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coverage but not for Family Planning Only Services Eligible for Family Planning Only Services but not for BadgerCare Plus or other ongoing Medicaid coverage End temporary enrollment End temporary enrollment Not eligible for Family Planning Only Services, BadgerCare Plus, or other ongoing Medicaid coverage End temporary enrollment End temporary enrollment

Example 1 Joe Green applied for presumptive eligibility for BadgerCare Plus for his son Jim on February 4 at the Center Street Boys Club. Jim was found presumptively eligible for BadgerCare Plus from February 4 through March 31. Joe submits a BadgerCare Plus ACCESS application to the local IM agency on February 10. The agency determines Jim’s eligibility for ongoing BadgerCare Plus coverage on March 1. Jim is found ineligible for BadgerCare Plus for February and March and the application is denied. A notice is sent to Joe informing him Jim is not eligible for BadgerCare Plus and his BadgerCare Plus temporary enrollment is terminated effective March 1.

Example 2 Sandra was determined presumptively eligible for BadgerCare Plus for pregnant women on January 10. Her temporary enrollment period lasts from January 10 through February 28. She applied for ongoing BadgerCare Plus through her local income maintenance agency on January 15 and was found eligible on January 28 with an effective date of January 1. Her temporary enrollment will end on January 28. 32.1.3.4 Automatic Extension If the income maintenance agency is unable to finish processing the application for ongoing coverage by the end of the temporary enrollment period, the system will automatically extend the temporary enrollment period for two additional calendar months. Tables 3 and 4 further explain when temporary enrollment will be extended. Table 3: Systematic Extension of Temporary Enrollment - Applicant Applied for One Program Applicant has applied for one program and eligibility has not been confirmed: Applicant is currently receiving temporary enrollment benefits for Badger Care Plus: Applicant is currently receiving temporary enrollment benefits for Family Planning Only Services: BadgerCare Plus or other ongoing Medicaid coverage Extend temporary enrollment for BadgerCare Plus Do not extend temporary enrollment for Family Planning Only Services