Executive Order 284. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for the Late Paul Brehm of the Wisconsin Department of Transportation and the Late Ralph Jungbluth of the Waukesha County Highway Department.
Public Notices
Public Notice
Health & Social Services
(Eligibility and Benefits for
Aid to Families with Dependent Children Two-Tier Demonstration Project)
The Wisconsin Department of Health and Social Services, through its Division of Economic Support, supervises county and tribal administration of the federal-state Aid to Families with Dependent Children (AFDC) Program.
The State of Wisconsin has federal governmental approval to conduct a demonstration project, called the Two-Tier AFDC Benefit Demonstration Project, that will measure the impact of AFDC benefit levels on migration of low income families.
The Two-Tier AFDC Benefit Demonstration Project began July 1, 1994. The demonstration project is being conducted in four counties - Milwaukee, Kenosha, Racine and Rock. For the first six months that a family subject to the demonstration project lives in Wisconsin, AFDC benefits for a new arrival in the state are paid at a level comparable to AFDC benefits paid to a typical AFDC family in that person's state of origin, regardless of whether the state of origin's benefit level is higher or lower than Wisconsin's. Applicants or recipients who came to Wisconsin to take a job and who were employed at least 90 days before applying for AFDC and those recipients who previously were residents of Wisconsin for at least 6 consecutive months are not subject to the Two-Tier AFDC Benefit Demonstration Project. The Department has also exempted certain other categories of applicants and recipients such as migrant families and individuals participating in the Parental Responsibility Pilot Program under s. 49.25, Stats.
Maximum AFDC benefit levels, for the period July 1, 1994 through June 30, 1995, available to families participating in the demonstration project according to family size and former state of residence were set out in Table 201.305, included in the administrative rules promulgated to implement the Two-Tier AFDC Benefit Demonstration Project. Section HSS 201.305 (4) of the rules directs the Department to update the other state benefit levels annually beginning July 1, 1995, for each year of the demonstration project by publishing updated benefit levels as a public notice in the Wisconsin Administrative Register. The July 1, 1996 through June 30, 1997 maximum benefit amounts are found in the updated table included as part of this notice.
Contact Person
For more information about the Two-Tier Project and the table of other state benefit levels, write:
Donna Cochems
Bureau of Welfare Initiatives
Division of Economic Support
P.O. Box 7850
Madison, WI 53707-7850
TABLE 201.305
WISCONSIN AFDC TWO-TIER TABLE OF STATE MAXIMUM BENEFIT AMOUNTS BY FAMILY SIZE
EFFECTIVE 07-01-96 -- 06-30-97
*
State
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
AL
|
111
|
137
|
164
|
194
|
225
|
252
|
287
|
315
|
344
|
372
|
400
|
428
|
457
|
485
|
513
|
541
|
541
|
541
|
AK
|
514
|
821
|
923
|
1025
|
1127
|
1229
|
1331
|
1433
|
1535
|
1637
|
1739
|
1841
|
1943
|
2045
|
2147
|
2249
|
2351
|
2453
|
AZ
|
204
|
275
|
347
