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17.10 Late Reports of Changes If the member turns in late reports on income changes or medical costs, recalculate the deductible as of the date the change took place or the medical cost was incurred. See what would have been the deductible had they reported the changes and the medical costs as they occurred. If the medical bills would have met the deductible for any past date, begin BadgerCare Plus certification on that date. This page last updated in Release Number: 07-01 Release Date: 10/29/07 Effective Date: 02/01/08 18.1 Extensions 18.1.1 Introduction A BadgerCare Plus extension is a period of eligibility given to a person when the assistance group's (AG) monthly income increases above 100% FPL - either due to an increase in earned income, spousal support, or both - and otherwise meets the BadgerCare Plus eligibility criteria for people with monthly income below 100% FPL. A parent/caretaker relative or pregnant person can enter an extension due to a monthly income increase above 100% FPL in the AG’s earned income, spousal support, or both. The children, stepchildren, and non-legally responsible relative (NLRR) children of the parent/caretaker may also enter the extension at this time, provided they are under age 19, living with the parent/caretaker, and meet the income requirements (see SECTION 18.1.3 CHILDREN). If the child is in their 12-month continuous coverage period, the child will stay in their current BadgerCare Plus assistance group while their parent(s) enter the extension. The child’s BadgerCare Plus and the parent’s extension renewal dates will align. BadgerCare Plus members eligible as childless adults are not eligible for an extension. BadgerCare Plus members eligible based on annual income, known as gap filling, are not eligible for an extension. If a family is moving out of the State of Wisconsin at the time of the income increase, they would not be eligible for the extension. If all members of the household are eligible for an extension, verification of income is not required. If a member of the household is eligible for BadgerCare Plus but not in an extension, the household may be required to provide verification of income for determining that person’s BadgerCare Plus eligibility. If verification is not provided timely, it will not impact the other members’ eligibility in a BadgerCare Plus extension. Example 1 Janine and her son, Zachary, are open for BadgerCare Plus under an extension. Janine's daughter, Amy, is open for non-extension BadgerCare Plus. Janine reports an increase in income. She is required to verify her new income since her income is counted when determining Amy's BadgerCare Plus eligibility.

When income is increasing at renewal, the renewal must be submitted in the month the renewal is due for the family to be eligible for the extension. If the renewal is submitted timely before the end of the renewal due month, but the family submits required verification after the verification due date and within the calendar month after the renewal due month, the family may be eligible for the extension.