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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/ |
CARES Client Assistance for Re-employment & Economic Support will send notices regarding eligibility and premiums for benefit months from January 2002 forward. Continue to send manual positive and negative notices to clients regarding eligibility and premiums for benefit months prior to January 2002.
Use the HCF 16015, Medicaid / BadgerCare Manual Positive Notice, when 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. is approved or the premium decreases.
Use the HCF 16001, Medicaid / BadgerCare Manual Negative Notice, when eligibility is denied or terminated or the premium increases.
Note: The client must be given adverse action notice of any negative action (e.g. premium increase).
Use the following notice text that is applicable to the denial reason. Use §49.472 WIS STATS as the citation for each of the reasons.
You are not eligible for the MAPP because:
Your assets exceed the $15,000 asset limit.
Your income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. exceeds 250% of the FPL (8.1.6) for your family size.
You have not paid your MAPP premium.
You have been determined ‘not’ disabled under MAPP rules by the Disability Determination Bureau.
You are not working.
You no longer meet the work or HEC participation requirement of MAPP.
This page last updated in Release Number : 03-02
Release Date: 04/01/03
Effective Date: 04/01/03