Medicaid Planning In Wisconsin

August 2024

   Medicaid planning is a critical and complex financial and legal strategy for individuals seeking long-term care in Wisconsin. This planning is essential for ensuring that individuals can qualify for Medicaid benefits while protecting their assets and maintaining their quality of life. A joint federal and state program, Medicaid provides healthcare coverage for low-income individuals, including long-term care services. However, the rules governing Medicaid eligibility and benefits can be intricate and vary from state to state.

   In Wisconsin, Medicaid is known as “BadgerCare Plus” for low-income residents, including families and children. “Family Care” and “IRIS”  (Include, Respect, I Self-Direct) are programs specifically designed to assist with long-term care for elderly individuals and those with disabilities. Eligibility for these programs depends on factors such as income, assets, and medical needs.

1). Eligibility Criteria

   Medicaid eligibility in Wisconsin hinges on several factors:

• Income Limits: Wisconsin applies both income and asset tests. Individuals must meet specific income thresholds for long-term care, which are often subject to change based on federal guidelines and state regulations.

• Asset Limits: There are strict limits on the amount o ...

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