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State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
BadgerCare Plus Benefits are available for all youths placed in:
An eligibility determination for these groups is not the responsibility of the IM agency.
IM agencies must develop a procedure with their local Child Welfare agencies to ensure that whenever a child is losing Foster Care Medicaid eligibility, a separate re-determination of Medicaid eligibility is completed by the IM agency before Foster Care Medicaid is terminated. The only exception to this requirement is when a child dies or leaves Wisconsin.
As part of the plan, it is expected that the Child Welfare agency will extend Medicaid eligibility, using the Foster Care medical status code, until a re-determination of Medicaid eligibility is done by the IM agency. A formal communication process must be established to assure IM agencies are made aware of all children leaving the Foster Care system, and provided with information necessary to re-determine eligibility.
If the IM agency does not have sufficient information to re-determine Medicaid eligibility, the agency must request needed information from the individual or family. If the individual or family does not comply with a request for information after 30 days, Medicaid can be terminated with adverse action notice, since the family has a responsibility to cooperate during a re-determination.
This page last updated in Release Number: 13-02
Release Date: 10/25/13
Effective Date: 10/01/13
The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.
Publication Number: P-10171