23-03 Version of 44.1 Introduction to BadgerCare Plus Childless Adults

Note

The premium and treatment needs question policies in Chapter 44 are not in effect due to the COVID-19 public health emergency. They will be re-implemented after the temporary policies related to the COVID-19 public health emergency are no longer in effect. Effective dates have been removed from this chapter. The chapter will be updated with new effective dates when the policies are re-implemented.

A childless adult is a person 19 to 64 years old who meets both of the following criteria:

Is not receiving Medicare, except Medicare Part B Immunosuppressive Drug Benefit (Part B-ID).
Does not have any dependent children younger than 19 years old who reside with them at least 40% of the time.

Marital status has no effect on a person being a childless adult.

In addition to all other eligibility requirements, childless adults without an exemption must meet two requirements to become or remain eligible for BadgerCare Plus:

Pay monthly premiums
Answer a treatment needs question at application and renewal

In addition, childless adults can take an optional BadgerCare Plus Health Survey to possibly reduce their household’s monthly premium.

This page last updated in Release Number: 23-03
Release Date: 08/14/2023
Effective Date: 01/01/2023

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