Page 459

• Receive a clinical exam through a BadgerCare Plus 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. The person’s enrollment in BadgerCare Plus must end prior to their enrollment in WWWMA. The person must contact their income maintenance agency to disenroll from BadgerCare Plus. EM CAPO does not manage BadgerCare Plus enrollment. See Process Help 12.44.2 WWWMA Application for information on processing WWWMA applications. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 36.3 WWWMA Nonfinancial Requirements 36.3.1 Introduction To be eligible for WWWMA, a person must meet the following nonfinancial requirements: 1. Live in Wisconsin. 2. Be a U.S. citizen or qualifying immigrant. See CHAPTER 7 U.S. CITIZEN OR QUALIFYING IMMIGRANT. 3. Be under age 65. 4. Have been screened for breast or cervical cancer by the Well Woman Program, or enrolled in Family Planning Only Services or BadgerCare Plus. Note If BadgerCare Plus is the person’s entry program for WWWMA, the person’s enrollment in BadgerCare Plus must end prior to their enrollment in WWWMA.

Example Shanice is enrolled in BadgerCare Plus. Her BadgerCare Plus is ending on November 30. Shanice is screened for and diagnosed with breast cancer. She applies for WWWMA on November 10. She is not eligible for WWWMA for the month of November because she is enrolled in BadgerCare Plus. Her enrollment in WWWMA starts on December 1. 5. Be diagnosed for breast or cervical cancer, or certain precancerous conditions of the breast or cervix, as identified by the clinical screener. 6. Require treatment for the breast or cervical cancer, or precancerous conditions of the breast or cervix, as identified by the clinical screener. 7. Not enrolled in another full-benefit Medicaid program or BadgerCare Plus. 8. Meet the insurance coverage requirements listed below in SECTION 36.3.2 DISQUALIFYING INSURANCE COVERAGE. 36.3.2 Disqualifying Insurance Coverage A person is ineligible for WWWMA if they are currently enrolled in any of the following: • Group health plans that cover treatment for their breast or cervical cancer or precancerous condition of the breast or cervix