BadgerCare Update

This just in, recent news from the State of Wisconsin Department of Health Services will allow health care for all adults living in POVERTY. Really! It took this long to finally focus on health care when the need was great generations ago? They are finally going to do something about it? Wow, how slow can they all be

MADISON—The Department of Health Services today announced that it has submitted a new BadgerCare Plus Demonstration Project Waiver to the Centers for Medicare and Medicaid Services (CMS). The waiver is part of Governor Walker’s entitlement reform initiative and will allow Wisconsin to provide health care coverage through BadgerCare Plus to all childless adults between ages 19 and 64 and who have incomes that do not exceed 100% of the federal poverty level.

“Today’s submission of the new BadgerCare Plus waiver takes us one step closer to realizing Governor Walker’s goal of providing all Wisconsin citizens with access to affordable health care,” said Wisconsin Medicaid Director Brett Davis. “We expect a significant reduction in the number of uninsured adults in Wisconsin as a result of the Governor’s efforts.” 

Governor Walker’s entitlement reform plan was approved and signed into law on June 30, 2013 as part of 2013-2015 biennial budget. The Department of Health Services is working with the federal government to get the federal approval needed to make these changes through the waiver request.

As part of the waiver submission process, the Department provided the opportunity for public comment on the proposed waiver through in person town hall meetings and an online submission form. Many of the comments that the Department received related to definitions and clarifications of certain terms used in the waiver application, questions on the benefits that members will receive, and questions on differences between the new waiver and the existing waivers. The waiver request includes all of the comments that the Department received.

In addition, the type of waiver that the Department is submitting allows states the flexibility to customize their Medicaid and Children’s Health Insurance Program (CHIP) – called BadgerCare Plus in Wisconsin—programs to meet the needs of their citizens, as long as it is at no additional cost to taxpayers. Through this waiver, Wisconsin seeks to provide full Medicaid benefits through the Standard Plan, including enhanced mental health benefits and preventive benefits, to all adults in poverty who are enrolled in Medicaid and BadgerCare Plus. It is anticipated that offering the same benefits to all adults in poverty will lead to savings for Wisconsin taxpayers because helping individuals get access to these enhanced benefits in the primary care setting will help avoid costly and unnecessary emergency room and in-patient hospital stays.

Wisconsin’s current BadgerCare Plus Childless Adults Demonstration Project waiver expires on December 31, 2013. Pending approval by the federal government, the new BadgerCare Plus Demonstration Project Waiver will become effective January 1, 2014 and will provide coverage to individuals who:

  • Are between ages 19 and 64 years old,
  • Are not pregnant or parents or caretaker relatives of children under age 19,
  • Are not otherwise eligible for BadgerCare Plus for Families or Medicaid,
  • Are not entitled to Medicare,
  • Meet all Medicaid non-financial requirements like citizenship and identity, SSN, etc., and
  • Have a gross income, calculated using the federally-mandated Modified Adjusted Gross Income (MAGI) methodology, that does not exceed 100% of the FPL before application of a 5% disregard.

The waiver will implement the following changes to BadgerCare Plus:

  • Provide all BadgerCare Plus members with Standard Plan benefits,
  • Eliminate the BadgerCare Plus Core Plan,
  • Remove the current enrollment cap for childless adults under 100% FPL, and
  • Require all parents and caretaker relatives who qualify for transitional medical assistance (TMA) to pay a monthly premium.

Visit the original article at the Department of Health Services.

Why did it take the State of Wisconsin so long to face the health care issue that was needed to be implemented years ago? Why did they never took the time and resource to investigate or look into the health care of unemployed and uninsured CHILDLESS adults? The key word is CHILDLESS.

While flipping through the Forward Health Care booklet, I saw the same words but the State of Wisconsin did not honor the status for childless uninsured unemployed adults. The State of Wisconsin failed the citizens of Wisconsin when it comes to the health care reform. The State should have realized that the numbers of unemployed uninsured childless adults proceeds more than your average parents living with two incomes who could provide for their children by learning how to budge their spending habits.

As a member of the childless unemployment uninsured adults who has been diagnosed with Osteoarthritis, I am still unqualified to meet any or all medical assistant through the government. It’s not like my condition is going to disappear and never come back. I have an incurable disease, the deterioration of my bone joints. I’m not going to get better, I’m going to get worse throughout the years and the pain will always remain with me.

The only health coverage I have is through the Forward Health Family Waiver Plan. In other words, birth control pills and other womanly check ups. However, since I don’t even have a boyfriend or a sex life, it’s kind of pointless to have this coverage when I really don’t need it. The only health care provision I require are for medical emergency, continued medical treatments and possible surgery for the removal of my bone spurs in all my joint areas.

I don’t even know if I can hold on that much longer until I can finally get the medical coverage I deserve to pay off all my medical expenses. However, until the bills comes into effect I’ll have to pray and hope that some good samaritans can continue their support in providing for my medical fundraising.

For more information on my medical fundraising activity, please visit:

About See Lo

I’m a freelance Web Designer and avid Blogger. My previous work has been published in Wisconsin Pages, Yahoo! Voices, Nubqub International, Asiance Magazine, Hmong Today, Hmong Is You Magazine, Teen Hmong, Future Hmong Magazine and eye.D Magazine. Several poems have been published in Paj Ntaub Voice, a literary arts journal and had the opportunity to work with published author Robert Danielak and Dr. Alicia Ghiragossian (poet-philospher) on the second edition of Alicia G: The Poet-Philosopher of the New Millennium.
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