23-02 Version of 18.4 Income Changes During the Extension

During an extension, a group or person’s monthly income may decrease to an amount at or below 100% FPL for the group size and then increase again to exceed the 100% FPL. When the monthly income decreases, the person will be removed from the extension and placed in regular BadgerCare Plus. The remaining months of the extension will continue to run in the background. Verification of the monthly income decrease to at or below 100% FPL is required in order to make the person eligible in regular BadgerCare Plus. If income verification is not provided, the person will remain in the extension for the remaining months.

If the person’s countable monthly income again increases above the 100% FPL, they would be eligible under the previous extension for any remaining months. If the person is eligible for a new extension when the monthly income again increases, because they meet all of the criteria above, the person will enter into the new extension.

Example 1

A BadgerCare Plus group with a 12-month extension from January through December has a monthly decrease in income in February that puts them back below 100% FPL. The group provides pay stubs to verify the decrease in income. The extension continues to run while the group is on regular BadgerCare Plus. In October the group’s countable monthly income again increases to above 100% FPL, this time due to an increase in spousal support income. They are now eligible for a four-month spousal support extension, which would run from November through February. Since the four-month extension would be longer than the current extension, the new four-month extension applies.

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