39.5 Non-Qualifying Immigrants No Longer Eligible for the BadgerCare Plus Prenatal Program

A non-qualifying immigrant is eligible for BadgerCare Plus Emergency Services starting the date BadgerCare Plus Prenatal Program enrollment ends due to the end of the pregnancy or any other reason other than moving out of state. These members are eligible for BadgerCare Plus Emergency Services coverage through the end of the month in which the 60th day occurs, following the member's due date or the pregnancy end date, if that is known.

Example 1

Sofia is a pregnant non-qualifying immigrant who is enrolled in the BadgerCare Plus Prenatal Program. Her expected due date is July 10. On April 5, the agency finds out that she now has access to health insurance through her employer, and the employer will pay over 80% of the premium cost. Her BadgerCare Plus Prenatal Plan enrollment ends on April 30 due to this access to health insurance. Sofia is eligible for BadgerCare Plus Emergency Services starting May 1. She gives birth on July 8. The 60th day after her pregnancy ends falls in September, so her enrollment in BadgerCare Plus Emergency Services lasts through September 30.

See Section 39.3 Emergency for Pregnant Members for information on BadgerCare Plus Emergency Services eligibility for pregnant non-qualifying immigrants who are not eligible for the BadgerCare Plus Prenatal Program.

This page last updated in Release Number: 22-02
Release Date: 08/01/2022
Effective Date: 08/01/2022

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.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10171