State of Wisconsin Department of Health Services

HISTORY

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

25.9 Denials and Terminations

25.9.1 Termination

If less than a calendar month has passed since a member’s enrollment has been terminated, the applicantA request for BadgerCare Plus coverage. The request must be on the Department's or Federally-facilitated Marketplace’s application, registration form or account transfer (from Federally-facilitated Marketplace) and must contain name, address, and a valid signature. The applicant must submit a signed and completed application form to complete the application process. can provide the necessary information to reopen BadgerCare Plus without filing a new 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 more than a calendar month has passed since a member’s enrollment was terminated, the applicant must file a new application to reopen his or her BadgerCare Plus.

 

If a case is closed at renewal due to failure to complete the renewal, including providing verification for that renewal, the individual can be reopened for BadgerCare Plus without filing a new application if he or she provides the necessary information within three months of the renewal date.

25.9.2 Denial

If less than 30 days has passed since the client's eligibility was denied, allow the client to re-sign and date the application or page one of the application to set a new filing date .

 

If more than 30 days has passed since a client's eligibility was denied and the client is not open for any other program, the client must file a new application to reopen his or her Medicaid.

 

If the client is open for any other program of assistance, do not require him or her to re-sign his or her application or sign a new application.

 

 

 

This page last updated in Release Number: 17-01

Release Date: 04/11/2017

Effective Date: 04/11/2017

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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