State of Wisconsin Department of Health Services

HISTORY

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

27.3 Income Change Reporting Requirements

BadgerCare Plus members whose eligibility is determined under non-MAGIApply to households whose eligibility is determined using BadgerCare Plus relationship rules (prior to March 31, 2014) to budget income for a household prior to transitioning to MAGI BadgerCare Plus budgeting rules. rules must report income changes when their total monthly gross income exceeds the following percentages of the FPLFederal Poverty Level for their group size.  

 

• 100% FPL
• 133% FPL
• 150% FPL
• 185% FPL
• 200% FPL
• 250% FPL
• 300% FPL
• 350% FPL
• 400% FPL

 

BadgerCare Plus members whose eligibility is determined under MAGIModified Adjusted Gross Income. MAGI rules are used to determine BadgerCare Plus eligibility for new applicants beginning in 2014 and for existing members as of March 31, 2014, or their next regularly scheduled renewal, whichever is later. MAGI rules are based on tax relationships and family relationships, and they consider taxable income and whether children and tax dependents are required to file. rules, income changes must be reported when the total monthly income of the assistance group with the highest monthly income amount exceeds the following FPL percentages for their assistance group size:

• 100% FPL

• 133% FPL

• 156% FPL

• 191% FPL

• 200% FPL

• 250% FPL

• 306% FPL

• 350% FPL

• 400% FPL

 

The income change must be reported by the 10th of the month following the month in which the total income exceeded its previous threshold.

 

Adults in a BadgerCare Plus Extension who are required to pay a premium must also report and verify income changes during the extension certification period . Eligibility for adult members who would be required to pay premiums will be terminated for failure to submit requested verification. Effective April 1, 2014, all non-exempt parents and caretakers in BadgerCare Plus Extensions will be required to pay a premium. However, parents and caretakers with income between 100 and 133% FPL will not be subject to premiums until the seventh calendar month of their extension.

 

The CARESThis system supports the Income Maintenance operations for DHS and DCF. CARES is used to determine eligibility, issue benefits, track premium payments, and manage support for BadgerCare Plus, EBD Medicaid, W-2, Child Care, and Work Programs. notice will indicate the dollar amount associated with each FPL level, for the BadgerCare Plus group size.

 

Example 1: Sally’s countable family income has been at 80% of the FPL since she applied in January.  In June her income increased to 107%, so she must report the change by July 10th.

 

Example 2: Heidi’s countable family income is 128% of the FPL.  In September it increased to 164% of the FPL.  Heidi must report this change by October 10th.

 

Example 3: Steve’s countable family income is 265% of the FPL.  In December it increased to 411% of the FPL.  Steve must report this change by January 10th.

 

 

 

This page last updated in Release Number: 14-01

Release Date: 02/07/14

Effective Date: 02/01/14

---

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