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State of Wisconsin |
Release 26-03 |
SeniorCare members may request to establish a new SeniorCare benefit period at any time. However, it is not beneficial for a SeniorCare member to reapply unless they will experience a reduction in gross annual income. The reduction in annual income may occur for various reasons, such as loss of income, divorce, marriage, institutionalization or death of a spouse, or any other change that results in a significant decrease in income . This could result in SeniorCare eligibility at a lower income level resulting in a reduction/elimination of spenddown or deductible.
To reapply, members must submit a new application form and pay a $30 enrollment fee per person. Eligibility will be redetermined for a new 12-month period (within 30 days) after a complete application is received.
When eligibility for a new benefit period is determined, the member's previous benefit period is terminated, and they are not allowed to restart the previous benefit period. Any expenses applied to the previous benefit period will not be applied to the new benefit period.
Eligibility for a new benefit period begins on the first day of the month after a complete application is received and all eligibility requirements are met.
This page last updated in Release Number: 26-03
Release Date: 08/12/2026
Effective Date: 08/12/2026
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