Page 41

Note Backdated months do not count toward the 12-month continuous coverage period. To qualify for a 12- month continuous coverage period, a child must be eligible for the application month and/or a following month. If a child is only eligible in a backdated month, they do not qualify for a 12-month continuous coverage period. Children who are already members of an applicable health care program on January 1, 2024, will have a continuous coverage period that extends to their next renewal date. Example 2 Jill is 10 years old. She was enrolled in Medicaid in May 2023. She is still enrolled as of January 1, 2024, so she will have continuous coverage from January 1, 2024, to her renewal date of April 30, 2024. Even if the household reports a change and she goes above the program income limit, she will remain eligible through April 30, 2024. At renewal, a child must meet the program’s eligibility requirements in order to get a new 12-month period of continuous coverage. Example 3 Gino is 16 and has been enrolled in Medicaid since May 2020. Gino’s renewal is due in March 2024. Because Gino is enrolled as of January 1, 2024, he also has continuous coverage until his renewal in March 2024. At renewal, Gino no longer meets program rules, so his health care benefits end March 31, 2024. He does not qualify for a new 12-month continuous coverage period. 1.2.2 Populations Children under age 19 in the following programs are eligible for 12 months of continuous coverage: • BadgerCare Plus • Supplemental Security Income (SSI) Medicaid • SSI-Related Medicaid • Special Status Medicaid • Institutional Medicaid • Home and Community Based Waiver (HCBW) Medicaid • Family Planning Only Services (FPOS) • Medicaid Purchase Plan (MAPP) • Foster Care Medicaid • Wisconsin Well Woman Medicaid • Emergency Services Medicaid • Tuberculosis-Related Medicaid • Katie Beckett Medicaid • Medicare Savings Programs Continuous coverage does not apply to children: • Enrolled under presumptive eligibility. • Required to meet a deductible in order to enroll in BadgerCare Plus or Medicaid. 1.2.3 Termination of Coverage Qualifying children under 19 will only lose health care coverage during their 12-month period for the following reasons: • The child turns 19. • The child is no longer a resident of Wisconsin. • The child passes away.