18.4 Income Changes During The Extension

During an extension, a group or individual’s income may decrease to an amount at or below 100% FPL for the group size and then increase again to exceed the 100% FPL. When the income decreases, the individual will be removed from the extension and placed in regular BadgerCare Plus. The remaining months of the extension will continue to run in the background. If the individual’s countable income again increases above the 100% FPL, he or she would be eligible under the previous extension for any remaining months. If the individual is eligible for a new extension when the income again increases, because he or she meets all of the criteria above, choose the extension which gives the longest coverage, and cancel the other.

Example 1: A BadgerCare Plus group with a 12-month extension from January through December has a decrease in income in February that puts them back below 100% FPL. The extension continues to run while the group is on regular BadgerCare Plus. In October the group’s countable income again increases to above 100% FPL, this time due to an increase in Child Support income. They are now eligible for a four-month child support extension which would run from November through February. Since the four month extension would be longer than the current extension, apply the new four-month extension.

This page last updated in Release Number: 07-01

Release Date: 10/29/07

Effective Date: 02/01/08

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