Page 189

people who qualify again as a parent or caretaker of that child(ren) may reopen under an unexpired earned income extension. Example 1 Bob, his wife, Betty, and their only child, Ben, are open for an earned income extension until May 31. Their eligibility ended on January 31 because Ben left the household. It was reported that Ben returned to the household on February 13. Because it was reported that Ben returned to the home within a calendar month, they (Bob, Betty, and Ben) may regain eligibility for their earned income extension until May 31. However, people would be able to regain eligibility for an unexpired extension, even after being closed for more than a calendar month, in the following scenarios: • They move out of the state and return before the extension ends (see SECTION 18.5.2.1 LEAVING WISCONSIN AND REGAINING EXTENSIONS). • They de-request BadgerCare Plus after their extension has started (that is, the extension has been built and confirmed) and later request to reinstate for the remaining months of an unexpired extension.

They lose eligibility in another category of BadgerCare Plus or Medicaid solely due to a reason that is not applicable to extension eligibility. Example 2 Gregory is open for BadgerCare Plus in an extension. His income drops below 100% FPL, and he is moved into non-extension BadgerCare Plus as a parent. He is required to cooperate with the Child Support Agency as a condition of his BadgerCare Plus eligibility, but he stops cooperating. He loses eligibility for BadgerCare Plus as a parent. Since parents and caretaker relatives in BadgerCare Plus extensions are exempt from the cooperation requirement (see SECTION 5.2.2 EXEMPTIONS FROM COOPERATION), he regains eligibility in his unexpired BadgerCare Plus extension for the remaining months of the extension. 18.5.2.1 Leaving Wisconsin and Regaining Extensions If a BadgerCare Plus member is eligible for an extension and moves out of Wisconsin, they lose the extension. They can regain the extension if they return and become a Wisconsin resident again during any month in the original extension period. Example 3 Earl, a Wisconsin resident, received a 12-month extension beginning January 1, 2015. He moved out of state, thus losing his extension. On May 1, 2015, he moved back to Wisconsin and became a Wisconsin resident again. He regained the extension at the time he moved back to Wisconsin and became a Wisconsin resident. If the time period of the extension expires while the person is out of state, they do not regain the extension. Example 4 Gloria, a Wisconsin resident received a 12-month extension beginning January 1, 2015. She moved out of state, thus losing her extension. In February 2016, she moved back to Wisconsin and became a Wisconsin resident again. She does not regain the extension because the time period has expired. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 19.1 BadgerCare Plus Premiums for Children Effective April 1, 2024, children in families with income over 201% of the FPL are charged a premium for BadgerCare Plus unless the child is exempt. However, payment of a premium is not a condition of