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State of Wisconsin |
Release 26-02 |
During an extension, a group or person’s monthly income may decrease to an amount at or below 100% Federal Poverty Level (FPL) and then increase again to exceed 100% FPL. When the monthly income decreases, the person will be removed from the extension and placed in non-extension BadgerCare Plus. The remaining months of the extension will continue to run in the background. Verification of the monthly income decrease to at or below 100% FPL is required in order to make the person eligible in non-extension BadgerCare Plus. If income verification is not provided, the person will remain in the extension for the remaining months.
If the person’s countable monthly income again increases above the 100% FPL, they would be eligible under the previous extension for any remaining months. If the person is eligible for a new extension when the monthly income again increases, because they meet all of the criteria (see Section 18.2 Increase in Earnings Extensions and section 18.3 Increase in Spousal Support or Family Support Income Extensions), the person will enter into a new extension.
| Example 1 |
A BadgerCare Plus group with a 12-month extension from January through December has a monthly decrease in income in February that puts them back below 100% FPL. The group provides pay stubs to verify the decrease in income. The extension continues to run while the group is on non-extension BadgerCare Plus. In October, the group’s countable monthly income again increases to above 100% FPL - this time due to an increase in spousal support income. They are now eligible for a four-month spousal support extension (November through February). Since the four-month extension would be longer than the current extension, the new four-month extension applies. |
This page last updated in Release Number: 26-02
Release Date: 04/15/2026
Effective Date: 04/15/2026
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