Medicaid SSI Eligibility & Requirements
Joining Care Wisconsin’s Medicaid SSI Program…
Who Can Join?
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 35 counties where we offer 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?
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 ET. 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. Enrollment services (1-800-291-2002) are available via phone from 7:00 am to 6:00 pm, Monday through Friday.
SSI Web1-09-18 DHS Approval 02/02/2018; 05/20/2019 Update per DHS 05/16/2019 Memo