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days of the mailing date. The member(s) can make the changes on the summary and mail or fax it to their agency, or they can report their changes through ACCESS or by phone. If all of the information on the case summary is correct, the member(s) will not need to take any other action. If any members of the household cannot be administratively renewed, the household will be sent an eligibility renewal letter and a Pre-Printed Renewal Form (PPRF). If the household does not complete this renewal process, then only the members who were administratively renewed will continue to be eligible in the next 12-month certification period. 26.2.3.2 Unsuccessful Administrative Renewals Benefits may not be terminated or reduced (for example, being charged a greater premium amount) during the administrative renewal process based solely on information obtained from a data exchange. This includes information obtained from SSA, UIB, FDSH, or SWICA data exchanges. If benefits cannot be continued through the administrative renewal process, the member will be excluded from the administrative renewal process, and they will be sent an eligibility renewal letter and a Pre-Printed Renewal Form (PPRF). The member will have at least 30 days to complete, sign, and return the PPRF or to complete their renewal by phone, in-person, or through ACCESS. 26.2.3.3 Change Reporting After Administrative Renewal Members who have a successful administrative renewal remain subject to change reporting requirements. The administrative renewal letter instructs a member to review and report any changes to the information provided in the attached case summary. In addition, members who are administratively renewed will receive a Notice of Decision that identifies program-specific change reporting requirements. Changes reported for a member who has undergone an administrative renewal should be processed under existing policy. Changes reported as part of a renewal for another program should also be applied to health care. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 02/23/2026 26.3 Redetermination for Changes When a member no longer meets the eligibility requirements of their current health care category due to a change, their existing coverage must be maintained while eligibility for all other health care programs is being determined. Example 1 Martin is enrolled in BadgerCare Plus. Martin is turning 65 in February. On January 16, Martin is asked to verify asset information so eligibility for Medicaid and Medicare Savings Programs can be determined. Martin’s BadgerCare Plus benefits are maintained until the eligibility determination for Medicaid and Medicare Savings Programs is completed. On February 4, Martin’s verifications are received, but more information is needed about Martin’s trust. Another verification request is sent to Martin. On February 24, Martin is determined eligible for Medicaid and Qualified Medicare Beneficiary (QMB). Martin’s BadgerCare Plus coverage ends March 31, his Medicaid begins April 1, and QMB begins March 1. Example 2 Tanika is enrolled in BadgerCare Plus. On April 1, she starts receiving Social Security Disability Insurance (SSDI) and is no longer financially eligible for BadgerCare Plus due to the new income. Before BadgerCare Plus enrollment ends, eligibility must be determined for all relevant health care categories, including the Medicaid Purchase Plan (MAPP) when applicable. This will require the collection of asset