1.3 Potentially Eligible Decedents

DHS may issue WFCAP payments for the unmet funeral, cemetery, and crematory expenses of a person who on the confirmed date of death, met at least one of the following criteria:

The decedent was a Wisconsin Works (W-2) participant (paid placement only).
The decedent was a child for whom a Caretaker Supplement (CTS) or Kinship Care benefit was being made on their behalf.
The decedent was an Elderly Blind Disabled categorically needy EBD-related Medicaid individuals, except for Medicaid Purchase Plan (MAPP).
The decedent was a parent or caretaker relative receiving BadgerCare Plus with family income that does not exceed 50% of the federal poverty level.
The decedent was a child receiving foster care or adoption assistance.
The decedent was a child under age six or was a pregnant woman receiving BadgerCare Plus with family income that did not exceed 185% of the federal poverty level.
The decedent was a child at least age six, but not yet 19, receiving BadgerCare Plus with family income that did not exceed 100% of the federal poverty level.
The decedent was a person eligible for categorically or medically needy institutional Medicaid at the time of death.
The decedent participated in one of Wisconsin's Home and Community-Based Waiver Programs, including IRIS (Include, Respect, I Self-Direct), or community waiver Medicaid Purchase Plan (MAPW).
The decedent was a member of Family Care.
The decedent was a Tuberculosis-Related (TB-Related) Only Medicaid recipient.
The decedent was the fetus of a woman in a WFCAP-qualifying Medicaid or BadgerCare Plus category as identified in Section 1.3 Potentially Eligible Decedents.
The decedent was a participant in the Katie Beckett Program.
The decedent was a Supplemental Security Income (SSI), SSI State Supplement (SSI-SSP), or SSI Medicaid recipient who was a Wisconsin resident.
The decedent was an individual who met a Medicaid deductible and also qualified for a home-based program.

Note	There may be additional conditions that the decedent must have met on the confirmed date of death within the above programs in order to be considered potentially eligible.

Funeral, cemetery, and crematory expenses will not be paid for any individual who did not meet at least one of the above criteria on the confirmed date of death.

Note	When requesting payment for a stillborn of a Medicaid member, or live birth of a Medicaid member, service providers must provide all required demographic information for the Medicaid member on the application. In addition, the mother's name, Social Security number, and date of birth are required.

This page last updated in Release Number: 22-01
Release Date: 05/02/2022
Effective Date: 05/02/2022