|
|
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/ |
When a client is placed in a restrictive re-enrollment period ( RRP ), s/he is ineligible for the next six consecutive months following the closure of MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program., unless there is good cause (5.12.6.1). After the six consecutive months, the client may regain eligibility if s/he pays all arrears and current premiums. After 12 calendar months, s/he may regain eligibility without paying the past due premiums.
RRPs are tied to non-payment of premiums only. RRPs do not apply to recipients who have not met HEC requirements.
The following are good cause reasons for not paying a MAPP premium:
Problems with electronic funds transfer.
Problems with an employer's wage withholding.
Administrative error in processing the premium.
Fair hearing decision.
Those you determine are beyond the client’s control.
This page last updated in Release Number : 03-02
Release Date: 04/01/03
Effective Date: 04/01/03