Get the health and social support you need with Medicaid SSI
Medicaid SSI is an insurance program for people who get Supplemental Security Income (SSI) and Medicaid through the Wisconsin Department of Health Services (DHS). Generally, people who receive SSI have a disability that prevents them from full-time work. Medicaid SSI gives them the extra help they need to be healthy and safe.
Beginning in 2018, most Medicaid SSI members must work with a healthcare maintenance organization, also known as a HMO, to manage their healthcare insurance benefits. Care Wisconsin is an HMO that serves Medicaid SSI members in 36 Wisconsin counties. To see if we offer Medicaid SSI Managed Care in your area, check out our program map.
Joining Our Medicaid SSI Managed Care Program
Who can Join/Become a Member?
Care Wisconsin’s Medicaid SSI plan is available to adults who receive Supplemental Security Income (SSI) and Medicaid assistance. To become a Care Wisconsin member, you must live in one of the 36 counties where we offer Medicaid SSI Managed Care. It is important to know that Medicaid SSI is available in more counties than the ones we serve. Check the Department of Health Services website for a full list of HMOs.
How Do I Become a Member /Enroll?
HMOs like Care Wisconsin cannot enroll you directly into their Medicaid SSI program. First, you must qualify for Medicaid SSI. Here is some general information on where to go for help doing this.
The U.S. Social Security’s Disability Benefits Office
First, make sure you have a disability “determination” so you can receive Supplemental Security Income (SSI). To learn about this, visit the federal government website pages: About Disability Benefits and Applying for Disability Benefits.
Do you prefer help over the phone? Use toll free 1-800-772-1213 from 7 a.m. to 7 p.m. Monday through Friday EST. If you are deaf or hard of hearing, use TTY 1-800-325-0778. This number can guide you to your local office.
The State of Wisconsin’s ACCESS Office
If you have SSI and want to apply for Medicaid, visit Wisconsin’s ACCESS website, which is your “Access to Eligibility Support Services for health, nutrition, childcare and W-2 cash assistance.” If you cannot complete the online application, call 1-800-362-3002 for help. You can visit your county income maintenance (IM) agency or tribal agency to complete an application too. For a map of these offices, please refer to DHS’ county map here.
You will hear directly from the Department of Health Services about the status of your application. If approved, DHS will send you an enrollment packet in the mail. You’ll work with an Enrollment Specialist (1-800-291-2002) to choose the HMO that is right for you.
The Enrollment Specialist will guide you through your options and help you choose the best plan for you.
For Care Wisconsin Medicaid SSI Members
If you choose Care Wisconsin, you will receive a Welcome Packet in the mail and a call from your Care Coordinator—the person who will help you get the most out of your insurance plan.
Want to learn more about your care team and benefits of becoming a Care Wisconsin member? You can look at our Member Handbook, see our brochure, our provider directory (the quick links on your left).
Care Coordinators Are Here to Help
Care coordination is one of the many benefits you'll receive as a Care Wisconsin member. Our Medicaid SSI program experts work with you to create a care plan. We take the time to understand your goals and your unique situation.
Our priority is to provide people with disabilities with high-quality mental, physical and behavioral support.
This means getting you access to the doctors and treatments you need. It can also mean helping you with other things. For example, care coordinators help you:
- Arrange transportation to and from qualified medical or therapy appointments
- Obtain eye care/glasses, hearing aids, and personal care supplies, and
- Access mental health and/or substance abuse treatment programs
- Make appointments or reminders for you, and
- Address any food or housing issues you may have
We also have a 24-hour free nurse call line.
Rely on our Care Coordinators as little or as much as you need to meet your care plan goals. Our team is here for you.
SSIWeb1-09-18DHS Approval 02/02/2018