BadgerCare is a state-federal health assistance program that provides certain needy and low-income persons help in paying medical bills. Variations of Medical Assistance (MA) include:

BadgerCare Plus

A state / federal program that provides health coverage for Wisconsin families and individuals living in poverty. BadgerCare Plus replaced the former AFDC-Medicaid, Healthy Start, and BadgerCare programs.

Potential BadgerCare Plus members will include:

  • Children under 19 years of age
  • Pregnant women
  • Parents and caretakers of children under 18 and dependent 18-year-olds
  • Parents and caretaker relatives whose children have been removed from the home and placed in out-of-home care
  • Form foster care youth under age 26 who were in out-of-home care when they turned 18
  • Effective April 1, 2014, adults ages 19 to 64 who are not receiving Medicare and do not have dependent children

A person is eligible for BadgerCare Plus if he or she meets all BadgerCare Plus non-financial and financial requirements.

CIP & COP Waiver MA

Coverage for children and adults that meet age requirements or have been determined disabled by the Social Security Board. Must meet income and asset limits.

Continuous Newborn

Certification up to age 1.

Family Planning Waiver

The intent of the waiver is to control Medicaid costs by increasing the use of family planning services and reducing the incidence of unintended births among women. Must be age 15 through 44 and a Wisconsin resident.

Institutionalized MA

To cover inpatient care and expenses. Must meet assets and income limits. Coverage is for children under 21 and adults 65 and older. Also may meet spousal impoverishment limits, if a couple.


A special Medicaid program to SSI recipients.

Nursing Home

Covers expenses for Nursing Home patients. You must meet asset and income limits. Nursing Home Medical Assistance covers nursing home care and medical expenses, same as regular Medical Assistance.

Qualified Medicare Beneficiary (QMB)

You must be eligible for Medicare Part A - MA will only pay Medicare Part A and B premiums, all Medicare Part A and B deductibles and co-insurance.

Specified Low Income Medicare Beneficiary (SLMB)

You must be eligible for Medicare Part A - MA will only pay the Medicare Part B premium.

SSI-Related MA

Must be 65 years old or older, blind, or disabled. Eligibility for Medical Assistance is based on State income and asset guidelines.

Bay Lake Consortium

Most changes affecting benefits that you receive through Oconto County Economic Support should be reported to the Bay Lake Consortium Change and Information Center. Changes are taken by phone, Monday through Friday, 8:30 am to 4 pm excluding holidays. By calling 888-794-5747, your change can be handled immediately and you will know the status of your benefits. Depending on the change you are reporting and the program(s) you are receiving assistance for, verification of the information may be required.

Some changes that should be reported to the Bay Lake Consortium are:

  • Birth of a child
  • Address changes
  • Changes in income or assets
  • Changes in expenses

You may also fax verifications and documents to 855-293-1822 or mail to:

P.O. Box 5234
Janesville, WI 53547

Learn more about BadgerCare Plus