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• A new 12-month continuous coverage period will be established if the child remains eligible for their existing or a different category of health care coverage (see Example 7). • If the child no longer meets eligibility rules due to a change in circumstances unrelated to the corrected information (and the change causing ineligibility is not one of the reasons that a continuous coverage period may end), the child will remain enrolled until the end of their existing continuous coverage period, but will move to the benefit category that aligns with the corrected information for the remainder of that period, and may have a new or increased premium (see Example 8). Example 6 Maggie is 12 years old and enrolls in BadgerCare Plus on February 1. Maggie’s continuous coverage period is set from February 1 through January 31 of the following year. On March 10, it is discovered that Maggie’s eligibility determination was based on incorrect income information. When eligibility is redetermined with the corrected information, it is determined that Maggie would only be eligible by meeting a deductible. Maggie’s BadgerCare Plus coverage ends effective April 1. Example 7 Henry is 3 years old and enrolls in BadgerCare Plus on January 1, with no monthly premium. Henry’s continuous coverage period is set from January 1 through December 31. On March 12, it is discovered that Henry’s eligibility determination was made based on incorrect income information. Henry’s eligibility is redetermined based on accurate income information and he is now eligible for BadgerCare Plus with a premium. Henry receives a new 12-month certification period with continuous coverage starting April 1 through March 31 of the following year. Example 8 Ethan is 10 years old and enrolls in BadgerCare Plus on July 10. His continuous coverage period is set from July 1 through June 30 of the following year. At the time of enrollment, Ethan had no other health insurance coverage. Ethan obtained health insurance through his father’s employer in December, which is not a reason a child's continuous coverage period can end. On January 1, it is discovered that Ethan’s eligibility determination was based on incorrect income information. Ethan’s eligibility is redetermined based on accurate income information and he is still under the income limit for BadgerCare Plus. Ethan is not eligible for a new 12-month certification period because at his family’s income level, he would be ineligible due to health insurance crowd-out rules. However, his BadgerCare Plus will continue and he will be charged a monthly premium for the remainder of his existing continuous coverage period. 1.2.4 Incarceration If a child becomes incarcerated and their eligibility is suspended, their continuous coverage will run in the background. If they are released from incarceration within the 12-month period, they will qualify for continuous coverage for the rest of the 12-month period. If a child’s only parent or caretaker becomes incarcerated, the child will keep their health care for the rest of the 12-month period. If the child becomes eligible on another case or if they are enrolled in Foster Care Medicaid, they will get a new 12-month period of continuous coverage. SEE SECTION 1.2.8 FOSTER CARE MEDICAID. 1.2.5 Emergency Services An immigrant child enrolled in Emergency Services qualifies for a 12-month period of continuous coverage. Their enrollment is not limited to the period their provider indicates they require treatment of an emergency medical condition. Children in Medicaid or a Medicaid-funded category of BadgerCare Plus enrolled in 12-month continuous coverage periods who are no longer in an eligible immigration status or designation must be transitioned to Emergency Services for the remainder of their certification period. These members are not required to have experienced or be experiencing a life-threatening condition to be certified for