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Example 1 Marta is enrolled in BadgerCare Plus. July is the last month of her certification period. On July 18, a notice is sent to inform Marta that her coverage will end July 31 because she did not yet complete her renewal. Marta's renewal is submitted on July 31 during business hours. Marta’s BadgerCare Plus coverage is reinstated for the month of August, and she is sent a notice that she is enrolled in BadgerCare Plus effective August 1 and will remain enrolled while the agency processes her renewal. On August 19, the renewal process was completed, and Marta is no longer eligible for any category of health care. Marta receives a notice that her BadgerCare Plus coverage will end September 30, in accordance with notice requirements. Example 2 Diana is open for BadgerCare Plus which is due for renewal in February. She submits her renewal on February 20. Because her renewal is timely, her benefits are maintained for March. On February 22, the worker processes the renewal and requests needed verification with a due date of March 14. On March 14, verifications are received for the renewal and eligibility is determined. Diana is enrolled in a new certification period starting April 1. There is no gap in her BadgerCare Plus enrollment. 26.1.2 Late Renewals Health care renewals received within three months of the renewal month can be processed as a late renewal instead of requiring a new application. There is no requirement for prior health care benefits to be maintained for a late renewal. The three-month period that allows for late renewals and renewal- related verifications starts the month after enrollment ended. It does not restart when a late renewal or when a late verification has been submitted. This policy applies to members receiving health care benefits based on a met deductible but not to members with an unmet deductible. Late renewals are only permitted for people whose eligibility has ended because of lack of renewal, and not for other reasons. Late renewals and renewal-related verifications must be accepted for up to three calendar months after the renewal month. Members whose health care benefits are closed for more than three months because of lack of renewal may need to reapply unless there is another individual with open health care benefits on the same case. A late submission of an online or paper renewal form or a late renewal request by phone or in person is a valid request for health care. If verification is required to complete the renewal, the member has 20 days to provide it, even if this extends renewal processing into the fourth month after benefits closed. Example 1 Jenny’s renewal is due in January. No renewal is received by January adverse action, so a notice is sent to Jenny explaining her coverage will end effective January 31. Her renewal is later received on March 10, and Jenny requested backdated coverage for February. Jenny’s income verification is due on March 30. She provides verification of February and March income by the due date and meets all other eligibility criteria for BadgerCare Plus. Her new certification period starts March 1 with a backdate to February 1. Her next renewal will be due in February of the following year. Example 2 Joni's renewal is due in January. Joni did not submit a renewal by January adverse action, so a notice is sent to Joni explaining her coverage will end effective January 31. She submits a renewal on April 25, with a backdate request to February. The renewal is processed the same day, and she is asked to provide verification of her income by May 15.

If Joni provides verification of her February, March and April income on or before May 15 and meets all other eligibility criteria for BadgerCare Plus, she will be enrolled in a new certification period starting on April 1 with a backdate to February 1. Her next renewal will be due in March of the following year.