23-02 Version of 18.2 Increase in Earnings
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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. 

23-02 Version of 18.2 Increase in Earnings

  1. 18.2.1 Earned Income Extensions
  2. 18.2.2 Supplemental Security Income Exception

18.2.1 Earned Income Extensions

To receive a 12-month BadgerCare Plus extension due to an increase in earnings, a parent, caretaker, or pregnant person must meet all of the following requirements:

  1. The monthly income increase which caused the countable income for their BadgerCare Plus assistance group (AGassistance group) to exceed 100% FPL must be due solely to one of the following:
    1. Increased earnings (of anyone in the same AG).
    2. Increased earnings along with other income (changed or unchanged).
  2. They must be a BadgerCare Plus member with monthly income at or below 100% FPL at the time the income increased to over 100% FPL.
  3. They must have been enrolled in BadgerCare Plus with monthly income that was at or below 100% FPL for at least three of the six months immediately preceding the month in which the income went above 100% FPL.
  4. They must otherwise meet the BadgerCare Plus eligibility criteria for persons with monthly income below 100% FPL.
  5. They must not be eligible as a Former Foster Care Youth.
Note

These requirements do not apply to children (see Section 18.1.3 Children).

 

Example 1

Jane lives with her two teenage children and Dave, the non-marital co-parent of the two children. Jane is claiming both children on her taxes and her monthly income for her MAGA AG of three is 90% FPL. Dave’s MAGA AG consists only of himself, and he is eligible for BadgerCare Plus with monthly income of 95% FPL. The children-in-common are eligible in a MAGC AG group of four, with both parents as counted adults in their AG and their group’s monthly income is 121% FPL. Jane was enrolled in BadgerCare Plus with income below 100% FPL for three of the prior six months. In June, her earned monthly income increased to 120% FPL. She is eligible for a 12-month BadgerCare Plus extension. Dave is not included in the extension because he was not a counted member of Jane’s AG. The children are eligible for a 12-month extension because they were eligible in June when Jane’s monthly income rose above 100% and their own AG’s monthly income was below 156% FPL at the time.

18.2.2 Supplemental Security Income Exception

A person who was eligible for SSISupplemental Security Income. A program based on financial need operated by the Social Security Administration that provides monthly income to low-income people who are age 65 or older, blind, or disabled. benefits may be eligible for a 12-month BadgerCare Plus extension if they lose SSI and would have been eligible for BadgerCare Plus with countable monthly income at or below 100% if they had not been an SSI recipient.

Example 1

Mary is receiving SSI. Her two children are enrolled in BadgerCare Plus with countable monthly income at or below 100% FPL. Mary started a job and her earnings put her above the SSI income limit. Her earned income also caused the BadgerCare Plus countable monthly income to exceed 100% FPL. Both Mary and her two children are eligible for a 12-month BadgerCare Plus extension.

 

This page last updated in Release Number: 23-02
Release Date: 04/17/2023
Effective Date: 04/17/2023

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