State of Wisconsin Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

26.7 MAPP Changes

26.7.1 MAPP Changes Introduction

The memberA recipient of Medicaid; formerly referred to as a "client." must report within ten days all changes to income, household composition, allowable deductions and other non-financial changes, including loss of employment, which affect eligibility.  The IMincome maintenance worker should re-determine eligibility as a result of the changes.  If it is determined that he or she remains eligible for MAPPMedicaid Purchase Plan and owes a premium, recalculate the premium amount.

26.7.2 Reduced Premiums or No Premiums

The effective date of a change that results in a reduced premium or no premium is the month of change or the month of report, whichever is later.  If the change results in no premium, the IM agency may have to run eligibility with dates in CARES for the month the change occurred or was reported (which ever is later) and any subsequent months as well as for recurring.

 

 

 

This page last updated in Release Number: 08-01

Release Date: 02/01/08

Effective Date: 02/01/08

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The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 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-10030