State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
Newborn children are automatically eligible for BadgerCare Plus from the date of birth through the end of the month in which they turn 1 year old if both the following are true:
There is no income or resource test for these children 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: |
Children born to incarcerated mothers who are eligible for the BadgerCare Plus Prenatal Program (and not eligible for any other type of BadgerCare Plus or Medicaid) on the date of the child’s birth will not be eligible as CEN s. |
A child whose natural mother’s eligibility was determined either prior to the date of delivery or retroactively to cover the date of delivery qualifies as a CEN.
Example |
Sasha gave birth on April 15. On June 15, she applied for BadgerCare Plus. Her eligibility was backdated to March 15. Her infant son is eligible as a CEN from April 15 through April 30 of the following year, the end of the month in which he turns 1 year old. |
The newborn child does not receive this automatic eligibility as a CEN if the mother is temporarily enrolled in BadgerCare Plus (see Chapter 32 Presumptive Eligibility).
A newborn is not required to reside with his or her mother to be eligible as a CEN. This is true even if the newborn is being placed in foster care, adoption, or is residing with a caretaker relative . A CEN who no longer resides with his or her mother but still resides in Wisconsin should remain eligible as a CEN through the end of the month in which he or she turns 1 year old.
Anyone who has ever been eligible as a CEN under Wisconsin Medicaid or BadgerCare Plus is exempt from the citizenship and identity documentation requirements.
The CEN will not have to pay premiums and is not subject to the health insurance access/coverage requirements.
This page last updated in Release Number: 21-01
Release Date: 3/29/2021
Effective Date: 3/29/2021
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