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• ACCESS online application: access.wisconsin.gov • Mail-in or fax the Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet (F- 10101) • Mail-in or fax the Wisconsin Medicaid, BadgerCare Plus, and Family Planning Only Services Registration Application (F-10129) • Telephone application • In person application at an income maintenance agency • Application available through the Federally-Facilitated Marketplace (FFM) Note When a signed F-10129 is submitted, the primary person is required to provide a second signature. The primary person can choose to call the IM agency to provide a telephonic signature or mail a signed Application Summary. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 2.3 Where to Apply 2.3.1 Where to Apply Introduction The agency (county/tribe or consortium) of the applicant’s county of residence should process the individual’s application. An individual who resides in a nursing home/hospital for 30 days or more is considered a resident of the county in which the nursing home/hospital is located. The applicant’s county of residence at the time of admission must receive and process applications for persons living in these state institutions: • Northern, Central, and Southern Centers. • Winnebago and Mendota Mental Health Institutes. • The University of Wisconsin Hospital. When an applicant contacts the wrong consortium or tribal agency, they must be redirected to the consortium or tribal agency responsible for processing the application immediately. Anytime an application is received in the wrong consortium or tribal agency, it must be redirected to the correct agency as soon as it is discovered. The filing date remains the date originally received by the wrong consortium or tribal agency. 2.3.2 Intercounty Placements When there is a dispute between the placing county and the receiving county about responsibility, the social or human services department of the receiving county may initiate referral to the Department of Health Services' Area Administration office for resolution. Pending a decision, the county where the person is physically present must process the application, any changes, and reviews. 2.3.3 Applications Outside Wisconsin Generally, an application should not be taken for a resident of Wisconsin when he or she is living outside of Wisconsin. An exception is when a Wisconsin resident becomes ill or injured outside of the state or is taken out of the state for medical treatment. In this case, the application may be taken, using Wisconsin’s application forms (see SECTION 2.2 APPLICATION TYPES/METHODS).