Form F-13023 Medicaid Purchase Plan Premium - Member / Employer Electronic Funds Transfer - Wisconsin

What Is Form F-13023?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-13023?
A: Form F-13023 is a document used for Medicaid Purchase Plan Premium - Member/Employer Electronic Funds Transfer in Wisconsin.

Q: What is the Medicaid Purchase Plan?
A: The Medicaid Purchase Plan is a program in Wisconsin that allows individuals with disabilities who have income too high to qualify for regular Medicaid to buy into the program and receive the same benefits.

Q: What is Premium - Member/Employer Electronic Funds Transfer?
A: Premium - Member/Employer Electronic Funds Transfer is a method of paying for Medicaid Purchase Plan premiums in Wisconsin where the premiums are automatically deducted from the member's or employer's bank account.

Q: Who is eligible for the Medicaid Purchase Plan?
A: Eligibility for the Medicaid Purchase Plan in Wisconsin is based on having a disability, being age 18 or older, having income below certain limits, and meeting other program requirements.

Q: How does the Premium - Member/Employer Electronic Funds Transfer work?
A: With Premium - Member/Employer Electronic Funds Transfer, the member or employer authorizes the Wisconsin Department of Health Services to automatically deduct the Medicaid Purchase Plan premiums from their bank account on a monthly basis.