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Remaining Deductible Update (F-10109) must be submitted to identify the provider of service on March 8 and the $800 member share amount. 17.6.4 Combination of Payment and Outstanding Expenses If the deductible is met through a combination of payment and outstanding medical expenses (incurred prior to the beginning of the deductible period), eligibility begins on the first date of the deductible period. Example 1 Roberta’s deductible period is from March 1 through August 31. The total BadgerCare Plus deductible amount is $1,500. She submits an outstanding bill from January 10 for $500. On August 15, she submits payment of $1,000. Roberta’s BadgerCare Plus eligibility begins March 1. Enter the first date of the deductible period on AGTM as the date the payment was received. 17.6.5 Calculation Errors If any portion of the deductible is paid and you find the amount was wrong due to agency error, refund the paid amount that was incorrect and report the refund on CARS. If the error was caused by an applicant or member error, see SECTION 28.2 RECOVERABLE OVERPAYMENTS for determining the overpayment amount. This page last updated in Release Number: 18-03 Release Date: 12/14/2018 Effective Date: 12/14/2018 17.7 Remaining Deductible When the member receives a medical bill that is equal to or greater than the amount they still owe on the deductible, they can be certified for BadgerCare Plus. However, they are still responsible for the part of the bill that equals the deductible. BadgerCare Plus will consider the remainder of the bill for payment (see Process Help, Chapter 12.14 Medicaid Deductibles). To make sure that BadgerCare Plus does not pay what the member still owes on the deductible, send a BadgerCare Plus Remaining Deductible Update (F-10109) to the fiscal agency indicating the amount of the bill that the member owes. The Fiscal Agent subtracts this amount from the bill and BadgerCare Plus pays the rest. Fill out the BadgerCare Plus Remaining Deductible Update (F-10109) only if: 1. A BadgerCare Plus certified provider has provided the billed services. 2. The person, having met the deductible, is being certified. If they are not being certified, BadgerCare Plus will not pay any of the bill. The date of the bill is the date the deductible was met. Since the member is not eligible until they have met the deductible, they still owe for all bills prior to that date. If more than one bill was incurred on the date the deductible was met, send the BadgerCare Plus Remaining Deductible Update (F-10109) for any other bills for which the member would be responsible. This page last updated in Release Number: 20-03 Release Date: 08/03/2020 Effective Date: 07/01/2020