51.1 BadgerCare Plus Medical Status Codes

For a complete list of Medical Status Codes see Process Help Chapter 81 Forward Health iChange

The following Medical Status Codes are in effect April 1, 2014 for all BadgerCare Plus members.

Med Stat	Description	Income (FPL)	BadgerCare Plus Plan	Subject to Co-Pay	Premium	Funding
BA	Pregnant Woman	>0 - 100%	Standard	No	No	T19
AB	Pregnant Woman	>100 - 200%	Standard	No	No	T19
9C	Pregnant Woman	>200 - 300%	Standard	No	No	T19
9M	Pregnant Woman Deductible	> 300%	Standard	No	No	T19
9D	Pregnant minor under age 19	>200 - 300%	Standard	No	No	T19
BS	Pregnant non-qualifying immigrant	0 - 200%	Standard	No	No	T21 Separate CHIP
9A	Pregnant non-qualifying immigrant	>200 - 300%	Standard	No	No	T21 Separate CHIP
BX	Pregnant Inmate	0 - 200%	Standard	No	No	State Funded
9B	Pregnant Inmate	>200 - 300%	Standard	No	No	State Funded
N1	CEN - Mom on T19 on DOB	0 - 100%	Standard	No	No	T19
N4	CEN - Mom on T19 on DOB	>100 - 133%	Standard	No	No	T19
7V	CEN - Mom on T19 on DOB	>133 - 150%	Standard	No	No	T19
7W	CEN - Mom on T19 on DOB	>150 - 200%	Standard	Yes	No	T19
9H	CEN - Mom on T19 on DOB	>200%	Standard	Yes	No	T19
BE	Child under age 19	0 - 100%	Standard	No	No	T19
BJ	Child under age 6	>100 - 133%	Standard	No	No	T19
7J	Child under age 6	>133 - 150%	Standard	No	No	T19
7N	Child < age 1	>150 - 200%	Standard	Yes	No	T19
9F	Child < age 1	>200 - 250%	Standard	Yes	No	T19
9G	Child < age 1	>250% - 300%	Standard	Yes	No	T19
7F	Child age 1 through 5	>150 - 185%	Standard	No	No	T19
C3	Child age 1 through 5	>185 - 200%	Standard	Yes	No	T21 Separate CHIP
TF	Child age 1 through 5 who is a tribal member	>185% - 200%	Standard	No	No	T21 Separate CHIP
9U	Child age 6 through 18	>100 - 133%	Standard	No	No	T19
99	Child age 6 through 18	>133 - 150%	Standard	Yes	No	T19
BG	Child age 6 through 18	>150 - 200%	Standard	Yes	No	T21 Separate CHIP
TG	Child age 6 through 18 who is a tribal member	>150% - 200%	Standard	No	No	T21 Separate CHIP
9K	Child age 1 through 18	>200 - 250%	Standard	Yes	Yes	T21 Separate CHIP
T8	Child age 1 through 18 who is a tribal member	>200 - 250%	Standard	No	No	T21 Separate CHIP
9L	Child age 1 through 18	>250 - 300%	Standard	Yes	Yes	T21 Separate CHIP
T9	Child age 1 through 18 who is a tribal member	>250 - 300%	Standard	No	No	T21 Separate CHIP
9N	Child, under age 19 deductible	> 150%	Standard	Yes	No	T19
NC	Child under age 19 Residing in a medical institution.	<200%	Standard	No	No	T19
9Z	12-month BadgerCare Plus Transitional Benefit Child <19	N/A	Standard	Yes	No	T21 Separate CHIP
9Y	Adult (Parent or Caretaker)	0%	Standard	No	No	T19
BL	Parents/Caretakers	>0 - 100%	Standard	Yes	No	T19
BY	Youths exiting out of home care up to age 21	N/A	Standard	Yes	No	T19
9Q	Former Foster Care Youth, up to age 26	N/A	Standard	Yes	No	T19
9W	Childless Adults	0%	Standard	No	No	T19
9X	Transitional Childless Adults	0%	Standard	No	No	T19
9P	Childless Adults	>0 - 100%	Standard	Yes	No	T19
9V	Transitional Childless Adults	>0 - 100%	Standard	Yes	No	T19
9R	Earnings Extension – 12 Mo (Adults)	> 133%	Standard	Yes	Yes	T19
JM	Earnings Extension, Disabled Adult (effective July 1, 2014)	> 100%	Standard	Yes	No	T19
JJ	Child/Spousal Support Extension, Disabled Adult (effective July 1, 2014)	> 100%	Standard	Yes	No	T19
JC	Earnings Extension, Non-disabled Adult (effective July 1, 2014)	> 100%, < 133%	Standard	Yes	Yes**	T19
JL	Child/Spousal Support Extension, Non-disabled Adult (effective July 1, 2014)	> 100%, < 133%	Standard	Yes	No	T19
9S	Child Support Extension – 4 Mo (Adults)	> 133%	Standard	Yes	Yes	T19
X8	Earnings extension - 12 Mo, child under 19	>100%	Standard	No	No	T19
X9	Child/Spousal Support extension - 4 Mo, child under 19	>100%	Standard	No	No	T19
BU	Presumptive eligibility for a Child age 1-18	0 - 150%	Standard	No	No	T19
7S	Presumptive eligibility for a Child ages 1 through 5	>150 - 185%	Standard	No	No	T19
EC	Presumptive eligibility for a Child <age 1	0 - 133%	Standard	No	No	T19
7Q	Presumptive eligibility for a Child <age 1	>133 -200%	Standard	No	No	T19
9J	Presumptive eligibility for a Child <age 1	>200 - 300%	Standard	No	No	T19
BV	Presumptive eligibility for a Pregnant Woman	0 - 200%	Standard	No	No	T19
9E	Presumptive eligibility for a Pregnant Woman	>200 - 300%	Standard	No	No	T19
PP	Presumptive eligibility for parents/caretakers	0 – 100%	Standard	No	No	T19
PN	Presumptive eligibility for childless adults	0 – 100%	Standard	No	No	T19
AE*	Alien; Emergency-Services-Only	<300%	Emergency-Service-Only	N/A	No	T19
FS	Family Planning Services	<300%	FPS Services Only	N/A	No	T19

*See BadgerCare Plus Emergency Services Income Limits in 39.1.

**Premiums only for months 7 to 12 extension.

This page last updated in Release Number: 15-01

Release Date: 05/15/2015

Effective Date: 05/15/2015