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On July 10, the DDB returns a decision that Hoai’s disability application is approved for Medicaid. His BadgerCare Plus ends on July 31 and he is enrolled in MAPP effective August 1. He remains enrolled in IRIS. 3.3.3 Program Changes If health care coverage was maintained during a redetermination of eligibility and the member’s enrollment changes to a new health care program or has a reduction in premium, liability, or cost-share for a current health care program, their eligibility may need to be redetermined for the month(s) that coverage was maintained. After redetermination, if a member’s enrollment changes from a limited-benefit to a full-benefit health care program, their eligibility in the new program may need to be redetermined for the months that coverage was maintained and in any month in which the member may be eligible for the new health care program.

After redetermination, if a member becomes eligible for SLMB, SLMB+, or QDWI, eligibility will be determined in the new MSP program retroactively back to the date their prior benefits were maintained. Normally, an individual cannot qualify for SLMB+ if they are enrolled in full-benefit Medicaid, but in this circumstance the overlap is allowed. Example 10 Tim applied for health care on October 2. He was denied for SSI-Related Medicaid due to being over the asset limit and he opened for SLMB. On February 3, he reports a reduction in assets. Verification is requested with a due date of February 23. His SLMB coverage is maintained for March. Verification is received on February 19. His asset decrease makes him eligible for SSI-Related Medicaid with a new certification period starting April 1. However, because the asset reduction was reported in February and verified timely, his eligibility for SSI-Related Medicaid must also be tested retroactively for February and March. Eligibility must be retroactively determined in situations where health care coverage was maintained for one household member, and, after the redetermination of eligibility, another household member that was previously not eligible for health care is newly eligible. Eligibility is determined back to the date the change was reported. Example 11 Jim and his wife, Bonnie, both applied for health care on October 2. Bonnie was denied for being over assets for MAPP, but Jim opened for MAPP. On February 3, Jim and Bonnie report a reduction in joint assets. Verification is requested with a due date of February 23. Jim’s MAPP coverage is maintained for March. Verification is received on February 19. The asset decrease makes both Jim and Bonnie eligible for MAPP on April 1. However, because the asset reduction was reported in February and verified timely, eligibility for Bonnie’s MAPP must also be tested retroactively for February and March. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 08/12/2026 3.4 Renewal Requirements 3.4.1 Choice of Renewal The member may complete a Medicaid renewal using any of the following methods: • Face-to-face • Telephone