DHS 103.04(7)(b)2.d.d. Deployed military members.
DHS 103.04(7)(b)3.3. ‘Former foster care youth.’ A former foster care youth’s BadgerCare Plus fiscal test group shall only include the person, except that if the person’s spouse is also a former foster care youth, the BadgerCare Plus fiscal test group shall include the spouse.
DHS 103.04(7)(b)4.4. ‘Family planning services.’ For family planning services, the BadgerCare Plus fiscal test group shall only include the one person.
DHS 103.04(7)(c)(c) Budgeting income for the BadgerCare Plus fiscal test group.
DHS 103.04(7)(c)1.1. The MAGI-based countable income defined in par. (d) of all persons in the BadgerCare Plus fiscal test group shall be included when determining eligibility except that the income of a child under age 19 or a tax dependent of a group member is only counted if the child or tax dependent is expected to be required to file a tax return for the current year.
DHS 103.04(7)(c)2.2. If a person’s income is budgeted for the BadgerCare Plus fiscal test group, his or her deductions will be counted for that group.
DHS 103.04(7)(c)3.3. If a person is filing a joint tax return with his or her spouse, the person’s deductions may offset the spouse’s income even if the person has no income.
DHS 103.04(7)(d)(d) MAGI-based countable income. MAGI-based countable income means income calculated using the same financial methodologies used to determine MAGI, subject to any of the following exceptions:
DHS 103.04(7)(d)1.1. MAGI-based countable income will include any Social Security benefits, tax-exempt Interest, and foreign earned income.
DHS 103.04(7)(d)2.2. Taxable lump sum payments are only counted in the month received.
DHS 103.04(7)(d)3.3. Educational scholarships, awards, or fellowships used for educational purposes are not counted, even if taxable.
DHS 103.04(7)(d)4.4. American Indian/Alaska Native specified income at 42 CFR 435.603 (e) (3) is not counted.
DHS 103.04(8)(8)Medicaid purchase plan financial eligibility criteria.
DHS 103.04(8)(a)(a) A person who meets the requirements of s. DHS 103.03 (1) (g) and (2) to (9) and the income and asset limits described in this subsection is eligible for the medicaid purchase plan.
DHS 103.04(8)(b)(b) The person’s total net family income is less than 250% of the federal poverty line as determined by the person’s family size. Net income is calculated using the standard SSI disregards and exemptions. The income disregards are the following:
DHS 103.04(8)(b)1.1. Sixty-five dollars and one-half of the family’s remaining earned income. If the family does not have any unearned income, $85 and one-half of the family’s remaining earned income.
DHS 103.04(8)(b)2.2. Twenty dollars of any unearned income.
DHS 103.04(8)(b)3.3. Impairment-related work expenses.
DHS 103.04(8)(b)4.4. Medical and remedial expenditures and long-term care costs in excess of $500 per month incurred by the individual or, if the individual and spouse are living together, the spouse.
DHS 103.04(8)(c)(c) The person has non-exempt assets less than the asset limit described under s. 49.472 (3) (b), Stats.
DHS 103.04(8)(d)(d) If the person leaves the medicaid purchase plan and subsequently re-enrolls in the program, the person’s independence account and any interest, gains, or dividends from that account are disregarded for purposes of subsequent eligibility determinations.
DHS 103.04(9)(9)Special medicaid purchase plan budgeting procedures.
DHS 103.04(9)(a)(a) Medicaid purchase plan group. Any of the following persons who reside in the home with the applicant or recipient shall be included in determining the family size of the person applying for the medicaid purchase plan, with this family size used in calculating the person’s financial eligibility under this section:
DHS 103.04(9)(a)1.1. The applicant.
DHS 103.04(9)(a)2.2. The applicant’s spouse.
DHS 103.04(9)(a)3.3. Any dependent child of the applicant as described in s. 49.141, Stats.
DHS 103.04(9)(b)(b) Medicaid purchase plan fiscal test group. The income of any person listed in par. (a) 1. or 2. shall be included when determining financial eligibility of the applicant.
DHS 103.04(9)(c)(c) Medicaid purchase plan coverage.
DHS 103.04(9)(c)1.1. Medical assistance under the medicaid purchase plan applies to the applicant or recipient only.