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If a BadgerCare Plus member moves from eligibility based on monthly income to eligibility based on annual income, or vice versa, during their certification period, their certification period end date (that is, the renewal date) remains the same. Example 1 William applies for health care on June 8. He works a seasonal job, and his monthly income is above 100% FPL, but his annual income is below 100% FPL. He is determined eligible for BadgerCare Plus using annual income. His certification period is June 1 through May 31 of the following year. On November 20, he reports to the agency that his monthly income has decreased below 100% FPL and provides verification of his new income. William is now eligible for BadgerCare Plus using monthly income. His BadgerCare Plus certification period end date remains May 31. Renewals will be conducted the same as other BadgerCare Plus renewals (see CHAPTER 26 RENEWALS for more information). 16.9.3 Change Reporting for People Eligible Under Gap Filling Rules Members are still subject to change reporting requirements while enrolled in BadgerCare Plus under gap filling rules. A member can lose eligibility during the certification period if: • They are no longer eligible for any nonfinancial reason such as moving out of the state. • They experience an increase in income that will make annual income greater than 100% of the FPL. See CHAPTER 27 CHANGE REPORTING for more information. 16.9.4 New Year Estimated Annual Income When a 12-month certification period extends over two calendar years, expected annual income will be collected from current members eligible under gap filling rules in January of the new year through a written request for the new year’s expected annual income: • If the member’s expected annual income continues to be under the annual income limit, BadgerCare Plus will continue. • If the member’s expected annual income is above the annual income limit, BadgerCare Plus will be terminated following adverse action rules (assuming they are not eligible for BadgerCare Plus under monthly income rules or any other category of BadgerCare Plus or Medicaid). • If the member does not respond to the request for the new year’s expected annual income, BadgerCare Plus will be terminated following adverse action rules due to failure to provide information. This page last updated in Release Number: 24-01 Release Date: 04/03/2024 Effective Date: 01/01/2024 17.1 Deductibles Children (younger than 19 years old) with income over 306% of the FPL may become eligible for BadgerCare Plus by meeting a deductible. Children with income over 156% of the FPL who are denied BadgerCare Plus solely due to having current employer-sponsored health insurance coverage may also become eligible for BadgerCare Plus by meeting a deductible. The deductible amount is calculated for a six-month period using the amount of income that exceeds 150% of the FPL.