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The document is a Medicaid Provider Report form from the Wisconsin Department of Health Services, specifically for County Departments, Independent Living Centers, and American Indian Tribes or Bands that provide personal care services. It collects essential contact and service information from these providers and includes instructions for submission and contact details for assistance.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do you have to pay back Medicaid in Wisconsin?

Wisconsin is required by state and federal laws to recover some of the money used to pay for services for Medicaid members. These laws are designed to recover from the assets of those who received benefits from the Medicaid program.

What assets are exempt from Medicaid?

In general, the following are the primary exempt assets: Home, no matter what its value. Personal belongings and household goods. One car or truck. Income-producing real estate. Burial spaces and certain related items for applicant and spouse. Up to $1,500 designated as a burial fund for applicant and spouse.

How do I protect my assets from Medicaid in Wisconsin?

A Medicaid Asset Protection Trust (MAPT) is a type of irrevocable trust designed to protect an individuals assets if they need to qualify for Medicaid to cover the costs of long-term care. Assets placed in an MAPT are not counted as part of an individuals net worth when determining Medicaid eligibility.

How does Medicaid look back work?

In most states, the Look-Back Period is five years long. This means the state officials who are reviewing your Medicaid application will look back into your financial history for the five years before you applied to make sure you havent given away any money or assets, or sold them at less than fair market value.

What is Medicaid called in Wisconsin?

Medicaids Look-Back Rule Wisconsin has a 5-year Medicaid Look-Back Period that immediately precedes ones date of Nursing Home Medicaid or Waiver application. During which, Medicaid checks to ensure no assets were gifted or sold under fair market value.

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What is look back for Medicaid in Wisconsin?

All applicants and members Call Member Services at 800-362-3002 or email them at memberservices@wisconsin.gov Theyre available from 8 a.m.6 p.m. Monday through Friday.

How do I verify Medicaid eligibility in Wisconsin?

To view eligibility information to determine whether a member is Medicaid eligible: 1. Log in to the ForwardHealth Portal at .forwardhealth.wi.gov/.

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Do you have to pay back Medicaid in Wisconsin?

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What is Medicaid called in Wisconsin?

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What is look back for Medicaid in Wisconsin?

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