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This page last updated in Release Number: 25-03 Release Date: 08/13/2025 Effective Date: 08/13/2025 41.2 Eligibility Requirements Pregnant members (or when applicable, their assistance group), must meet the following BadgerCare Plus eligibility requirements to qualify for the BadgerCare Plus Prenatal Program: 1. The applicant’s net countable income must not exceed 306% of the FPL. 2. The applicant must provide any required verifications. Note: Pregnancy will only be verified if the worker has information that contradicts the applicant’s self-declared information (see SECTION 9.9.3 PREGNANCY). 3. The applicant must not have current health insurance coverage through any health insurance plan which qualifies as minimum essential coverage as defined at 26 USC § 5000A(f)(1) (see SECTION 7.4 CURRENT HEALTH INSURANCE COVERAGE). 41.2.1 Unique Aspects of BadgerCare Plus Prenatal Program 1. Providing an SSN is not an eligibility requirement for either inmates or immigrants applying for the BadgerCare Plus Prenatal Program. 2. Cooperation with Child Support Enforcement is not an eligibility requirement for this program. 3. Unlike BadgerCare Plus for pregnant members which locks in eligibility throughout the pregnancy, (see SECTION 8.1 PREGNANT MEMBERS) BadgerCare Plus Prenatal Program eligibility may be terminated with timely notice for failure to meet any of the BadgerCare Plus eligibility requirements (see SECTION 41.1 BADGERCARE PLUS PRENATAL PROGRAM). 4. There is no Presumptive Eligibility for the BadgerCare Plus Prenatal Program. Eligibility for the BadgerCare Plus Prenatal Program may only be determined by the IM agencies. 5. There is no three-month backdating option available for Prenatal Program members. 6. Unlike BadgerCare Plus for Pregnant Members, Prenatal Program members are not eligible for the 12-month postpartum coverage period. They are, however, eligible for Emergency Services until the end of the month 60 days after the end of the pregnancy. 41.2.2 BadgerCare Plus Prenatal Program and Public Charge BadgerCare Plus Prenatal Program is not considered in public charge determinations (see SECTION 4.3.4 PUBLIC CHARGE). This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 06/01/2026 41.3 BadgerCare Plus Prenatal Program Policy for Immigrants 1. For non-U.S. citizens with documentation, verify the applicant's immigration status through normal procedures to determine eligibility for BadgerCare Plus. If the pregnant person is not eligible for BadgerCare Plus because of their immigration status only, proceed with determining eligibility for the BadgerCare Plus Prenatal Program.