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1.1.2 NON-FINANCIAL

1.1.2.1 Additional Family Requirements

1.1.2.2. Change Reporting Requirements

These requirements apply to all types of MA, unless specifically stated otherwise.  The client must:
 

1. Provide a Social Security Number ( SSN ) or be willing to apply for one.  
    

If the caretaker is unwilling to provide or apply for the SSN of a minor or dependent 18-year-old, the person who does not have the SSN is ineligible.
 

Do not require an SSN for:

1. 1. Continuously eligible newborns.
       

   2. Pre-adoptive infants living in a foster home.
       

   3. Unqualified aliens receiving emergency services.
       

   4. Women applying for BadgerCare Prenatal Program (BCPP).

2. Be a Wisconsin resident (3.1).
    

3. Be a U.S. citizen or qualified alien (3.2).  This does not apply to aliens receiving emergency services (3.2.3) or women applying for the BCPP (5.7.11).
    

4. Be living in the household.
    

A household is all the people living in or temporarily absent (3.5.6) from the same residence.  In addition to regular household members, include:

1. • Huber law prisoners who are released from jail solely to attend to the needs of their families.  
      

1. • People in a community residential confinement program.  The Department of Corrections ( DOC ) electronically monitors them.  (3.5.8)

Do not include the following in the household:

1. 1. Inmates of a public institution, even if they are temporarily absent from the home.

2. SSI recipients.  

SSI recipients are actually receiving SSI benefits, including MA, or would be receiving benefits except for recoupment.

A client is not an SSI recipient if s/he is eligible for SSI but has not received benefits.

5. Provide information on health insurance coverage (6.3.3.2).  
    

6. Sign over to the state their rights to payments from a third party for their medical expenses (3.3.1).
    

7. Cooperate with Medical Support Liability ( MSL ) (3.3)

Deny or terminate eligibility for caretakers who refuse to cooperate, unless there is good cause.  This is applicable to anyone who is applying for Family MA or EBD MA.   The Child Support Agency ( CSA ) will inform you in writing of those who are not cooperating.  

Do not sanction minors, dependent 18 year olds, and pregnant women until two months after the pregnancy ends.

8. Cooperate with verification requests when information is deemed questionable (1.2).
    

9. Meet any additional criteria that is specific to the subprogram of MA that s/he is being tested for.  Any non-financial criteria specific to a particular subprogram of MA will be listed in the chapter relating to that subprogram.
    

10. Not be an inmate of a public institution (see  3.1.9),  with the following exceptions:
    
     

11. • Pregnant inmates applying for the BCPP.
       

    • If an inmate resides outside of a public correctional institution for more than 24 hours at any one time, s/he can qualify for MA during that time period if s/he meets all other eligibility criteria.   For example, if an inmate is admitted as an inpatient to a non-prison hospital for 24 hours, that inmate could qualify for Medicaid for that day, if otherwise eligible.
      
       

1.1.2.1 Additional Family Requirements

In addition to the non-financial requirements listed in 1.1.2, a client applying for Family MA must not be on strike (3.4).  Do not sanction anyone on strike who is pregnant, a minor, over age 65, blind or disabled, on a MA extension or a Family Planning Waiver applicant/recipient.

1.1.2.2  Change Reporting Requirements

Clients must report to the Income Maintenance agency, within 10 days of the occurrence, a change in address, income, assets, need, medical expenses or living arrangements which may affect eligibility.

Some changes may be reported through the ACCESS website (access.wisconsin.gov).

This page last updated in Release Number: 07-05

Release Date: 07/10/07

Effective Date: 07/10/07