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42.1.1 Long-Term Care Eligibility Requirements for Childless Adults Eligible for BadgerCare Plus In order to be eligible to have their LTC services covered by BadgerCare Plus while they are institutionalized, childless adults must meet the following requirements: • They do not meet the eligibility criteria for EBD Medicaid. This includes any of the following: ◦ They do not meet the asset test for EBD Medicaid. ◦ They do not meet the income test for EBD Medicaid. ◦ They fail to provide or verify asset information or any other information needed to determine EBD Medicaid eligibility. ◦ They have not yet been determined disabled. ◦ They have not yet been determined presumptively disabled. • They are eligible for BadgerCare Plus as a childless adult. • They have not divested in order to qualify for receipt of LTC services (see Medicaid Eligibility Handbook, Chapter 17 Divestment). Institutionalized childless adults who divest are not eligible for LTC services although they remain eligible for Medicaid services. • They disclose information about any annuities purchased on or after January 1, 2009, in which they or their community spouse have an interest. • They designate the state of Wisconsin as the remainder beneficiary of any annuities purchased or created on or after January 1, 2009. • If they own their own home, the equity interest in the home must not exceed the LTC home equity limit (see Medicaid Eligibility Handbook, Section 16.8.1.4 Long-Term Care Home Equity Limit) in order to receive LTC services. • They assign to the state of Wisconsin their rights to payments from a nursing home, hospital, or LTC insurance policy and send any payments to the state of Wisconsin that they received from a nursing home, hospital, or LTC insurance carrier while receiving BadgerCare Plus. This page last updated in Release Number: 26-01 Release Date: 02/13/2026 Effective Date: 02/13/2026 42.2 Patient Liability, Estate Recovery, and Other Policies for Childless Adults Eligible for BadgerCare Plus While in Long-term Care The following conditions apply to any childless adult who is eligible for BadgerCare Plus while institutionalized: • The person does not have any nursing home patient liability. • The person is still subject to regular copayments for medical services unless their net countable income is equal to $0. • The person is exempt from HMO enrollment unless they are enrolled in a Family Care MCO, in which case, the person can continue to be enrolled in the Family Care MCO. • The person is not subject to an asset limit but is subject to divestment rules (see Medicaid Eligibility Handbook, Chapter 17 Divestment). • The person is not subject to having a lien put on their home (see Medicaid Eligibility Handbook, Section 22.1.4 Liens).