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Contents 1.1 Introduction to BadgerCare Plus ........................................................................................................... 23 1.1.1 Overview ........................................................................................................................................ 23 1.1.2 BadgerCare Plus Coverage Groups ................................................................................................ 23 1.1.3 Limited Coverage Health Care Plans .............................................................................................. 23 1.1.4 Wisconsin Medicaid ....................................................................................................................... 24 1.1.4.1 Medicaid Programs ................................................................................................................. 24 1.1.5 Health Care Choice ......................................................................................................................... 24 1.1.6 Ways to Apply ................................................................................................................................ 24 1.2 Continuous Coverage for Qualifying Children ...................................................................................... 25 1.2.1 Continuous Coverage Period ......................................................................................................... 25 1.2.2 Populations .................................................................................................................................... 25 1.2.3 Termination of Coverage ............................................................................................................... 26 1.2.3.1 When Eligibility Was Based on Incorrect Information or Agency Error .................................. 26 1.2.4 Incarceration .................................................................................................................................. 27 1.2.5 Emergency Services ....................................................................................................................... 27 1.2.6 Premiums ....................................................................................................................................... 28 1.2.7 Extensions ...................................................................................................................................... 29 1.2.8 Foster Care Medicaid ..................................................................................................................... 29 1.2.9 Transitions Between CHIP and Medicaid ....................................................................................... 29 1.2.10 Certification Period Changes for Children in Continuous Coverage Periods ............................... 30 2.1 BadgerCare Plus Nonfinancial Requirements ....................................................................................... 31 2.2 Coverage Group Definitions .................................................................................................................. 31 2.2.1 Parents ........................................................................................................................................... 31 2.2.1.1 Parentage ................................................................................................................................ 32 2.2.1.2 Joint Placement ....................................................................................................................... 33 2.2.1.3 Dependent 18-Year-Old .......................................................................................................... 34 2.2.2 Caretaker Relative .......................................................................................................................... 34 2.2.3 Child Welfare Parents and Caretakers ........................................................................................... 35 2.2.4 Pregnant Woman ........................................................................................................................... 35 2.2.5 Former Foster Care Youth .............................................................................................................. 35 2.2.6 Child ............................................................................................................................................... 36 2.2.7 Childless Adults .............................................................................................................................. 36 2.3 Modified Adjusted Gross Income Test Groups ..................................................................................... 36 2.3.1 Forming the Test Group Using Modified Adjusted Gross Income Tax Filing Rules ........................ 36