|
418
|
489
|
561
|
632
|
703
|
775
|
846
|
917
|
988
|
1060
|
1131
|
1202
|
1274
|
1346
|
1416
|
AR
|
81
|
162
|
204
|
247
|
286
|
331
|
373
|
415
|
457
|
457
|
457
|
457
|
457
|
457
|
457
|
457
|
457
|
457
|
CA
|
299
|
490
|
607
|
723
|
824
|
926
|
1017
|
1108
|
1197
|
1286
|
1286
|
1286
|
1286
|
1286
|
1286
|
1286
|
1286
|
1286
|
CO
|
214
|
280
|
356
|
432
|
512
|
590
|
652
|
715
|
779
|
840
|
902
|
959
|
1016
|
1072
|
1129
|
1186
|
1243
|
1300
|
CT
|
356
|
473
|
581
|
683
|
781
|
884
|
997
|
1102
|
1193
|
1304
|
1359
|
1489
|
1527
|
1643
|
1744
|
1799
|
1882
|
1966
|
DE
|
201
|
270
|
338
|
407
|
475
|
544
|
612
|
681
|
750
|
819
|
888
|
957
|
1026
|
1095
|
1164
|
1233
|
1302
|
1371
|
DC
|
265
|
330
|
420
|
513
|
591
|
695
|
797
|
881
|
968
|
1053
|
1111
|
1194
|
1248
|
1316
|
1366
|
1434
|
1574
|
1610
|
FL
|
180
|
241
|
303
|
364
|
426
|
487
|
549
|
610
|
671
|
733
|
795
|
857
|
919
|
981
|
1043
|
1105
|
1167
|
1229
|
GA
|
155
|
235
|
280
|
330
|
378
|
410
|
444
|
470
|
496
|
530
|
568
|
568
|
568
|
568
|
568
|
568
|
568
|
568
|
HI
|
418
|
565
|
712
|
859
|
1006
|
1153
|
1300
|
1446
|
1593
|
1740
|
1887
|
2034
|
2181
|
2328
|
2475
|
2621
|
2767
|
2913
|
ID
|
205
|
251
|
317
|
382
|
448
|
513
|
579
|
645
|
710
|
776
|
841
|
906
|
971
|
1036
|
1101
|
1166
|
1231
|
1296
|
IL
|
212
|
283
|
382
|
424
|
495
|
560
|
589
|
624
|
655
|
689
|
725
|
761
|
801
|
842
|
886
|
931
|
979
|
1030
|
IN
|
139
|
229
|
288
|
346
|
405
|
463
|
522
|
580
|
639
|
697
|
762
|
827
|
892
|
957
|
1022
|
1087
|
1152
|
1217
|
State
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
IA
|
183
|
361
|
426
|
495
|
548
|
610
|
670
|
731
|
791
|
865
|
952
|
1039
|
1126
|
1213
|
1300
|
1387
|
1474
|
1561
|
KS
|
241
|
326
|
403
|
471
|
532
|
593
|
654
|
715
|
776
|
837
|
898
|
959
|
1020
|
1081
|
1142
|
1203
|
1264
|
1325
|
KY
|
186
|
225
|
262
|
328
|
383
|
432
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
482
|
LA
|
72
|
138
|
190
|
234
|
277
|
316
|
352
|
391
|
427
|
462
|
501
|
540
|
580
|
620
|
662
|
707
|
741
|
789
|
ME
|
198
|
312
|
418
|
526
|
632
|
739
|
846
|
953
|
1060
|
1167
|
1274
|
1381
|
1488
|
1595
|
1702
|
1809
|
1916
|
2023
|
MD
|
165
|
292
|
373
|
450
|
521
|
573
|
645
|
709
|
766
|
826
|
886
|
946
|
1004
|
1063
|
1124
|
1184
|
1282
|
1342
|
MA
|
392
|
486
|
579
|
668
|
760
|
854
|
946
|
1037
|
1128
|
1220
|
1315
|
1410
|
1505
|
1600
|
1695
|
1790
|
1885
|
1980
|
MI
|
276
|
371
|
459
|
563
|
659
|
792
|
868
|
944
|
1020
|
1096
|
1172
|
1248
|
1324
|
1400
|
1476
|
1552
|
1628
|
1704
|
MN
|
250
|
437
|
532
|
621
|
697
|
773
|
850
|
916
|
980
|
1035
|
1089
|
1142
|
1195
|
1248
|
1301
|
1354
|
1407
|
1460
|
MS
|
60
|
96
|
120
|
144
|
168
|
192
|
216
|
240
|
264
|
288
|
312
|
336
|
360
|
384
|
408
|
432
|
456
|
480
|
MO
|
136
|
234
|
292
|
342
|
388
|
431
|
474
|
514
|
554
|
595
|
635
|
675
|
715
|
755
|
795
|
835
|
875
|
915
|
MT
|
252
|
338
|
425
|
511
|
597
|
684
|
771
|
857
|
900
|
941
|
977
|
1013
|
1046
|
1076
|
1106
|
1132
|
1132
|
1132
|
NE
|
222
|
293
|
364
|
435
|
506
|
577
|
648
|
719
|
790
|
861
|
932
|
1003
|
1074
|
1145
|
1216
|
1287
|
1358
|
1429
|
NV
|
229
|
288
|
348
|
408
|
468
|
527
|
587
|
647
|
706
|
766
|
826
|
885
|
945
|
1005
|
1065
|
1124
|
1184
|
1244
|
NH
|
414
|
481
|
550
|
613
|
673
