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State of Wisconsin |
Release 26-01 |
When a KBM member experiences a change in circumstances and no longer meets program requirements (for example, they become institutionalized or no longer meet medical criteria), they remain enrolled in KBM until the end of their continuous coverage period.
At renewal, if the member still does not meet KBM requirements due the change in circumstance, a process begins to request the member apply for other health care types with IM. See MEH Section 29.2.1 Ineligible for KBM after Renewal.
This page last updated in Release Number: 25-04
Release Date: 12/10/2025
Effective Date: 12/10/2025
The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-10030