State of Wisconsin Department of Health Services

Release 24-03 December 18, 2024

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40.4 Nonfinancial Requirements

The following are FPOSFamily Planning Only Services - This plan provides certain services and supplies to people who are of childbearing or reproductive age to prevent unplanned pregnancies. specific nonfinancial requirements:

• The person must be of childbearing or reproductive age.
• The person must be a Wisconsin resident.
• The person must not be enrolled in BadgerCare Plus or receiving other full benefit Medicaid.
• The person must be one of the following:
  • If under age 19: Lawfully residing in the United States (no requirement for the amount of time the person is lawfully present in the U.S.).
  • If age 19 and older: Either a U.S. citizen or lawfully residing in the United States under one of the eligible immigration statuses/situations listed in Section 4.3.8 Immigration Status Chart.
• The person must meet all BadgerCare Plus non-financial criteria (see Section 2.1 Nonfinancial Program Requirements) with the exceptions listed below:
  • An individual applying for or receiving BadgerCare Plus FPOS is not subject to the health insurance access or coverage policies.
  • An individual applying for or receiving BadgerCare Plus FPOS is not required to cooperate with Medical Support, unless they are also applying for or receiving BadgerCare Plus for any child for whom they are the parent or caretaker relative .
  • An individual applying for or receiving BadgerCare Plus FPOS is not required to cooperate with Third Party Liability (TPLThird Party Liability. The obligation of a person or organization other than Medicaid or BadgerCare Plus to pay for a person's medical expenses. Examples of TPL include group or private health insurance, auto insurance, worker's compensation, and personal liability insurance.), unless they are also applying for or receiving BadgerCare Plus for any child for whom they are the parent or caretaker relative.
  • Any individual applying for or receiving FPOS who refuses to cooperate with MSL or TPL requirements when they have a child in the home who is receiving BadgerCare Plus or Medicaid, is ineligible for FPOS unless they are under 19 or has good cause .

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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