|
754
|
817
|
910
|
962
|
1039
|
1126
|
1198
|
1265
|
1332
|
1399
|
1466
|
1533
|
1600
|
NJ
|
162
|
322
|
424
|
488
|
552
|
616
|
677
|
728
|
778
|
828
|
878
|
928
|
978
|
1028
|
1078
|
1128
|
1178
|
1228
|
NM
|
227
|
304
|
381
|
458
|
534
|
611
|
688
|
764
|
841
|
918
|
995
|
1071
|
1148
|
1225
|
1302
|
1331
|
1360
|
1389
|
NY
|
327
|
429
|
524
|
619
|
716
|
787
|
901
|
979
|
1039
|
1099
|
1159
|
1219
|
1279
|
1339
|
1399
|
1459
|
1519
|
1579
|
NC
|
181
|
236
|
272
|
297
|
324
|
349
|
373
|
386
|
406
|
430
|
448
|
473
|
496
|
521
|
546
|
571
|
596
|
621
|
ND
|
223
|
333
|
431
|
517
|
591
|
653
|
702
|
739
|
776
|
813
|
850
|
887
|
924
|
961
|
998
|
1035
|
1072
|
1109
|
OH
|
203
|
279
|
341
|
421
|
493
|
549
|
613
|
680
|
748
|
816
|
881
|
949
|
1016
|
1082
|
1150
|
1234
|
1318
|
1402
|
OK
|
190
|
238
|
307
|
380
|
445
|
509
|
574
|
631
|
685
|
685
|
685
|
685
|
685
|
685
|
685
|
685
|
685
|
685
|
OR
|
310
|
395
|
460
|
565
|
660
|
755
|
840
|
925
|
985
|
1090
|
1195
|
1300
|
1405
|
1510
|
1615
|
1720
|
1825
|
1930
|
PA
|
215
|
330
|
421
|
514
|
607
|
687
|
770
|
853
|
936
|
1019
|
1102
|
1185
|
1268
|
1351
|
1434
|
1517
|
1600
|
1683
|
RI
|
327
|
451
|
556
|
636
|
714
|
806
|
886
|
978
|
1050
|
1140
|
1220
|
1301
|
1383
|
1469
|
1550
|
1636
|
1722
|
1808
|
SC
|
118
|
159
|
200
|
241
|
281
|
322
|
363
|
403
|
444
|
484
|
525
|
565
|
606
|
646
|
687
|
727
|
768
|
808
|
SD
|
304
|
380
|
430
|
478
|
528
|
578
|
627
|
675
|
724
|
773
|
822
|
872
|
920
|
969
|
1018
|
1067
|
1115
|
1164
|
TN
|
95
|
142
|
185
|
226
|
264
|
305
|
345
|
386
|
425
|
467
|
508
|
549
|
589
|
630
|
670
|
711
|
750
|
790
|
TX
|
78
|
163
|
188
|
226
|
251
|
288
|
313
|
356
|
382
|
425
|
451
|
494
|
520
|
563
|
589
|
632
|
675
|
718
|
UT
|
246
|
342
|
426
|
498
|
567
|
625
|
654
|
685
|
717
|
747
|
778
|
809
|
840
|
870
|
902
|
933
|
965
|
994
|
VT
|
449
|
553
|
656
|
738
|
827
|
884
|
983
|
1069
|
1148
|
1228
|
1307
|
1387
|
1466
|
1546
|
1625
|
1705
|
1784
|
1864
|
VA
|
174
|
257
|
322
|
386
|
457
|
509
|
570
|
636
|
692
|
754
|
815
|
876
|
937
|
998
|
1059
|
1120
|
1181
|
1242
|
WA
|
349
|
440
|
546
|
642
|
740
|
841
|
971
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
1075
|
WV
|
145
|
209
|
257
|
328
|
376
|
437
|
486
|
509
|
509
|
509
|
509
|
509
|
509
|
509
|
509
|
509
|
509
|
509
|
WY
|
195
|
320
|
360
|
390
|
450
|
510
|
575
|
640
|
700
|
765
|
777
|
789
|
801
|
813
|
825
|
837
|
849
|
861
|
Public Notice
Health & Social Services
(Medical Assistance Reimbursement of Providers of Rural Health Clinic Services)
The State of Wisconsin reimburses providers for rural health clinic services provided to Medical Assistance recipients. This is done under the authority of Title XIX of the Federal Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. This program, administered by the State's Department of Health and Social Services (which will be re-named Department of Health and Family Services on July 1, 1996), is called Medical Assistance (MA) or Medicaid. Federal statutes and regulations require that a state plan be developed that provides the methods and standards for reimbursement of covered services. A plan that describes the reimbursement system for the services (methods and standards for reimbursement) is now in effect.
