Medicaid Waiver Guide – Wisconsin

Understanding Wisconsin Medicaid

Wisconsin currently has two Medicaid waivers/programs that can serve children, including a TEFRA program and a home and community based 1915(c) waiver. All programs are based only on child income without regard to parent income. For more information, see Wisconsin’s page on Services for Children with Delays or Disabilities.

Wisconsin charges a Parental Payment for children who participate in the Children’s Long Term Support waiver. This payment is only charged for families with children between 0 and 18 years of age. The payment is a percentage of the costs of the program, ranging from 0-41%, depending on family income. Children in the TEFRA Katie Beckett program have no parental payments. More information on Parental Payments can be found on the What Does It Cost? page.

Types of Programs

Katie Beckett Program

• Description: Provides Medicaid coverage only.
• Online State Information: Katie Beckett Program
• How to Apply: Call 888-786-3246 or follow the instructions on this page.

Children’s Long Term Supports Waiver

• Description from medicaid.gov: Provides community/competitive integrated employment – individual, day services, discovery and career planning, respite, support and service coordination, financial management services, participant and family-direction broker services, adult family home, assistive technology, child care services, children’s foster care, communication assistance for community inclusion, community integration services, community/competitive integrated employment – small group, counseling and therapeutic services, daily living skills training, empowerment and self-determination supports, family/unpaid caregiver supports and services, grief and bereavement counseling, health and wellness, home modifications, housing support services, mentoring, participant and family-directed goods and services, personal emergency response system (PERS), personal supports, relocation services, safety planning and prevention, specialized medical and therapeutic supplies, transportation, vehicle modifications, and virtual equipment and supports for individuals with physical disabilities, other- disabled, serious emotional disturbance, autism, intellectual disabilities, and developmental disabilities, ages 0-21 years.
• Online State Information: Children’s Long Term Supports Waiver
• Official Federal Information
• How to Apply: Contact your local Waiver Agency and follow these instructions.

Other online resources for Wisconsin:

• https://p2pwi.org/ — Parent to Parent of Wisconsin connects parents of children with special needs to share advice, information, and emotional support.
• https://www.familyvoiceswi.org/about-us/ — Family Voices of Wisconsin guides families through the healthcare system and connects families with other local services and families who can help them.

Telephone Resources

• Wisconsin Community Program, Social Service, and Human Service Agencies
• Family Voices of Wisconsin Info Line: 608-220-9598 — a great place to call if you need help and don’t know where to start or are having trouble navigating the healthcare system.

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.