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• The child’s citizenship or immigration status is not verified within the reasonable opportunity period. • The child’s immigration status changes and they are no longer in an eligible immigration status or designation (see SECTION 1.2.5 EMERGENCY SERVICES for more information). • The child was eligible as a pregnant minor, turns 19, and their postpartum period ends. The child’s eligibility was based on incorrect information or agency error. There is a voluntary request for disenrollment from BadgerCare Plus or Medicaid. Example 4 Carlos is 17 and enrolls in Medicaid on February 1. On May 12, the household reports moving to Florida. Carlos’ Medicaid ends May 31.

Example 5 Carolina applies for Medicaid for her son Javier. Javier is eligible, but verification of his citizenship is still needed. Javier is enrolled in Medicaid as of February 1, and is given a reasonable opportunity period to verify his citizenship. Javier’s citizenship is not verified by the due date of May 10, so his Medicaid ends May 31. 1.2.3.1 When Eligibility was Based on Incorrect Information or Agency Error Children whose eligibility determination at application or renewal was made based on incorrect information or agency error will have their eligibility redetermined when the error is discovered. When eligibility is redetermined, depending on the circumstances of the case, the following may happen: • The child’s existing coverage will end if they are not eligible for any category of health care based on the corrected information (see Example 6). • A new 12-month continuous coverage period will be established if the child remains eligible for their existing or a different category of health care coverage (see Example 7). • If the child no longer meets eligibility rules due to a change in circumstances unrelated to the corrected information (and the change causing ineligibility is not one of the reasons that a continuous coverage period may end), the child will remain enrolled until the end of their existing continuous coverage period, but will move to the benefit category that aligns with the corrected information for the remainder of that period, and may have a new or increased premium (see Example 8). Example 6 Maggie is 12 years old and enrolls in SSI-Related Medicaid on February 1. Maggie’s continuous coverage period is set from February 1 through January 31 of the following year. On March 10, it is discovered that Maggie’s eligibility determination was based on incorrect income information. When eligibility is redetermined with the corrected information, it is determined that Maggie would only be eligible by meeting a deductible. Maggie’s SSI-Related Medicaid coverage ends effective April 1. Example 7 Henry is 3 years old and enrolls in SSI-Related Medicaid on January 1. Henry’s continuous coverage period is set from January 1 through December 31. On March 12, it is discovered that Henry’s eligibility determination was made based on incorrect income information. Henry’s eligibility is redetermined based on accurate income information, and he is now eligible for BadgerCare Plus. Henry receives a new 12-month certification period with continuous coverage starting April 1 through March 31 of the following year. Example 8 Ethan is 10 years old and enrolls in BadgerCare Plus on July 10. His continuous coverage period is set from July 1 through June 30 of the following year. At the time of enrollment Ethan had no other health insurance coverage. Ethan obtained health insurance through his father’s employer in December, which is not a reason a child’s continuous coverage period can end. On January 1, it is discovered that Ethan’s eligibility determination was based on incorrect income information. Ethan’s eligibility is