41.7 Determining BadgerCare Plus Prenatal Group

41.7.1 The BadgerCare Plus Prenatal Group through January, 31, 2014

41.7.2 The BadgerCare Plus Prenatal Group after February 1, 2014

41.7.1 The BadgerCare Plus Prenatal Group through January 31, 2014

For individuals who applied prior to January 31, 2014, continue to form the BadgerCare Plus Prenatal group according to the following rules:

If a pregnant woman is in a household where her spouse or her children are eligible, or applying for BadgerCare Plus, she is to be included in the BadgerCare Plus group with the other non-financially eligible members of her family. Include the number of verified fetuses when determining the BadgerCare Plus group size. If the number is not verified, always count one fetus.

Pregnant inmates must always be considered to be living alone. If the inmate is married while incarcerated, consider her to be separated (ignore the spouse) when determining eligibility. The pregnant inmate’s BadgerCare Plus group size will always include herself and the number of fetuses she is carrying.

Note: Women in the Huber program who are eligible for BadgerCare Plus are not eligible for the BadgerCare Plus Prenatal Program.

Pregnant Non-qualifying immigrants who have no other born children in the home will have their financial eligibility determined in the same way as pregnant women applying for BadgerCare Plus. The BadgerCare Plus group size will only include the woman, the fetuses and her spouse. If the pregnant immigrant is a minor living with her parent(s), the parent(s) will be included in the BadgerCare Plus Test Group .

BadgerCare Plus Prenatal Program Group Examples

Household	Test Group Size	Participation Status
Mom and fetus	2	EA
Mom and fetus, boyfriend/alleged father	2	EA	XA
Mom and fetus, spouse	3	EA	CA
Mom and fetus, father, and child-in-common eligible for BC	4	EA	EA	EC
Minor Mom and fetus and Minor’s parents (2)	4	EC	EA	EA

41.7.2 The BadgerCare Plus Prenatal Group After February 1, 2014

Effective February 1, 2014, all new applicants for the BadgerCare Plus Prenatal Program will have their eligibility determined under MAGI rules. Follow the rules outlined in Chapter 2 in order to form group size.

Beginning January 1, 2014, pregnancy, the number of fetuses, and the due date are not required to be verified unless the worker has information that contradicts the applicant’s self-declared information. The effective begin date for the BadgerCare Plus Prenatal Program is the first of the month in which they apply and are otherwise eligible.

This page last updated in Release Number: 14-01

Release Date: 02/07/14

Effective Date: 02/01/14