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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/ |
5.7.1.1.1 BadgerCare Prentatal Program
BadgerCare ( BC ) is an expansion of Wisconsin’s MA program.
All general MA non-financial requirements (1.1.2) apply to BC in addition to those items listed in (5.7.3) Explain the BC program to each household that includes a potential BC client, and offer them an opportunity to apply for BC. Potential BC clients are:
Children under age 19. For BC purposes, a child is defined as being under age 19. Marital status does not affect an individual’s status as a child.
Parents living with children under age 19.
Spouses living with parents of children under the age of 19.
If a client fails all other full-benefit MA subprograms (7.1.2), test them for BC.
They will be eligible for BC if they:
Are not eligible for any other full-benefit MA subprograms.
Full-benefit MA eligibility does not include those subprograms listed in 7.1.3
5.7.1.1.1. BadgerCare Prenatal Program
The BadgerCare Prenatal Program provides coverage under the BadgerCare program for women who:
meet the eligibility requirements detailed in 5.7.11.1 through 5.7.11.7,
and
have verified pregnancies,
and
are not eligible for MA solely because she is either an inmate of a public institution (MEH, 3.1.9) or a non-qualifying alien (i.e. individuals who are not a U.S citizen 3.2.1 or a qualifying alien 3.2.2).
BC applicants are those who have not been eligible in the current or previous month for BC.
BC recipients are those who are eligible for and receiving BC in the current or previous month.
This page last updated in Release Number : 06-03
Release Date: 09/15/06
Effective Date: 01/01/06