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been determined by the ADRC to be in need of urgent services. See Process Help Section 12.18.2.6 Urgent Services for more information on how to process these requests. The effective date of enrollment into Family Care or Family Care Partnership shall be no earlier than the date the Urgent Services Agreement is signed and the Medicaid application is submitted. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 28.6 HCBWLTC Eligibility Groups and Cost Sharing 28.6.1 Group A Group A members are waiver functionally eligible and Medicaid eligible via any full-benefit Medicaid subprogram other than HCBW Medicaid. • Group A members may be eligible for any of the full-benefit Medicaid programs, as listed in SECTION 21.2 FULL-BENEFIT, including those eligible for Special Status MA (see SECTION 25.1 SPECIAL STATUS MEDICAID). • Group A does not include someone solely eligible for any of the limited benefit Medicaid subprograms listed in SECTION 21.3 LIMITED BENEFIT MEDICAID. Group A members do not have a cost share. Members who have met a deductible are eligible for community waivers as a Group A. The member remains eligible as a Group A until the end of the deductible period. At the next review the member will be able to make a choice between meeting the deductible to receive Medicaid (remaining a Group A) or becoming eligible for community waivers as a Group B or B Plus with a potential cost share. Group A members are financially eligible with no cost share. They are only subject to the asset limit and any premiums associated with the full-benefit Medicaid source, if applicable. For example, if the member’s Medicaid source is MAPP, s/he would be subject to the MAPP asset limit and premium calculated. If the member’s Medicaid source is BadgerCare Plus, the member would not have an asset limit, but may still have a premium calculated. Note Group A members do not have an asset limit if they are Group A eligible via BadgerCare Plus, Adoption Assistance Medicaid, Foster Care Medicaid, Katie Beckett Medicaid, or Wisconsin Well Woman Medicaid since these programs do not have an asset test. All Group A members, including those who are eligible for Group A through BadgerCare Plus eligibility, are subject to the divestment policy described in CHAPTER 17 DIVESTMENT. 28.6.2 Group B and B Plus Group B members are defined as those not in Group A, but who have gross income at or below the nursing home institutions categorically needy income limit (see SECTION 39.4 ELDERLY, BLIND, OR DISABLED ASSETS AND INCOME TABLES). Group B Plus members are defined as those not in Group A, who have gross income above the nursing home institutions categorically needy income limit, but whose income does not exceed the cost of the appropriate institutional care by more than the medically needy income limit (see SECTION 39.4 ELDERLY, BLIND, OR DISABLED ASSETS AND INCOME TABLES).