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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
For a 12 month Medicaid extension, the AFDC-Medicaid closure must be due solely to 1 or more of the following reasons:
The $30+1/3 disregard ended.
The $30 disregard ended.
Increased hours of employment.
Increased earnings.
Increased earnings along with other income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. (changed or unchanged).
At least 1 member of the AG must have:
Received AFDC-Medicaid for at least 3 of the 6 months immediately preceding the month in which AFDC-Medicaid was discontinued.
At least 1 of the 3 months of AFDC-Medicaid benefits must be Wisconsin AFDC-Medicaid benefits.
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Example: Earl moved his family from Arkansas to Wisconsin in April. The family applied for AFDC-Medicaid in Wisconsin and became eligible for Wisconsin AFDC-Medicaid on April 16. One month afterward, Earl got a job. AFDC-Medicaid closed because of his increased earnings. The family is eligible for a 12 month extension because 2 months of AFDC-Medicaid in Arkansas in the last 6 months count toward the total of 3 months of AFDC-Medicaid in the last 6 months. |
Closure reasons 3, 4, & 5 require that at least one member of the AG be employed throughout the 12 month extension. If s/he loses employment, end the extension, unless the loss of employment is temporary. Temporary loss of employment occurs for reasons such as equipment break-downs, slack periods, weather restrictions, fire, and retooling of work areas. The worker is laid off for a definite period of time, or for an unspecified period, but the employer states s/he will be called back to work eventually.
An AFDC-Medicaid AG receives a Medicaid extension when the sole AFDC-Medicaid closure reason is 1 or more of the extension reasons listed (5.6.3).
No other closure reason can accompany the extension reason. If an extension reason is accompanied by a nonfinancial closure reason or by an excess assets closure reason, there is no extension.
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Example 1: Marvin was an AFDC-Medicaid recipient. On July 15 he reported to his IM worker that he had received $5,000 from the sale of property which he had owned jointly with his uncle. He also reported that he had recently obtained a job and was now working 40 hours a week. When Marvin's AFDC-Medicaid closes, he will not receive an extension because the increased hours of employment is not the sole reason for the AFDC-Medicaid closure. |
At the end of the month, before the effective date of closure, if all closure reasons have disappeared except the extension reason, give the extension.
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Example 2: In the last week of July, Marvin reported to his IM worker that he had purchased a computer and other personal items, and had less than $900 left from the original $5000. Marvin can now receive an extension because, before the effective date of his AFDC-Medicaid closure, the only closure reasons remaining are the increased hours of employment and increased earned income. |
This page last updated in Release Number : 01-99
Release Date: 01/01/99
Effective Date: 01/01/99