24-02 Version of 9.3 Eligibility Renewals

Fred’s eligibility renewal is due in April. He submits a mail-in renewal form on April 8. The eligibility worker requests verification of his income on April 9. Because his renewal was returned by adverse action and verification requested, his health care is extended by one month. If the verification is not submitted by May adverse action, his eligibility will end on May 31.

Shannon’s 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 did not complete her renewal. Shannon called the agency on June 30 and completed her renewal. Verification of income is requested with a July 20 due date. Shannon did not submit the required verification by July 20, so her eligibility beginning July 1 was denied. If Shannon submits the requested verification by September 30, it must be treated as a late renewal (see SECTION 26.1.2.1 Verification Requirements for Late Renewals).