fbpixel Wisconsin Home Care Medicaid Eligibility & Guidelines

Everything You Want To Know

Medicaid / Wisconsin

Medicaid for Home Care in Wisconsin

Medicaid Certified Home Care Agency in Wisconsin

Homecare businesses that are looking for reimbursement from Medicaid in Wisconsin must be HHA certified. There are different regulations in different states that should be reviewed by the agency. All details can be found at the state’s Bureau of Licensing and Certification.

Governing Body: Wisconsin Department of Health Services


Medicaid programs in Wisconsin are funded by the state and federal health care programs for low-income people of all ages, including pregnant women, children, families, disabled people, and seniors. Wisconsin did not expand Medicaid under Obamacare.

Medicaid Programs:

  • Institutional / Nursing Home Medicaid
  • Medicaid Waivers / Home and Community Based Services (HCBS)
  • Regular Medicaid / Aged, Blind, and Disabled
  • Family Care and Partnership
  • IRIS Program
  • Medicaid Personal Care

Income Requirements:

  • Individual: $1,005 per month
  • Two-person household: $1,353
  • Three-person: $1,701

Application Process:

To apply online for the available Medicaid programs in Wisconsin, you can visit Wisconsin’s Access site.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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