State of Wisconsin Department of Health Services

Release 26-02 April 15, 2026

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36.5 WWWMA Changes

Wisconsin Well Woman Medicaid (WWWMA) members are required to report to EM CAPO within 10 days of occurrence changes that would affect their eligibility. This includes:

1. Turning 65 years old.
2. Change in address or phone number, including if the member is incarcerated in or released from jail or prison.
3. No longer needing treatment for breast or cervical cancer.
4. Obtaining health insurance that covers their treatment for breast or cervical cancer.
5. Obtaining Medicare Part A, Part B, or both.

Note	If a child under age 19 enrolled in WWWMA no longer requires treatment or gets health insurance that covers their treatment, they will not be disenrolled during their continuous coverage period (see SECTION 1.2 CONTINUOUS COVERAGE FOR QUALIFYING CHILDREN).

36.5.1 Maintaining WWWMA Coverage While Considering other Medicaid Eligibility

When a WWWMA member no longer meets program requirements due to a change in circumstances, all other potential health care eligibility must be considered before coverage under WWWMA ends. Because EMCAPO workers do not determine eligibility for other forms of full-benefit health care, the redetermination must be completed by the IM agency. Depending on the circumstances of the case, additional information may be needed for the agency to determine if the member qualifies for another form of Medicaid or BadgerCare Plus. 

When a WWWMA member experiences a change in circumstances and no longer meets program requirements, they will be sent a notice that they no longer qualify for WWWMA, and additional information is required to determine if they qualify for a different form of Medicaid. 

• For members losing WWWMA due to turning 65, the notice will be sent to the member on the Saturday after adverse action of the month before they turn 65. 
• For members losing WWWMA for another reason (such as no longer meeting medical criteria), the notice will be sent when the reported change in circumstances is processed by EM CAPO.

The notice explains how to apply for health care with the IM agency and informs the member that, if their application is received by the due date (30 days from the date the notice was sent), they will keep their current coverage until the application is processed. 

WWWMA coverage will be maintained for at least 30 days from the date the letter is sent to give the member time to apply. If the IM agency receives an application by the due date, WWWMA coverage will continue until the IM agency finishes processing the application. If the IM agency does not receive an application by the due date, WWWMA coverage will end with timely notice. Applications received after the due date will be processed in accordance with normal application policies.

Example 1

Samira is enrolled in WWWMA. She will be turning 65 on April 22. On March 22, she is sent a notice informing her that she will no longer be eligible for WWWMA after she turns 65, but if she applies for health care and the application is received by April 21, her current WWWMA coverage will continue until the application is processed. Samira’s application is received on April 20. The IM worker processes the application and determines Samira is eligible for SLMB+. Her WWWMA ends on June 1, in accordance with timely notice requirements.

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The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 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-10030