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An applicant may only be temporarily enrolled once in a rolling 12-month period.TE in WWWMA begins on the date the person is found temporarily eligible. TE does not go back to the first of the month. TE in WWWMA ends the last day of the following calendar month.A person can only be eligible for a new TE period if a new cancer diagnosis was established and only if it has been at least 12 months since the first day of their last TE period. Note If the member applies during their TE certification period and the EM CAPO is not able to process their application within the 30-day processing time frame, the EM CAPO will extend the members' eligibility for an additional 30 days from the last day of their Wisconsin Well Woman Medicaid TE with a medical status of "CB.” Submit an F-10110 to extend the Well Woman Medicaid TE for an additional calendar month.

Example 3 Jamie is diagnosed with breast cancer on February 18. On that same day, her provider completes the Wisconsin Well Woman Medicaid Application and Renewal form (F-10075), including the TE/PE section, and finds her eligible for TE for WWWMA. Jamie is eligible for TE for WWWMA from February 18 through March 31. To continue receiving WWWMA, the member or the WWWP coordinating agency must submit an F- 10075 to the EM CAPO. See SECTION 36.2.2.1 WWWP PROCESS FOR ASSISTING WITH WWWMA APPLICATION. If the member does not apply, their WWWMA benefits will end at the end of the month following the month of diagnosis. 36.2.3 WWWMA Enrollment for Family Planning Only Services Members In addition to the requirements in SECTION 36.3 WWWMA NONFINANCIAL REQUIREMENTS and SECTION 36.4 WWWMA FINANCIAL REQUIREMENTS, a person enrolled in FPOS who meets one of the following criteria, may be eligible for WWWMA: • Are screened for, and diagnosed with, breast or cervical cancer or a precancerous condition of the breast or cervix • Receive a clinical exam through a FPOS provider and through follow up medical testing ◦ Are found to be in need of treatment for breast or cervical cancer or precancerous condition of the breast or cervix and ◦ Do not have major medical insurance or other insurance that would cover their cancer treatment. A Wisconsin Well Woman Medicaid Application and Renewal form (F-10075) submitted by a Family Planning Only Services (FPOS) member or their representative is a request to enroll in WWWMA and disenroll from FPOS. Individuals who are enrolled in FPOS and meet the criteria in SECTION 36.2.4 ENROLLMENT FOR FAMILY PLANNING ONLY SERVICES MEMBERS may be eligible for WWWMA. See Process Help 12.44.2 WWWMA Application for information on processing WWWMA applications. 36.2.4 WWWMA Enrollment for BadgerCare Plus Members In addition to the requirements in SECTION 36.3 WWWMA NONFINANCIAL REQUIREMENTS and SECTION 36.4 WWWMA FINANCIAL REQUIREMENTS, a person enrolled in BadgerCare Plus who meets one of the following criteria, may be eligible for WWWMA: • Are screened for, and diagnosed with, breast or cervical cancer or a precancerous condition of the breast or cervix