State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

10-05 Version of 40.3 Application

Eligibility for FPOSFamily Planning Only Services - This plan provides certain services and supplies to people who are of childbearing or reproductive age to prevent unplanned pregnancies. begins on the first of the month of applicationA request for BadgerCare Plus coverage. The request must be on the Department's application or registration form and must contain name, address, and a valid signature. The applicant must submit a signed and completed application form to complete the application process., if all non-financial (see Section 40.4 Nonfinancial Requirements) and financial (see Section 40.5 Financial Requirements) eligibility requirements are met. FPOS may be backdated up to three months from the month of application.

This page last updated in Release Number: 10-05
Release Date: 12/15/10
Effective Date: 12/15/10


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