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Katie Beckett Medicaid: Forms and Publications

You can now manage your Katie Beckett Medicaid benefits online!

Katie Beckett Medicaid members can now use the ACCESS website to manage their benefits.
 

What you need to know

  • Easier access: Manage your benefits, check your information, upload documents, and find other helpful programs and supports online.
  • Get started: Create an ACCESS account on the ACCESS website.
  • Already have an account? Use your existing ACCESS account for Katie Beckett Medicaid.

Need help with your ACCESS account?

If you have questions, contact Member Services at 800-362-3002 or visit the ACCESS support page. Please note that Katie Beckett Medicaid staff are not able to answer questions about ACCESS.

Below is a list of all Katie Beckett Medicaid documents. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number Title Release Date File Type Language Available to Order
F-10115 BadgerCare Plus / Medicaid Health Insurance Information 01/2011 PDF English No
F-10115S BadgerCare Plus / Medicaid Health Insurance Information, Spanish 01/2011 PDF Spanish No
P-03061 Children's Programs Eligibility and Functional Screen 07/2021 PDF English Yes
P-03061H Children's Programs Eligibility and Functional Screen, Hmong 07/2021 PDF Hmong No
P-03061S Children's Programs Eligibility and Functional Screen, Spanish 07/2021 PDF Spanish No
P-02991 Children's Services Programs: Cross Comparison 02/2022 PDF English Yes
P-02991H Children's Services Programs: Cross Comparison, Hmong 02/2022 PDF Hmong Yes
P-02991S Children's Services Programs: Cross Comparison, Spanish 02/2022 PDF Spanish Yes
P-02889 Collecting a Telephonic Signature 01/2021 PDF English No
F-82009AA Confidential Information Release Authorization: Katie Beckett Program (3/15/2017) 07/2008 Word English Yes
F-82009AAH Confidential Information Release Authorization: Katie Beckett Program, Hmong (3/15/2017) 07/2008 PDF Hmong No
F-82009AAS Confidential Information Release Authorization: Katie Beckett Program, Spanish (3/15/2017) 07/2008 PDF Spanish No
N/A ForwardHealth Member Update 2021-04: You Will Keep Your Health Care Benefits During the COVID-19 Public Health Emergency 06/2021 PDF English No
P-03036 Helpful Resources for Families in Children's Services Programs 03/2024 PDF English No
P-03036H Helpful Resources for Families in Children's Services Programs, Hmong 03/2024 PDF Hmong No
P-03036S Helpful Resources for Families in Children's Services Programs, Spanish 03/2024 PDF Spanish No
F-21076H Informed Consent - Children's Long-Term Support Functional Screen, Hmong 03/2021 Word Hmong No
F-21076S Informed Consent - Children's Long-Term Support Functional Screen, Spanish 03/2021 Word Spanish No
F-21076 Informed Consent – Children's Long-Term Support Functional Screen 03/2021 Word English No
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen 03/2021 PDF Karen No
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya 03/2021 Word Rohingya No
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali 03/2021 Word Somali No
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese 03/2021 Word Vietnamese No
F-20582I Instructions for Completing the Application for Katie Beckett Medicaid 03/2023 PDF English No
F-20582IH Instructions for Completing the Application for Katie Beckett Medicaid, Hmong 03/2023 PDF Hmong No

Glossary

 
Last revised January 25, 2023