This map of state health information for criminal justice practitioners is funded through a grant from the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice. Neither the U.S. Department of Justice nor any of its components operate, control, are responsible for, or necessarily endorse its content (including, without limitation, any of the information links to other websites provide).
For a glossary of important terms in this profile, review the Key Terms for State Health Care Information for Criminal Justice Systems.
Basic State Information: Wisconsin has elected not to expand Medicaid coverage to low-income adults through the ACA, as of January 2015.[i] However, Wisconsin Medicaid program covers adults up to 100% FPL. Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in Wisconsin.[ii]
Health Insurance Exchange Information: Wisconsin has a Federally-facilitated Marketplace (FFM). The state’s uninsured can apply for health benefits using the Federally-facilitated Marketplace (FFM) and take advantage of federal tax subsidies that may apply.
Eligibility and Enrollment: People in Wisconsin can apply for and enroll in Medicaid or CHIP any time of year and coverage can begin immediately. They can purchase and enroll in marketplace plans during the annual open enrollment period, which begins November 15th of each year and extends through February 15th. If they meet certain criteria, such as having been released from custody in the last 90 days, they may be able to enroll in private coverage outside the open enrollment period. There are three ways to see if they meet eligibility requirements and to apply for or enroll in these benefits:
2) They can apply by phone or in person by contacting the local agency listed at the Wisconsin Department of Health Services website for their county/tribe. [iv]
3) They can fill out an application and mail it to:
For those within Milwaukee County:
PO Box 05676
Milwaukee WI 53205
Outside Milwaukee County:
PO Box 5234
Janesville, WI 53547-5234
Wisconsin Medicaid and Health Insurance Links
Where can you apply for coverage on Wisconsin’s health insurance exchange? Wisconsin currently does not operate its own health insurance exchange. Visit Healthcare.gov to apply for coverage.
State Health Information
How many people in Wisconsin are eligible to participate? According to the Kaiser Foundation, 9% of Wisconsin total population (566,000) was uninsured in 2013.[xv] The total number of potential marketplace participants is 478,000.[xvi]
How many are enrolled so far? 177,157 have selected a marketplace plan, as of January 2015.[xvii]
How many of the state’s uninsured population are eligible for Medicaid? 144,000 of Wisconsin’s uninsured are eligible for Medicaid/CHIP, as of November, 2014; 127,000 of them are adults.[xviii]
Is Wisconsin a Medicaid health home state? Yes, link to information about Wisconsin health homes.
Who are the health committee chairs in the state legislature?
House: Rep. Joe Sanfelippo – Assembly District 15 (R – West Allis) chairs the Wisconsin State Assembly Committee on Health.[xix]
Other Related Information and Links for Wisconsin
General Information and Useful Links on Health Reform
Kaiser Family Foundation offers information on health reform in each state:
Government websites that offer useful information on health reform:
The Health Resources and Services Administration (HRSA) offers an online directory of Federally Qualified Health Centers (FQHC) in each state that offer free or low cost care.[xxx]
The Substance Abuse and Mental Health Services Administration (SAMSHA) offers a directory of substance abuse and mental health treatment facilities in each state at: SA-Treatment Facility Locator and at: MH-Treatment Facility Locator.[xxxi]
SAMHSA also offers the National Survey of Substance Abuse Treatment Facilities, which has information on substance abuse treatment facilities by state, the types of programs available, and services they offer for justice-involved populations.[xxxii]
Click here to return to the map of state profiles: state-by-state healthcare profile map
[i] See Kaiser Family Foundation, last viewed January 8, 2015 at 3:05 p.m.: http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-wisconsin/
[ii] See supra at 95.
[iii] See Wisconsin Department of Health Services-Medicaid, How to Apply, last viewed on January 8, 2015 at 2:08 p.m.: https://www.dhs.wisconsin.gov/forwardhealth/imagency/index.htm.
[iv] See Access Wisconsin, last viewed January 8, 2015 at 2:00 p.m.: https://access.wisconsin.gov/.
[v] See Wisconsin Department of Health Services, last viewed on January 8, 2015 at 2:14 p.m.: https://www.dhs.wisconsin.gov/medicaid/index.htm.
[vi] See Medicaid key contacts at the Wisconsin Department of Health Services, last viewed January 8, 2015: https://www.dhs.wisconsin.gov/medicaid/contacts/index.htm, last viewed on January 8, 2015 at 2:15 p.m.
