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they were incarcerated for the entire month. For any backdated months in which the person was not incarcerated for the entire month, they will be enrolled for full-benefit BadgerCare Plus. 45.3.3 Existing Members Existing health care members who become incarcerated and are determined eligible for the health care suspension will be certified for the suspension from the first of the month after the incarceration is reported. This policy applies even when the incarceration is reported untimely. Example 1 Olivia is open for full-benefit BadgerCare Plus. On December 23, Olivia reports she is incarcerated as of December 20, Olivia’s BadgerCare Plus is suspended starting January 1. However, the restriction on covered services will be effective December 20 (the date Olivia became incarcerated). 45.3.4 Deductibles Suspended members who met a deductible before being incarcerated will maintain their existing certification period and renewal date, which is the end of the six-month deductible period. Example 1 Jordan has a BadgerCare Plus deductible period from April 1 until September 30. He meets his deductible on May 10 and becomes eligible for full-benefit BadgerCare Plus. He is incarcerated on June 19. His suspension starts July 1 and his certification period goes to September 30. However, the restriction on covered services will be effective June 19 (the date Jordan became incarcerated). This page last updated in Release Number: 25-03 Release Date: 08/13/2025 Effective Date: 08/13/2025 45.4 Suspension End Date A member’s suspension is lifted and full-benefit BadgerCare Plus coverage will start on the first of the month in which the member is released from incarceration if the member continues to meet all other eligibility criteria for BadgerCare Plus. A new application is not needed to lift the suspension and start full-benefit BadgerCare Plus. The suspension period will have an end date at the end of a benefit month, but the restriction on covered services will end when the person is no longer incarcerated. This means that the restriction on covered services may end on a date after the suspension end date displayed in the system. See SECTION 45.2 COVERED SERVICES. Members can report their expected release date to their IM agency prior to their release. If the expected release date is known, the IM agency will redetermine BadgerCare Plus eligibility prior to the release to lift the suspension and start full-benefit BadgerCare Plus, if eligible, on the first of the month in which the member is released. Example 1 Dolores is incarcerated and enrolled in suspended BadgerCare Plus. On August 25, she reports to her IM agency that her expected release date is September 20. The IM agency redetermines her eligibility. Her suspension will be lifted effective September 1. The restriction on covered services will be lifted on September 20 (the date Dolores is released). The suspension may be lifted effective for the first of the month when the person was released from prison or jail, even if the release was reported untimely. However, this retroactive lifting may only go as far back as the beginning of the current certification period.