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Is Wisconsin a Medicaid expansion state?

No. Wisconsin has not adopted the ACA's Medicaid expansion. Instead, it runs BadgerCare Plus, which covers childless adults up to 100% of the Federal

Quick answer

No. Wisconsin has not adopted the ACA's Medicaid expansion. Instead, it runs BadgerCare Plus, which covers childless adults up to 100% of the Federal Poverty Level rather than the ACA's 138% FPL expansion threshold, making Wisconsin a partial-expansion/non-expansion state.

HomeQuestionsIs Wisconsin a Medicaid expansion state?
Answer

No. Wisconsin has not adopted the ACA's Medicaid expansion. Instead, it runs BadgerCare Plus, which covers childless adults up to 100% of the Federal Poverty Level rather than the ACA's 138% FPL expansion threshold, making Wisconsin a partial-expansion/non-expansion state.

The detail behind the program

It's important to keep this separate from long-term-care Medicaid eligibility for seniors, which is a different question entirely -- Wisconsin's long-term-care Medicaid pathway (covering nursing-home care, and Family Care/IRIS for community-based services) uses its own aged/blind/disabled, non-MAGI income and asset rules, not the BadgerCare Plus expansion pathway described here. A senior or their family evaluating whether Medicaid will help pay for care should ask specifically about long-term-care Medicaid eligibility, not general BadgerCare Plus expansion coverage, since the two use entirely different eligibility tests despite both being administered by the same state agency.

Related questions

Questions families ask

Is Wisconsin a Medicaid expansion state?

No. Wisconsin has not adopted the ACA's Medicaid expansion. Instead, it runs BadgerCare Plus, which covers childless adults up to 100% of the Federal Poverty Level rather than the ACA's 138% FPL expansion threshold, making Wisconsin a partial-expansion/non-expansion state.

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