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• The member is a child who is in their 12-month continuous coverage period and the change would result in a negative action or would move the child from Medicaid to CHIP. • The existing member is ineligible based on the change in circumstances. Example 3 Margaret and Phillip are enrolled in BadgerCare Plus as childless adults with a certification period of January 1, through December 31. On July 2, 11-year-old William joins the household and requests health care. William does not have continuous coverage from another case. William is enrolled in BadgerCare Plus with continuous coverage from July 1 through July 31 of the following year. Margaret and Phillip are now eligible for BadgerCare Plus as caretakers and will also start a new certification period from August 1 through July 31 of the following year. Example 4 Diego and Sofia are enrolled in BadgerCare Plus and their 4-year-old daughter Gabriella is enrolled in Medicaid from February 1, through January 31. On August 8, Diego’s 12-year-old daughter Isabella joins the household and requests health care. Isabella has had BadgerCare Plus on another case since January. Her BadgerCare Plus enrollment ends on the other case, and she is determined eligible on Diego’s case. Isabella is enrolled in BadgerCare Plus with a new continuous coverage period from September 1, through August 31. Diego and Sofia, remain eligible for BadgerCare Plus and start a new certification period from September 1, through August 31. Gabriella remains eligible in Medicaid and starts a new certification period from September 1, through August 31. Example 5 Edith is enrolled in SSI-Related Medicaid from January 1, through December 31. In July, Edith gets married and requests health care for her husband, Chester. Chester is eligible and enrolled in SSI- Related Medicaid. Edith continues to be eligible. Because someone is newly opening for a health care certification period, a new 12-month certification period is established for Edith and Chester. Example 6 Dimitri is enrolled in SSI-Related Medicaid from July 1 through June 30. In October, Dimitri gets married and requests health care for his wife, Polina. Polina is neither a US citizen nor a qualifying immigrant and is found ineligible. Dimitri’s SSI-Related Medicaid certification period does not change. 3.3.1.1 Time-Limited Benefits New certification periods will not be established for members enrolled in time-limited health care benefits, including: • Pregnant and postpartum individuals enrolled in BadgerCare Plus, • Continuously Eligible Newborns, • People in a four or twelve-month BadgerCare Plus Extension, and • People who need to meet or have met a deductible to enroll in BadgerCare Plus or Medicaid. Example 7 Matthew and his child Lee are enrolled in BadgerCare Plus from January 1, 2025, through December 31, 2025. Lilly, Lee’s mother, is enrolled in BadgerCare Plus as a pregnant individual with a renewal date of September 30, 2025. In May, their other child Silas joins the household. Lilly remains pregnant. Silas’s information is verified and there is no other change. Silas is enrolled in BadgerCare Plus from May 1, 2025, through May 31, 2026. A new 12-month certification period is established for Matthew and Lee from June 1, 2025, through May 31, 2026. Lilly’s certification period does not change. However, a new time-limited health care benefit will result in other members getting a new 12-month certification period. Example 8 Deepak, Fatima, and their son Ravi are enrolled in BadgerCare Plus from July 1, 2025, through June 30, 2026. In August 2025, Fatima’s pregnancy is reported, and she moves from BadgerCare Plus as a parent to BadgerCare Plus as a pregnant individual through May 31, 2026. There are no other changes, and Deepak and Ravi remain eligible. A new 12-month certification period is established for Deepak and Ravi from September 1, 2025, through August 31, 2026.