18.2 Increase in Earnings Extensions
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State of Wisconsin
Department of Health Services

Release 24-01
April 03, 2024

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18.2 Increase in Earnings Extensions

  1. 18.2.1 Earned Income Extensions
  2. 18.2.2 Supplemental Security Income Exception

18.2.1 Earned Income Extensions

To receive a 12-month BadgerCare Plus extension due to an increase in earnings, a parent, caretaker, or pregnant person must meet all of the following requirements:

  1. The monthly income increase which caused the countable income for their BadgerCare Plus assistance group (AGassistance group) to exceed 100% FPL must be due solely to one of the following:
    1. Increased earnings (of anyone in the same AG).
    2. Increased earnings along with other income (changed or unchanged).
  2. They must be a BadgerCare Plus member with monthly income at or below 100% FPL at the time the income increased to over 100% FPL.
  3. They must have been enrolled in BadgerCare Plus with monthly income that was at or below 100% FPL for at least three of the six months immediately preceding the month in which the income went above 100% FPL.
  4. They must otherwise meet the BadgerCare Plus eligibility criteria for persons with monthly income below 100% FPL.
  5. They must not be eligible as a Former Foster Care Youth.
Note

These requirements do not apply to children (see Section 18.1.3 Children).

 

Example 1

Jane lives with her two teenage children and Dave, the non-marital co-parent of the two children. Jane is claiming both children on her taxes and her monthly income for her MAGA AG of three is 90% FPL. Dave’s MAGA AG consists only of himself, and he is eligible for BadgerCare Plus with monthly income of 95% FPL. The children-in-common are eligible in a MAGC AG group of four, with both parents as counted adults in their AG and their group’s monthly income is 121% FPL. Jane was enrolled in BadgerCare Plus with income below 100% FPL for three of the prior six months. In June, her earned monthly income increased to 120% FPL. She is eligible for a 12-month BadgerCare Plus extension. Dave is not included in the extension because he was not a counted member of Jane’s AG. The children are eligible for a 12-month extension because they were eligible in June when Jane’s monthly income rose above 100% and their own AG’s monthly income was below 156% FPL at the time. The children will remain in their current BadgerCare Plus AG under continuous coverage for children, but their renewal date will align with Jane’s extension renewal date.

18.2.2 Supplemental Security Income Exception

A person who was eligible for SSISupplemental Security Income. A program based on financial need operated by the Social Security Administration that provides monthly income to low-income people who are age 65 or older, blind, or disabled. benefits may be eligible for a 12-month BadgerCare Plus extension if they lose SSI and would have been eligible for BadgerCare Plus with countable monthly income at or below 100% if they had not been an SSI recipient.

Example 2

Mary is receiving SSI. Her two children are enrolled in BadgerCare Plus with countable monthly income at or below 100% FPL. Mary started a job and her earnings put her above the SSI income limit. Her earned income also caused the BadgerCare Plus countable monthly income to exceed 100% FPL. Both Mary and her two children are eligible for a 12-month BadgerCare Plus extension. The children will remain in their current BadgerCare Plus AG under continuous coverage for children, but their renewal date will be extended to the end of the extension period.


This page last updated in Release Number: 23-04
Release Date: 12/18/2023
Effective Date: 01/01/2024

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.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10171