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If an individual reports any changes before the case has been confirmed in CARES, the new information will be used in their SeniorCare eligibility determination. Changes reported after the case has been confirmed in CARES will be applied to the member’s SeniorCare benefits as follows: 1. Address change: a. Reports of address changes within Wisconsin will result in SeniorCare notices being sent to the new address. SeniorCare benefit levels will not change for the current benefit period. b. Address changes that result in termination of Wisconsin residency result in discontinuation of SeniorCare benefits. The member will be provided with at least 10 days notice before the effective date of an adverse action Note: Reporting an out-of-state address does not necessarily signify that an applicant is not a Wisconsin resident (see SECTION 33.3 SENIORCARE NONFINANCIAL REQUIREMENTS). 2. Death If a member passes away, their SeniorCare eligibility will end as of the notice date.
If a member’s spouse dies, the member will remain eligible at the same benefit level through the current SeniorCare benefit period. The member may wish to re-apply to establish a new benefit level if the spouse’s death will result in a reduction in income. 3. Change in household composition If a member experiences a change in household composition, the SeniorCare benefit level will not change through the remainder of the SeniorCare benefit period. The member may wish to re-apply to establish a new benefit level if the change in household composition will result in a better level of participation. 4. Inmate of a Public Institution (see SECTION 33.3.1 SENIORCARE NONFINANCIAL REQUIREMENTS INTRODUCTION, NUMBER 6). If a member becomes an inmate of a public institution, their SeniorCare eligibility will end as of the notice date.
If a member’s spouse is an inmate of a public institution the member will remain eligible at the same benefit level through the current SeniorCare benefit period. The member may wish to re- apply to establish a new benefit level if the spouse’s incarceration will result in a better level of participation. 5. Change in Circumstance If an applicant needs to correct their application or has a change in circumstances during the application processing period, they may need to report this information before their eligibility is determined in order to have the change impact their SeniorCare eligibility and participation level.
Depending on the nature of a client-reported error or agency-discovered error, a member’s eligibility will be redetermined (see SECTION 33.10.2 CORRECTION OF ERRORS). The member will be provided with at least 10 days notice before the effective date of an adverse action.
If the case has already been confirmed in CARES, and the individual reports a change in circumstances since they applied (for example, a job loss), eligibility will not be redetermined. The applicant may opt out and reapply if they so desire.