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Wisconsin

Eligibility¹

Children's Medicaid2	Separate Children's SCHIP2	Pregnant Women3	Parents4
300%	N/A	300%	200%

Enrollment Procedures for Children⁵

Program Type6	Joint Application	Face-to-Face Interview	Asset Test7	Administrative Verification of Income8	Presumptive Eligibility
M-SCHIP	N/A	No	No	No	Yes9

Renewal Procedures for Children⁵

Frequency of Renewal (in months)	12-month Continuous Eligibility	Joint Renewal Form	Face-to-Face Interview	Administrative Verification of Income8
12	No	N/A	No	No

Waiting Period

Waiting Period	Length
Yes	3 months (above 150% FPL)10

Enrollment Procedures for Parents¹¹

Family Application	Face-to-Face Interview	Asset Test7
Yes	No	No

Renewal Procedures for Parents¹¹

Frequency of Renewal (in months)	Face-to-Face Interview
12	No

Enrollment Procedures for Pregnant Women¹²

Presumptive Eligibility	Asset Test13
Yes	No

Source: D. Cohen Ross, A. Horn & C. Marks, "Health Coverage for Children and Families in Medicaid and SCHIP: State Efforts Face New Hurdles," Kaiser Commission on Medicaid and the Uninsured, (January 2008); updated by the Center for Children and Families.

Notes:
1: Income eligibility levels noted are in effect as of February 1, 2008 and expressed as a percentage of the 2007 Federal Poverty Level (FPL), without regard to income disregards or deductions (except for child support obligations).
2: Income eligibility levels for children's Medicaid includes SCHIP-funded Medicaid expansions; separate SCHIP programs are shown under children’s SCHIP. A narrower benefit package is available for children with income above 200% of FPL. Wisconsin uses state-only funds to finance coverage between 250% and 300% FPL.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and SCHIP (through the unborn child option). A narrower benefit package is available for pregnant women with income above 200% of FPL.
4: Parents' income eligibility levels are shown for parents without earned incomes (i.e., does not reflect earnings disregards used to determine income eligibility for working parents) applying for comprehensive Medicaid coverage based on a family size of three as of February 1, 2008. Farmers or other self-employed parents with a gross family income of more than 200% of FPL can enroll in a more limited plan if their net income, excluding their tax deduction for depreciation (e.g., for farm equipment) is less than 200% FPL.
5: Data as of February 1, 2008 and information applies to both Medicaid and SCHIP, if applicable, unless otherwise noted.
6: Program type as approved by the Centers for Medicare and Medicaid Services as of March 1, 2008, as updated by the Center for Children and Families.
7: Asset limits noted are for a family of three.
8: In states with administrative verification, families do not have to provide verification of income, and such states generally verify this information by accessing data from other government agencies.
9: Presumptive eligibility is available to families with income up to 150% FPL.
10: The 3-month waiting period applies prospectively to those who will have qualified employer-sponsored coverage in the next 3 months; or retroactively to those who dropped or ended coverage in the past 3 months. There is also a 12-month waiting period that is applicable in certain circumstances where a family currently has access to employer-sponsored insurance. Both the 3-month and 12-month waiting periods only apply if the family income is over 150% of FPL and the employer pays at least 80% of the premium. There are good cause exemptions for both the 3- and the 12-month waiting periods. For more on the waiting periods in BadgerCare Plus, see section 7.8 of the manual.
11: Data as of February 1, 2008 and information for parents refer to enrollment/renewal procedures under regular Medicaid; some states have expanded Medicaid for parents (through waivers or state funds) and procedures under the expansion may be different than the procedures for regular Medicaid.
12: Data as of February 1, 2008.
13: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.