Page 242

Only qualified hospital staff can make presumptive eligibility determinations at qualified hospital locations. Third-party contractors are not allowed to make presumptive eligibility determinations for a qualified hospital, though they can assist an applicant with completing the application for ongoing coverage. For patients eligible for temporary enrollment in BadgerCare Plus or Family Planning Only Services (FPOS), qualified hospitals are subject to standards on assisting the patient with submitting an application for ongoing BadgerCare Plus or FPOS coverage. This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 32.4 Express Enrollment Process in ACCESS Refer to ACCESS User Guide, Chapter 15 Express Enrollment for information on making presumptive eligibility determinations for BadgerCare Plus or Family Planning Only Services using the Express Enrollment process in ACCESS. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 32.5 Reserved This page last updated in Release Number: 17-01 Release Date: 04/11/2017 Effective Date: 09/24/2016 32.6 Reserved This page last updated in Release Number: 18-02 Release Date: 08/10/2018 Effective Date: 08/10/2018 33.1 Estate Recovery Program Definition The state seeks repayment of certain correctly paid health and long-term care benefits received by BadgerCare Plus members through all the following: • Liens against property after the death of a member • Claims against estates • Affidavits • Voluntary recoveries A lien is never filed against the home of a BadgerCare Plus member during their lifetime, even if the member is living in a nursing home or institutionalized in an inpatient hospital. This page last updated in Release Number: 25-02 Release Date: 04/09/2025 Effective Date: 04/09/2025