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1.1 Introduction to BadgerCare Plus 1.1.1 Overview BadgerCare Plus is a state and federal program that provides health coverage for low-income Wisconsin residents. To be eligible for BadgerCare Plus, a person must meet certain non-financial and financial requirements. Depending on their age, income, and other criteria, BadgerCare Plus members have their benefits funded by either the Medicaid program or Children's Health Insurance Program (CHIP). Note BadgerCare Plus replaced Aid to Families with Dependent Children-Medicaid (AFDC-Medicaid), Healthy Start, and BadgerCare. 1.1.2 BadgerCare Plus Coverage Groups Populations eligible for BadgerCare Plus include: • Children younger than 19 years old • Pregnant persons • Parents and caretakers of children younger than 18 years old and dependent 18-year-olds • Parents and caretaker relatives whose children have been removed from the home and placed in out-of-home care • Former Foster Care Youth younger than 26 years old who were in out-of-home care when they turned 18 • Adults ages 19–64 who are not receiving Medicare, except Medicare Part B Immunosuppressive Drug Benefit (Part B-ID), and do not have dependent children For information on income limits, see SECTION 16.1 INCOME and SECTION 50.1 FEDERAL POVERTY LEVEL TABLE. All BadgerCare Plus members receive coverage under the Standard Plan. See CHAPTER 38 COVERED SERVICES for information on covered services. BadgerCare Plus is funded by Medicaid and CHIP. CHIP, which is also known as State Children's Health Insurance Program (SCHIP) or Title 21, is primarily a program covering low-income children’s health care needs. In Wisconsin, these low-income children include children with incomes above the Medicaid income limits up to 306% of the Federal Poverty Level (FPL). Children eligible for CHIP are covered under BadgerCare Plus. CHIP also covers pregnant persons who are enrolled in the BadgerCare Plus Prenatal Program. Note Receipt of Medicare Part B-ID has no effect on an individual's eligibility for BadgerCare Plus. This is a limited benefit that covers only immunosuppressive drugs. It is only available to beneficiaries who don't have comprehensive health coverage which pays for their immunosuppressive drugs, so if a member is enrolled in BadgerCare Plus, it is up to the member to disenroll from Medicare Part B-ID by contacting the Social Security Administration (SSA). 1.1.3 Limited Coverage Health Care Plans BadgerCare Plus also has several limited coverage health care plans. These include: • Family Planning Only Services. People of childbearing or reproductive age may be eligible for limited benefits under the Family Planning Only Services Program.