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2.1 BadgerCare Plus Nonfinancial Requirements Wisconsin residents in the following coverage groups may be non-financially eligible for BadgerCare Plus: • Children younger than 19 years old • Pregnant persons • Parents and caretakers of children younger than 18 years old and dependent 18-year-olds • Parents and caretaker relatives whose children have been removed from the home and placed in out-of-home care • Former Foster Care Youth younger than 26 years old who were in out-of-home care when they turned 18 • Adults ages 19-64 who are not receiving Medicare, except Medicare Part B Immunosuppressive Drug Benefit (Part B-ID), and who do not have dependent children who reside with them at least 40% of the time. To be eligible for BadgerCare Plus, a person must meet the following criteria: • Be a Wisconsin resident (see CHAPTER 3 RESIDENCE) • Be a U.S. citizen or qualified immigrant (see CHAPTER 4 CITIZEN AND IMMIGRATION STATUS) Note A non-qualifying immigrant receiving BadgerCare Plus Emergency Services (see SECTION 39.1 EMERGENCY SERVICES INTRODUCTION) or a BadgerCare Plus Prenatal Program applicant (see CHAPTER 41 BADGERCARE PLUS PRENATAL PROGRAM) is not required to be a U.S. citizen or qualified immigrant. • Provide documentation of citizenship and identity or of immigration status (see SECTION 4.1 U.S. CITIZENS AND NATIONALS) • Cooperate with establishing medical support and Third Party Liability (TPL) (see CHAPTER 5 MEDICAL SUPPORT AND THIRD PARTY LIABILITY) • Sign over to the state their rights to payments from a third party for medical expenses (see SECTION 5.2 MEDICAL SUPPORT/CSA COOPERATION) • Meet BadgerCare Plus Social Security Number (SSN) requirements (see CHAPTER 6 SOCIAL SECURITY REQUIREMENTS) • Cooperate with verification requests when information is mandatory or deemed questionable (see CHAPTER 9 VERIFICATION) • Meet health insurance coverage requirements (see CHAPTER 7.1 HEALTH INSURANCE CONDITIONS OF ELIGIBILITY) This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 2.2 Coverage Group Definitions The following are the relationships and legal responsibility that determine who is in the BadgerCare Plus coverage groups: 2.2.1 Parents A parent may be: • Biological, legally adoptive, or a stepparent. • Of any age.