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State of Wisconsin |
Release 26-02 |
Individuals who are inmates of a public institution may be eligible for suspended BadgerCare Plus. When a member is incarcerated in a public institution, BadgerCare Plus will only cover inpatient services received while the member is outside of jail or prison for 24 hours or more.
While incarcerated, members are not eligible to enroll in an HMO.
Copay limits still apply to incarcerated members for any services they receive.
See Section 45.8.5 Services for Youth for information on coverage for certain pre-release and post-release services for youth.
This page last updated in Release Number: 25-03
Release Date: 08/13/2025
Effective Date: 08/13/2025
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