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performed, and Michelle will be required to verify her earnings using paystubs received during the last 30 days, an EVF-E form, or other documentation.
Example 5 Katie is a single childless adult with an income limit of $1,330 for BadgerCare Plus. She applies for FoodShare and BadgerCare Plus. She reports that her earnings are $1,200 per month. Equifax data is not available. SWICA reports that her quarterly earnings are $4,000, for a monthly amount of $1,230.77. Because she is eligible for BadgerCare Plus using either amount, her reported information is considered reasonably compatible. The agency must use her reported income for BadgerCare Plus, and based on this amount, she would be made eligible for BadgerCare Plus. Her FoodShare eligibility, however, will pend for verification of her earnings. If she returns her paystubs and they show income of $1,400 per month, this information will replace the member-reported information and her health care benefits would be terminated. If she failed to provide the requested verification, her FoodShare benefits would be denied but she would continue to remain eligible for BadgerCare Plus. 9.12.4 Determining a Data Exchange-Based Income Amount for the Reasonable Compatibility Test The following rules will be used to determine the data exchange information that will be used for the reasonable compatibility test: • If Equifax data is available for a given employment, CWW will apply a reasonable compatibility test for health care using the member-reported information and the data available from Equifax. • If data from both Equifax and SWICA are available, only Equifax data will be used in the reasonable compatibility test. • If Equifax data is not available, the system will use SWICA data if it is available as the basis of the reasonable compatibility test. If SWICA data is used, CARES will divide the most recent quarterly SWICA wages by 13 and multiply by four to determine a monthly amount for use in the test. If Equifax data is used, the following rules will determine the monthly amount for use in the test: • For months for which the system is able to confirm that all paycheck information has been received from Equifax, the actual income amount reported by Equifax for that month will be used. • For months for which the system cannot confirm that all paycheck information has been received, the system will base the monthly amount on the most recent paycheck. ◦ If the member is paid weekly, the most recent paycheck will be multiplied by four. ◦ If the member is paid biweekly or semi-monthly, the most recent paycheck will be multiplied by two. ◦ If the member is paid monthly, the most recent paycheck amount will be used. 9.12.5 Use of Equifax Data for Verification of Income If Equifax data is available for a given employment, and the Equifax amount is the same as the amount reported by the applicant or member, the earned income must be considered verified. Earned income that is verified is not subject to a reasonable compatibility test.