State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
Until December 31, 2013, the age limit for the FFCY coverage group is 21 years old. Effective January 1, 2014, the age limit is 26 years old.
Youths who were in foster care, subsidized guardianships, or court-ordered Kinship Care on their 18th birthday qualify for a special status under BadgerCare Plus when they leave out-of-home care if all the following conditions are met:
The youth was receiving foster care (either IV-E or non-IV-E), subsidized guardianship, or court-ordered Kinship Care on the date that he or she turned 18 years old. It does not matter what state he or she was residing in when he or she turned 18 years old.
The youth is one of the following:
Younger than 21 years old prior to December 31, 2013
Younger than 26 years old on or after January 1, 2014
The youth meets the following BadgerCare Plus eligibility criteria:
Is no longer receiving foster care benefits (which includes subsidized guardianships and court-ordered Kinship Care) but was receiving the benefits on his or her 18th birthday. Verification of the placement status on his or her 18th birthday is required.
Provides a SSN or cooperates in applying for one.
Is a U.S. citizen or national or is a qualifying immigrant.
Provides verification of U.S. citizenship and identity or qualifying immigration status or makes a good faith effort to obtain it.
Cooperates with child support enforcement agencies in obtaining medical support (if a parent).
Cooperates with TPL requirements.
Physically resides in Wisconsin and intends to reside in the state.
There is no income or resource test for these youths while they are eligible under this status; therefore, they are not required to provide any income tax filing information in order for their BadgerCare Plus eligibility to be determined.
Note: If a FFCY is included in another household member’s AG , his or her tax filing information may be needed to determine eligibility for those household members.
In addition, they are not subject to the BadgerCare Plus insurance access or coverage policies and are not required to pay any premiums for themselves. Regardless of income, they are eligible for the BadgerCare Plus Standard Plan unless they are found otherwise ineligible or until the end of the month in which one of the following occurs:
A 12 month recertification renewal is required to continue eligibility.
This page last updated in Release Number: 14-03
Release Date: 09/05/14
Effective Date: 09/05/14
The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.
Publication Number: P-10171