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not make a payment by adverse action of August. Victoria remains eligible for BadgerCare Plus. Alan submits the $15 payment on August 21. The payment is applied to the premium for September that is due on September 10. If there is no premium for the next benefit month, a payment made after adverse action of the benefit month will be refunded. If the premium for the next benefit month is lower than what is paid, the excess amount will be refunded. Example 2 Angel's son Felix is receiving BadgerCare Plus and is due for renewal in March 2025. A $15 premium has been charged for Felix during the certification period that ends in March 2025. Angel completes the renewal on March 5, 2025, and Felix is determined eligible for a new certification period starting in April 2025 with a new premium amount of $10. Angel submits a $15 payment on April 1, 2025. This payment exceeds the premium due amount for April by $5, so $10 is applied to the April premium and $5 is refunded to Angel. This page last updated in Release Number: 24-01 Release Date: 04/03/2024 Effective Date: 04/01/2024 19.10 Premium Changes 19.10.1 Decreased Premium Amount If a change is reported within 10 days of when the change occurred, the lower or $0 premium amount is effective during the month in which the change occurred. If a change is not reported within 10 days of when the change occurred, the lower or $0 premium amount is effective during the month in which it was reported. Premium decreases must be reviewed, and eligibility redetermined, when coverage was maintained following a reported change or a timely renewal. Once eligibility is able to be redetermined, premium amounts for months with coverage maintained may need to be reduced. See Process Help Section 12.21.3 Premium Refunds.

The fiscal agent will refund any excess premium that was paid. 19.10.2 Increased Premium Amount A child cannot be charged a new or increased premium during their 12-month continuous coverage period, but their premium may be reduced, if applicable. If the premium is lowered, that new amount becomes their premium cap for the rest of the 12-month period. If a new child with a premium is added to a case, a household may have an increase in its total premium amount, but an individual child cannot have an increase in premium during the 12-month period. This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 19.11 Reserved This page last updated in Release Number: 24-01 Release Date: 04/03/2024 Effective Date: 04/01/2024