Page 303

If the member has multiple benefit ID cards, there will be a choice of which ID card to request. A new ForwardHealth card will be created the evening of the request and will be sent out the following business day. Replacement cards are issued automatically when the card has been returned as undeliverable and the member’s address changes. This page last updated in Release Number: 25-02 Release Date: 04/09/2025 Effective Date: 04/09/2025 21.8 Waiver of Medicaid Benefit Limitations A person who is eligible for Medicaid but has been refused a specific, medically necessary Medicaid benefit by a provider can work with his or her provider to apply for a discretionary waiver or variance. The waiver or variance cannot be used to receive noncovered services. If a waiver or variance is requested, the Division of Medicaid Services would consider whether to grant the waiver or variance to allow the person to receive the benefit. The provider of the service must request the waiver. The written request must meet all requirements detailed in Wis. Admin. Code § DHS 106.13 and should be sent to the following address: Division of Medicaid Services Waivers and Variances P.O. Box 309 Madison, WI 53701-0309 This page last updated in Release Number: 18-01 Release Date: 04/13/2018 Effective Date: 04/13/2018 21.9 Third Party Coverage See SECTION 9.1 THIRD PARTY LIABILITY. This page last updated in Release Number: 08-01 Release Date: 02/01/08 Effective Date: 02/01/08 21.10 Reserved

This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 08/12/2026 21.11 Five Percent Cost Share Limit Members may not pay more than five percent of their household income for monthly premiums and copays for BadgerCare Plus or Medicaid card services. This limit does not apply to deductibles, patient liability for Institutional Medicaid, or cost sharing for Home and Community-Based Waiver services.