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26.1 MAPP Introduction MAPP is a subprogram of the Wisconsin Medicaid Program. It allows disabled people who are working or want to work to become or remain Medicaid eligible, even if employed, since there are higher income limits. This page last updated in Release Number: 08-01 Release Date: 02/01/2008 Effective Date: 02/01/2008 26.2 Application 26.2.1 MAPP Application Introduction When someone who has a disability applies for health care (see SECTION 2.1 APPLICATIONS INTRODUCTION), the request for health care is also a request for MAPP. Eligibility for MAPP will be determined if the member is not eligible for another form of full-benefit Medicaid. 26.2.2 Begin Month MAPP eligibility can be backdated up to three months prior to the month of application (see SECTION 2.8.2 BACKDATED ELIGIBILITY). The member may be certified for MAPP for any backdate month in which they would have been eligible for MAPP had they applied in that month. Before enrolling, the member is responsible for any premiums due (if owed) for the months in which they elect coverage, up to the current month (see SECTION 26.5.2 INITIAL PREMIUMS). MAPP applicants can also choose to begin their eligibility: • The month of application • The month after the month of application • Two months after the month of application (if processed after adverse action) Example 1: Jack applies for MAPP on September 30 and requests backdated coverage for June, July, and August. His application is processed on October 21. He meets all eligibility requirements as of June. Jack can choose to begin MAPP eligibility in June, July, August, September, October, November, or December. 26.2.3 Fiscal Test Group When both members of a married couple (living together) apply for MAPP, each person must be in a separate Assistance Group (AG). Enter them in CARES on the same application. The member’s spouse is a countable member of the FTG. A separate financial test is done for each spouse’s AG. The married couple is entered on the same case, but they are in two separate AGs. If a spouse of a MAPP applicant chooses not to disclose or verify assets, a case may fail for a higher Medicaid eligibility and still cascade to MAPP eligibility. If both members of a married couple (living apart) apply for MAPP, determine eligibility as two separate cases.