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An individual eligible for BadgerCare Plus Emergency Services will not receive a ForwardHealth card because BadgerCare Plus Emergency Services eligibility ends when the emergency ends. However, women determined eligible for the BadgerCare Plus Prenatal Program will be issued a ForwardHealth Card, which can also be used to access emergency services under the Emergency Services coverage group after the BadgerCare Plus Prenatal Program coverage ends. 39.2.2 Providing Manual Positive or Negative Notice The IM agency must provide a manual positive or negative notice regarding the applicant’s eligibility. Positive notices must provide the dates of eligibility for BadgerCare Plus Emergency Services. Negative notices must provide the reason(s) for the denial or termination. This page last updated in Release Number: 24-02 Release Date: 08/22/2024 Effective Date: 08/22/2024 39.3 Emergency for Pregnant Members A pregnant non-qualifying immigrant may apply for BadgerCare Plus Emergency Services up to one calendar month before the due date. Certify an eligible pregnant non-qualifying immigrant from the date of application, if they apply no more than one calendar month prior to the due date, through the end of the month in which the 60th day occurs following the due date. Adjust the certification period based on the actual pregnancy end date, once it is known. Note Pregnancy does not need to be verified (see SECTION 9.9.3 PREGNANCY).
Example 1 Sara is a pregnant non-qualifying immigrant applying for BadgerCare Plus Emergency Services. Sara has two weeks until her due date, which is March 3. Certify Sara for BadgerCare Plus Emergency Services from the date of application through the end of May.
Example 2 Erica applied for BadgerCare Plus Emergency Services because she was a pregnant non-qualifying immigrant on March 13. Her expected due date is April 5. Erica is certified for BadgerCare Plus Emergency Services from March 13 through the end of June. Erica delivers her son on March 15. Her certification period should be adjusted from March 13 through the end of May. If a pregnant non-qualifying immigrant applies for BadgerCare Plus Emergency Services prior to the calendar month before the due date, and they have not received a service, deny BadgerCare Plus Emergency Services eligibility because they have not received a service. If an individual applies for BadgerCare Plus Emergency Services, within three months after the pregnancy has ended, certify BadgerCare Plus Emergency Services from the pregnancy end date through the end of the month in which the 60th day occurs. Example 3 Vienne miscarries on April 5, which is more than one month from her due date of July 15. Vienne applies on April 6 for BadgerCare Plus Emergency Services. Certify Vienne for BadgerCare Plus Emergency Services from April 5 through the end of June.