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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.

Memo Issued By
DMS
Official Memo Number
17-35
Memo Issue Date
July 28, 2017
Memo File
17-35.pdf
Last revised June 15, 2022