19-02 Version of 19.9 Late Payments

The case will remain open for the benefit month even if no payment is received by the due date. It will close at the end of the benefit month if no payment is received by adverse action in the benefit month.

If the member pays between adverse action of the benefit month and the last day of the benefit month, eligibility can be restored.

Example 1

Adverse action is September 16. Jim’s September premium was due September 10. Jim has not paid his September premium by September 16. He pays on September 26. The case closed effective September 30. Eligibility for October will be restored. He is not required to pay the October premium until October 10.

Note	An individual’s BadgerCare Plus eligibility can be reinstated during an RRP if the individual pays the owed premiums before the end of the RRP. For information about payments made during the RRP, see Section 19.11 BadgerCare Plus Restrictive Re-enrollment Period.

This page last updated in Release Number: 19-02
Release Date: 09/10/2019
Effective Date: 09/10/2019

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