Wisconsin: New Policy for When to Verify Income in Medicaid

Wisconsin’s Department of Health Services will implement a new threshold when determining if Medicaid and BadgerCare Plus members must verify their earned income. Federal regulations restrict states from requesting verification from applicants and members unless the information cannot be obtained through a data exchange, or information from the data exchange is not ”reasonably compatible” with what the applicant or member has reported. For a short time starting July 1, Wisconsin will change what ”reasonably compatible” means. We explain.

0:00 Overview
0:34 Current Policy
0:53 New Policy
1:21 How it Works
2:17 Sources

Read the Wisconsin Operations Memo Describing this policy change:

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On our YouTube channel, you will find content about health insurance and coverage programs like Medicaid, social security programs, and private health insurance. We stay on top of current events, policy, and rule changes. We also cover topics that intersect with health coverage for vulnerable populations, such as food, energy, and housing assistance programs. You will also find content on programs specific to Wisconsin such as: BadgerCare Plus eligibility, enrollment, and program rules and disability program rules and features for adults as well as children with special health care needs (CYSHCN). Finally, we share some tips and advocacy strategies.

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