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• The person must not be enrolled in BadgerCare Plus or receiving other full benefit Medicaid. • The person must be one of the following: ◦ If under age 19: Lawfully residing in the United States (no requirement for the amount of time the person is lawfully present in the U.S.). ◦ If age 19 and older: Either a U.S. citizen or lawfully residing in the United States under one of the eligible immigration statuses/situations listed in SECTION 4.3.8 IMMIGRATION STATUS CHART. • The person must meet all BadgerCare Plus non-financial criteria (see SECTION 2.1 NONFINANCIAL PROGRAM REQUIREMENTS) with the exceptions listed below: ◦ An individual applying for or receiving BadgerCare Plus FPOS is not subject to the health insurance coverage policies. ◦ An individual applying for or receiving BadgerCare Plus FPOS is not required to cooperate with Medical Support unless they are also applying for or receiving BadgerCare Plus for any child for whom they are the parent or caretaker relative. ◦ An individual applying for or receiving BadgerCare Plus FPOS is not required to cooperate with Third Party Liability (TPL) unless they are also applying for or receiving BadgerCare Plus for any child for whom they are the parent or caretaker relative. ◦ Any individual applying for or receiving FPOS who refuses to cooperate with medical support or TPL requirements when they have a child in the home who is receiving BadgerCare Plus or Medicaid is ineligible for FPOS unless they are under 19 or have good cause. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 40.5 Financial Requirements 40.5.1 Financial Eligibility Requirements Specific to FPOS The following specific financial eligibility requirements apply to FPOS members, regardless of the methodology used to determine their FPOS income: 1. Countable income calculated in the application month is used to determine the member's financial eligibility for the entire 12-month eligibility period. Income changes do not need to be reported until the next review. This policy does not apply to backdated months. Backdated months are determined in addition to the 12-month certification period and are not used as the basis for whether someone’s eligibility will be maintained after an increase in income. As with other health care requests, the 12-month certification period will be set based on the filing month, not the first month of backdated eligibility. 2. Any change in income or household size reported after confirmation for FPOS during the 12- month eligibility period is only applied if it results in enrollment in BadgerCare Plus with no premium or eligibility for other full benefit Medicaid. 3. All changes in income or household composition that result in enrollment in BadgerCare Plus with no premium or eligibility for other full benefit Medicaid will result in FPOS closure prior to the 12th month. 4. All changes in income will be applied at the 12-month FPOS eligibility renewal.