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

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  1. 25.9.1 Termination
  2. 25.9.2 Denial

25.9.1 Termination

During the calendar month after a member’s enrollment has been terminated, BadgerCare Plus can be reopened without requiring a new application. The person may need to provide verification if required to complete the eligibility determination.

 

If more than a calendar month has passed since a member’s enrollment was terminated, the person 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 person's case 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 (see Section 26.1.2 Three-Month Late Renewals).

25.9.2 Denial

If less than 30 days has passed since the applicant's eligibility was denied, allow the applicant or his or her representative to re-sign and date the original application, the signature page of the application summary, or page one of the application or to call the agency to submit a telephonic signature to set a new filing date.

 

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

 

If the person 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.

 

The person may need to provide verification if required to complete the eligibility determination.

 

 

 

This page last updated in Release Number: 17-04

Release Date: 12/13/2017

Effective Date: 12/13/2017


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