State of Wisconsin Department of Health Services

HISTORY

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

18.3 Increase in Child Support or spousal Income Extensions

18.3.1 Support Extensions Under Non-MAGI Rules

18.3.1.1 Four Month Extension under Non-MAGI Rules

18.3.1.2 Twelve Month Extension under Non-MAGI Rules

18.3.2 Support Extensions Under MAGI Rules

18.3.2.1 Four Month Extensions under MAGI Rules

18.3.2.2 Twelve Month Extensions under MAGI Rules

 

18.3.1 Support Extensions under Non-MAGI Rules

For assistance groups (AG) under non-MAGI rules, if a BadgerCare Plus member’s countable income increases above 100% FPL and all or part of the excess income consists of child support income, grant an Extension of either 4 or 12 months depending on the case circumstances.

18.3.1.1 Four Month Extensions under Non-MAGI Rules

The 4 month Extension applies only if:

 

1. The income increase which caused the countable income to exceed 100% FPL must be due solely to:

 

1. 1. Increased child support income or,

   2. Increased child support income along with other unearned income (changed or unchanged).

 

2. There has been no increase in earned income.

 

3. He or she must be a BadgerCare Plus member with income at or below 100% FPL, at the time the income increased to over 100% FPL.

 

4. At least 1 member of the AG must have been enrolled in BadgerCare Plus with income that was at or below 100% FPL for at least 3 of the 6 months immediately preceding the month in which the income went above 100% FPL.

 

5. He or she must otherwise meet the BadgerCare Plus eligibility criteria for persons with income below 100% FPL, and

 

6. He or she verified his or her income, unless he or she is exempt from paying a premium.

 

18.3.1.2 Twelve Month Extensions under Non-MAGI Rules

The 12 month BadgerCare Plus Extension applies only if:

 

1. Earned income increased but child support income remained the same or both earned income and child support income increased.

2. He or she is a BadgerCare Plus member with income at or below 100% FPL, at the time the income increased to over 100% FPL.

3. At least 1 member of the AG has been enrolled in BadgerCare Plus with income that was at or below 100% FPL for at least 3 of the 6 months immediately preceding the month in which the income went above 100% FPL, and

4. He or she otherwise meets the BadgerCare Plus eligibility criteria for persons with income below 100% FPL.

5. He or she verified his or her income, unless he or she is exempt from paying a premium.

18.3.2 Support Extensions under MAGI Rules

For AGs using 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, if a parent, caretaker, or pregnant woman’s countable income increases above 100% FPL and all or part of the excess income consists of spousal support income, grant an Extension of either 4 months or 12 months depending on the case circumstances.

18.3.2.1 Four Month Extensions under MAGI Rules

The 4 month Extension only applies if:

 

1. The income increase which caused the countable income to exceed 100% FPL must be due solely to:

 

1. 1. Increased spousal support income, or

   2. Increased spousal support income along with other unearned income (changed or unchanged).

 

2. There has been no increase in earned income.

 

3. He or she is an eligible BadgerCare Plus member with income at or below 100% FPL, at the time the income increased to over 100% FPL.

4. He or she must have been enrolled in BadgerCare Plus with income that was at or below 100% FPL for at least 3 of the 6 months immediately preceding the month in which the income went above 100% FPL.

5. He or she otherwise meets the BadgerCare Plus eligibility criteria for persons with income below 100% FPL

6. He or she verified his or her income, unless he or she is exempt from paying a premium.

 

18.3.2.2 Twelve Month Extensions under MAGI Rules

The 12 month BadgerCare Plus Extension applies only if:

 

1. Earned income increased but child support income remained the same or both earned income and child support income increased.

2. He or she is a BadgerCare Plus member with income at or below 100% FPL, at the time the income increased to over 100% FPL.

3. He or she must have been enrolled in BadgerCare Plus with income that was at or below 100% FPL for at least 3 of the 6 months immediately preceding the month in which the income went above 100% FPL, and

4. He or she otherwise meets the BadgerCare Plus eligibility criteria for persons with income below 100% FPL.

5. He or she verified his or her income, unless he or she is exempt from paying a premium.

 

 

 

This page last updated in Release Number: 14-02

Release Date: 05/13/14

Effective Date: 04/01/14

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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