loading…
loading…
loading…
Former Foster Care Youth, formerly known as Youths Exiting Out of Home Care (YEOHC). Young adults between the ages of 18 and 21 (through 12/31/13) or 18 and 26 (effective 1/1/14) who were placed in Foster Care, court-ordered Kinship Care, or subsidized guardianship in Milwaukee County at the time they turned 18. FFM Federally-Facilitated Marketplace (also known as the Marketplace or the Exchange). Applications for BadgerCare Plus or Medicaid may be filed with the Federally-Facilitated Marketplace, run by the U.S. Department of Health and Human Services. The Marketplace will assess their applicants as potentially eligible for the State’s Medicaid or CHIP programs, and, if found potentially eligible, will transfer individual accounts to the income maintenance agency for a full determination. Individuals who apply at income maintenance agencies or ACCESS and are found ineligible for Medicaid or CHIP will be sent to the Marketplace. Filing Date The filing date for health care is the day a valid application or registration form is submitted to the Income Maintenance agency. The filing date sets the begin date of benefits. For paper applications, the filing date for health care is the date a signed valid application is delivered to the agency or the next business day if it is delivered after the agency’s regularly scheduled business hours. For phone applications, the filing date is not set until a valid signature is received by the agency. For online applications, the filing date for health care is the date the application was submitted electronically, regardless of whether or not it was submitted during regular business hours. For applications from the Federally Facilitated Marketplace, the filing date is the application date listed on the application. For ACCESS applications and Marketplace applications, agencies’ 30-day processing timelines are set by the date the application is actually received by the agency. Applications received after 4:30 p.m., on a weekend, or on a holiday start the agency’s 30-day processing timeline the next business day. fiscal agent A private contractor to the State, selected through a competitive procurement process, who operates the State's approved MMIS (Medicaid Management Information System). The Fiscal Agent agreement includes claims processing and other services like data warehousing and manage care enrollment services. FPL Federal Poverty Level FPOS Family Planning Only Services - This plan provides certain services and supplies to people who are of childbearing or reproductive age to prevent unplanned pregnancies. good cause The circumstances beyond a person's control which keep the person from following program requirements or specific eligibility conditions, such as premium payment or cooperation with medical support.