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16.6 Fluctuating Income If the amount or frequency of regularly received income is known, average the income over the period between payments. If neither the amount nor the frequency is predictable, do not average; count income only for the month in which it is received. This page last updated in Release Number: 07-01 Release Date: 10/29/07 Effective Date: 02/01/08 16.7 Prorating Income Income received on a yearly basis or less often than monthly, that is predictable in both amount and frequency, must be converted to a monthly amount or prorated. Prorate means "to distribute proportionately." Example 1 Sally receives a $1,500 royalty payment quarterly. This payment should be prorated for the months between payments. $1,500 is distributed over three months by dividing the amount of money by the number of months between payments. The prorated amount is $1,500/3= $500 a month. Prorating is applied to a member’s income when the income is received less often than monthly. By prorating, income is distributed evenly over the number of months between payments When an assistance group applies, do not count the prorated income until it is received. Example 2 Joe receives semi-annual land contract installments of $900. This equals a monthly income of $150 ($900 prorated over six months). He becomes eligible in May. He receives payments in January and July each year. Do not budget any prorated income until July, the first month of receipt after Joe becomes eligible. If the group becomes ineligible and reapplies before they receive the next installment, use the same prorated amount as before. This page last updated in Release Number: 07-01 Release Date: 10/29/07 Effective Date: 02/01/08 16.8 Reserved

This page last updated in Release Number: 24-02 Release Date: 08/22/2024 Effective Date: 08/22/2024 16.9 Gap Filling Due to differences between the eligibility rules used by the Federally Facilitated Marketplace and the eligibility rules used when counting income for BadgerCare Plus, the Marketplace may find someone to be below 100% of the FPL based on their annual income, while BadgerCare Plus may find someone to be above 100% of the FPL based on their current monthly income. Because of this difference in eligibility rules, the person is eligible for neither BadgerCare Plus nor advanced premium tax credits (APTCs). If people were left in this eligibility "gap," then the only option available to them is to pay for the full cost