[vii]See CMS, State Medicaid and CHIP Income Eligibility Standards, (For MAGI Groups, based on state decisions as of July 1, 2014), last viewed on January 8, 2015 at 2:20 p.m. (Provides data for all 50 states.)
[viii] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed on January 8, 2015 at 2:20 p.m.: http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=Wisconsin (Provides State Plan Amendments and Summaries).
[ix] See Medicaid.gov, State Marketplace, Overview-Wisconsin, last viewed on January 8, 2015 at 2:30 p.m.: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/wisconsin.html.
[x] See Wisconsin Department of Health Services, last viewed January, 2015 at 2:15 p.m.: https://www.dhs.wisconsin.gov/guide/index.htm.
[xi]See Wisconsin Health Services, Organizational Charts: https://www.dhs.wisconsin.gov/aboutdhs/dhs-organizational-charts.htm.
[xii]See National Association of Medicaid Directors, About Us, State Directors, last viewed on January 8, 2015 at 2:38 p.m.: http://medicaiddirectors.org/about/state-directors (Includes contact information for the State Medicaid Director of all 50 states.)
[xiii]See Wisconsin Division of health Services- Medicaid Provider Manuals, last viewed at January 8, 2015 at 2:39 p.m.: https://www.dhs.wisconsin.gov/search?search=Medicaid+Provider+Manual&=Search.
[xiv] See Medicaid key contacts at the Wisconsin Department of Health Services, last viewed January 8, 2015: https://www.dhs.wisconsin.gov/medicaid/contacts/index.htm.
[xv] See The Henry Kaiser Foundation, Fact Sheet: How Will the Uninsured in Wisconsin Fare under the ACA: http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-wisconsin.
[xvi] See The Henry Kaiser Foundation, State Marketplace Statistics, last viewed on January 8, 2015 at 2:42 p.m.: http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.
[xvii] See The Henry Kaiser Foundation, State Marketplace Statistics, last viewed at January 8, 2015 at 2:43 p.m.: http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.
[xviii]See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed on January 8, 2015 at 2:45 p.m.: http://kff.org/interactive/uninsured-gap/.
[xix]See Wisconsin State Legislature- Committees, last viewed on January 8, 2015 at 2:52 p.m. :http://docs.legis.wisconsin.gov/2015/legislators/assembly/1248.
[xx]See Wisconsin State Legislature- Committees Washington State Legislature, Committees, Senate, Healthcare Committee, last viewed on January 8, 2015 at 2:52 p.m.: http://docs.legis.wisconsin.gov/2015/committees/assembly.
[xxi]See Wisconsin State Department of Corrections, last viewed on January 8, 2015 at 2:55 p.m.: http://doc.wi.gov/Home.
[xxii]See Wisconsin Department of Health Services, Division of Substance Use Disorders-Community Programs, last viewed on January 8, 2015 at 2:58 p.m.: https://www.dhs.wisconsin.gov/aoda/index.htm.
[xxiii] Wisconsin Department of Health Services, Community Mental Health Services, last viewed on January 8, 2015, at 3:02 p.m.: https://www.dhs.wisconsin.gov/mh/index.htm.
[xxiv] See The Henry Kaiser Foundation, State Health Facts, last viewed January 8, 2015 at 1:38 p.m.: http://kff.org/state-category/health-reform/?state=WY.
[xxv] See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.
[xxvi]See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.
[xxviii] See Healthcare.gov, last viewed on January 8, 2015 at 1:38 p.m.: https://localhelp.healthcare.gov/ and https://www.healthcare.gov/incarcerated-people/.
[xxix] See Medicaid.gov, last viewed on January 8, 2015 at 1:38 p.m., http://www.medicaid.gov/medicaid-chip-program-information/medicaid-and-chip-program-information.html.
[xxx]See Health Resources and Services Administration (HRSA), Find a Health Center, last viewed January 8, 2015 at 1:40 p.m.: http://www.bphc.hrsa.gov/.
xxxii See SAMSHA Treatment Facility Locator, last viewed January 8, 2015 at 1:40 p.m.: http://findtreatment.samhsa.gov/TreatmentLocator/faces/quickSearch.jspx and http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/quickSearch.jspx