17-01 Version of 9.3 Eligibility Reviews

The group's eligibility should not be denied for failure to provide the required verification until the 10th day after requesting verification or the end of the renewal month whichever is later.

Example 1

Fred’s eligibility renewal is due in April. He submits a mail-in renewal form on April 10. The eligibility worker requests verification of his income on April 11. If the verification is not submitted by April 30, his eligibility will end on April 30.

Example 2

Shannon’s eligibility renewal was due in June. At adverse actionThe last day of the month a change can be made in CARES to affect eligibility for the following month. Adverse Action is usually 13 days prior to the last day of the month to allow for a timely notice to be generated. in June a notice was sent to Shannon to let her know her BadgerCare Plus eligibility would end June 30 because she had not yet completed her renewal. A telephone interview was conducted on June 30. A request for verification, with a July 10 due date, was sent to Shannon. Because the required verification (including signature) was not submitted by July 10, her eligibility beginning July 1 was denied.

Requested verification turned in within three months of the renewal due date should be processed as timely (see Section 26.1.2 Three-Month Late Renewals).

This page last updated in Release Number: 17-01
Release Date: 04/11/2017
Effective Date: 04/11/2017

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