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• Not require care at home that would cost more than the care they would receive in a long-term care facility covered by Medicaid. Members enrolled in Katie Beckett Medicaid are only subject to estate recovery when they have resided in a hospital or nursing home for 30 or more continuous days. Only the child’s estate (not the parent’s or legal guardian’s) is subject to estate recovery requirements. See SECTION 22.1 ESTATE RECOVERY for the criteria used to determine whether services are recoverable. Families may contact Katie Beckett Medicaid Central Office by: • Calling 888-786-3246. • Emailing DHSKatieBeckett@dhs.wisconsin.gov. • Faxing information to 888-786-3261. • Writing to the following address:
Wisconsin Department of Health Services DMS/Bureau of Children’s Services 201 E. Washington Ave. Room C300 Madison, WI 53703 This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 29.2 Katie Beckett Medicaid Renewals KBM certification periods are 12 months, and eligibility is maintained under continuous coverage policies until the end of the KBM certification period. When a timely KBM renewal is submitted, a member’s existing health care coverage must be maintained while their renewal is being processed. A timely renewal is one received during the renewal month, including renewals received after adverse action but by the last business day of the renewal month. Members whose eligibility cannot be administratively renewed, and who do not submit their renewal by adverse action of the renewal month, will be notified that their coverage is ending at the end of the renewal month. They will be sent a notice of decision explaining that they are being disenrolled for failure to complete their renewal. If the member’s renewal is received after adverse action but by the end of the renewal month, their current coverage will be reinstated and maintained until the renewal is processed. The member will be notified of the reinstatement. 29.2.1 Ineligible for KBM after Renewal At renewal, if the member still does not meet KBM requirements due the change in circumstance during their certification period they will be notified that they no longer qualify for KBM, and that additional information is needed to determine if they are eligible for a different form of Medicaid. The notice explains how to apply for health care with the IM agency and informs the member that, if their application is received by the due date (30 days from the date the notice was sent), they will keep their current coverage until the application is processed.