14-04_40.8 FPOS Changes
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State of Wisconsin
Department of Health Services

HISTORY

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

40.8 FPOS Changes

Members receiving FPOSFamily Planning Only Services - This plan provides certain services and supplies to people who are of childbearing or reproductive age to prevent unplanned pregnancies. only are not required to report changes in income or household composition during the 12-month certification period .  However, FPOS members are still required to report all other changes that would result in ineligibility such as moving out of state, incarceration, etc. within 10 days of the change.   Changes reported in household composition or income resulting in ineligibility will not affect FPOS benefits for the remainder of the 12-month certification period. Eligibility is put into an extension phase until the end of the 12-month certification period or until the member reports an income decrease that is again below the FPOS income limit.   Note: Household composition changes will not affect eligibility when the member’s eligibility is determined 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 in 2014, as all FPOS assistance groups will only include the member in the household composition, regardless of his or her living arrangement.   Changes reported in income or household composition resulting in eligibility for BadgerCare Plus should be applied.  If there is a request for BadgerCare Plus on file, he or she will be found eligible for BadgerCare Plus.  At that time, FPOS will end.   FPOS eligibility terminates when a member loses non-financial eligibility. Terminate eligibility, using adverse action logic, when she:

  1. Moves out of state.
  2. Is 19 years or over and is no longer cooperating with TPL, Medical Support, or Social Security Number (SSNSocial Security number) requirements.
  3. Enrolls in BadgerCare Plus or becomes eligible for other full benefit Medicaid.
  4. Becomes an inmate of a public institution.

         

This page last updated in Release Number: 14-04

Release Date: 11/20/14

Effective Date: 11/20/14

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