals that work together to help members manage their health care. Some HMOs provide all health care in one location. Applicants and members can search for and choose an HMO in ACCESS.

Different options are available based on whether the person is a health care applicant or member.

User definition	Available options
Applicant – Someone signed into ACCESS and has applied for health care, but the application has not yet been processed.	Compare HMOs Search for doctors and clinics Choose an HMO Review/change HMO choice(s)
Member – Someone signed into ACCESS, receiving health care benefits through BadgerCare Plus or SSI related Medicaid, and enrolled in an HMO.	Compare HMOs Search for doctors and clinics Review HMO enrollment Change HMO enrollment View and update household details

This page last updated in Release Number: 22-03
Release Date: 10/29/2022
Effective Date: 10/29/2022

Notice: The content within this guide is the responsibility of the State of Wisconsin's Department of Health Services (DHS) and the Department of Workforce Development (DWD).

Publication Number: P-16101