Change in Policy for Gap Filling Eligibility Determinations - Amended 2/16/2018
The purpose of this Operations Memo is to announce a change in policy for gap filling eligibility determinations. Effective immediately, applicants and members can receive a gap filling eligibility determination regardless of whether the income maintenance (IM) agency has received a gap filling referral from the Federally Facilitated Marketplace (FFM, also known as the Exchange or the Marketplace) or the person has a denial letter from FFM. This includes people who were terminated from BadgerCare Plus due to excess monthly income. In addition, IM workers must complete gap filling eligibility determinations if it is apparent that someone who is ineligible due to excess monthly income would be eligible under gap filling rules, even if the person has not requested a gap filling eligibility determination.