Page 117

Unearned income (as defined in SECTION 16.5 OTHER INCOME) is verified as outlined in this chapter and in Process Help, Chapter 19.1 Data Exchange General Information. If there is an electronic data source available to use for verifying a type of unearned income, it should be used as verification for that income. If no data source is available, the applicant or member must provide verification of the unearned income. If Equifax data is available for a type of unearned income, and the Equifax amount is the same as the amount reported by the member, the unearned income must be considered verified. Self-employment and in-kind job income are verified as outlined in Process Help, Section 11.2 Self- Employment Income, Process Help, Section 11.7 In-Kind and Volunteer Hours, and SECTION 16.4.3 SELF- EMPLOYMENT INCOME. 9.12.1 Programs for Which Reasonable Compatibility Will Apply The reasonable compatibility test will be performed as part of any eligibility determination for the following categories of BadgerCare Plus: • BadgerCare Plus based on MAGI rules, with the exception of deductibles • Family Planning Only Services (FPOS) based on MAGI rules Populations not subject to an income test (for example, Former Foster Care Youth) will not have a reasonable compatibility test. 9.12.2 Reasonable Compatibility Thresholds The reasonable compatibility test will apply to each assistance group (AG) for which earned income is reported, has not already been verified, and for which SWICA or Equifax data is available. Because different AGs are subject to different income thresholds, the following thresholds will be used by population as the first step in determining whether reported information is reasonably compatible. In some cases, the threshold will be an FPL percent, while in others it will be a fixed dollar amount. Population Threshold(s) Adults (MAGS, MAGA and MAGN) 100% FPL Children – under age 1 306% FPL Children – ages 1 through 5 191% FPL Premium thresholds (unless the child is exempt): 201, 231, 241, 251, 261, 271, 281, 291, and 301% FPL 306% FPL Children – ages 6 through 18 133% FPL 156% FPL Premium thresholds (unless the child is exempt):