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1. The first of the month in which the pregnancy began. 2. The first of the month, three months prior to the month of application. The member can only be eligible for backdated eligibility as a pregnant person for the months in which they were pregnant. If the member is not pregnant at the time of application, but was pregnant during the backdate eligibility period, the member could be eligible as a pregnant member during the backdated months. Before backdating BadgerCare Plus, verify that the member has met all the eligibility requirements during the backdated period. See SECTION 41.5 BADGERCARE PLUS PRENATAL PROGRAM ELIGIBILITY BEGIN DATE for BadgerCare Plus Prenatal Program eligibility begin date policy. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 08/12/2026 25.9 Denials and Terminations 25.9.1 Termination During the calendar month after a member’s enrollment has been terminated for a reason other than not completing a renewal, BadgerCare Plus can be reopened without requiring a new application or a new signature. The certification period for the health care assistance group (AG) prior to termination will be reinstated. The person may need to provide verification if required to complete the eligibility determination. If more than a calendar month has passed since a member’s enrollment ended, the person must file a new application or make a new request (if another health care AG is open on the case) to reopen their BadgerCare Plus. Example 1 Leroy is enrolled in BadgerCare Plus with a renewal date of December 31. On September 3, he reports to his IM agency that he received a raise at work which requires verification to be provided. BadgerCare Plus coverage for Leroy is maintained while eligibility is pending. Leroy does not submit the required verification by the due date of September 23, so his eligibility for BadgerCare Plus ends as of October 31. On November 7, Leroy contacts his IM agency to request that his health care be re-opened, and he provides the required verification of his income on November 20. Since this is within the calendar month after his BadgerCare Plus ended, Leroy does not need to submit a new application or new signature. Leroy is re-enrolled in BadgerCare Plus as of November 1.

Example 2 Linda is enrolled in BadgerCare Plus, and her husband, Leo, is enrolled in the Medicaid Purchase Plan (MAPP) with a renewal date of January 31. On September 2, she reports to her IM agency that Leo received a gift from his aunt. The gift increased his assets to $16,000. Leo’s MAPP ends September 30 because his assets are over the MAPP program asset limit, and he is not eligible for any other form of Medicaid. On December 10, Linda contacts her IM agency to request that Leo’s MAPP be reopened, as he purchased a vehicle (which is their only vehicle) and is no longer over the MAPP asset limit. It has been more than a calendar month since his MAPP ended, but because Linda is open for BadgerCare Plus, they do not need to submit a new application or new signature. Asset verification is received on December 15, and Leo’s eligibility for MAPP is reinstated starting December 1.