Effective July 1, 1996, the Department will reimburse for rural health clinic services at 100% of their reasonable costs, up to a maximum limit established by the federal government. Rural health clinics will bill and be paid following the regular fee-for-service procedures, and the Department will provide cost settlements on an annual basis. Rural health clinics that request it may receive interim cost settlement payments on a quarterly basis with final cost settlements at the end of the year. Rural health clinic services include face-to-face encounters between a clinic patient and a Wisconsin Medicaid-certified physician, physician assistant, nurse practitioner, certified nurse midwife, clinical psychologist or clinical social worker.
This modification of the reimbursement system is estimated to have no effect on expenditures of the Wisconsin Medicaid program.
Copies of the Proposed Change
Copies of the proposed change will be sent to every county social services or human services department main office where they will be available for public review. For more information, interested people may write to:
State Plan Coordinator
Bureau of Health Care Financing
Division of Health
P.O. Box 309
Madison, WI 53701-0309
Written Comments
Written comments on the proposed change are welcome. Comments should be sent to the above address. Comments received on the change will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily at:
Bureau of Health Care Financing
Room 250, State Office Building
One West Wilson Street
Madison, WI
Public Notice
Health & Social Services
(Medical Assistance Reimbursement of Providers of Prenatal Care Coordination Services)
The State of Wisconsin reimburses providers for prenatal care coordination services provided to Medical Assistance (MA) recipients. This is done under the authority of Title XIX of the Federal Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. Medical Assistance (MA) or Medicaid is administered by the State's Department of Health and Social Services (which will be re-named Department of Health and Family Services on July 1, 1996). Federal statutes and regulations require that a state plan be developed that provides the methods and standards for reimbursement of covered services. A plan that describes the reimbursement system for the services (methods and standards for reimbursement) is now in effect.
Currently, the target group for prenatal care coordination services includes pregnant women throughout the state who are expected to have difficulty receiving proper medical, social, educational, and other services and who are at high risk for adverse pregnancy outcomes, such as preterm births or low birth weight babies, due to medical and non-medical factors, as determined by the Department's risk assessment. All recipients remain in the target group at least until 60 days after delivery.
Effective July 1, 1996, the Department will expand the target group for prenatal care coordination services to also include Milwaukee County postpartum women and their infants who are at high risk for child abuse and neglect as determined by the Department. These recipients remain in the target group until the child is 7 years old.
This modification of the target group for the services is estimated to increase annual expenditures of the Wisconsin Medical Assistance Program by $2,863,000 all funds ($1,154,700 GPR and $1,708,300 FFP).
Copies of the Proposed Change
Copies of the proposed change will be sent to every county social services or human services department main office where they will be available for public review. For more information, interested people may write to:
State Plan Coordinator
Bureau of Health Care Financing
Division of Health
P.O. Box 309
Madison, WI 53701-0309
Written Comments
Written comments on the proposed change are welcome. Comments should be sent to the above address. Comments received on the change will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily at;
Bureau of Health Care Financing
Room 250, State Office Building
One West Wilson Street
Madison, WI
Public Notice
Health and Social Services
(Medical Assistance Reimbursement of Nursing Homes)
The State of Wisconsin reimburses Medicaid-certified nursing facilities for long-term care and health care services provided to eligible persons under the authority of Title XIX of the Federal Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. This program, administered by the State's Department of Health and Social Services (which will be re-named the Department of Health and Family Services on July 1, 1996), is called Medical Assistance (MA) or Medicaid. Federal statutes and regulations require that a state plan be developed that provides the methods and standards for setting payment rates for nursing facility services covered by the payment system. A plan that describes the nursing home reimbursement system for Wisconsin (methods of payment for costs incurred by efficiently and economically operated providers) is now in effect as approved by the federal Health Care Financing Administration (HCFA).
The Department is proposing changes in the methods of payment to nursing homes and, therefore, in the plan describing the nursing home reimbursement system. The changes are effective July 1, 1996.
The proposed changes would update the payment system and make various payment-related policy changes, including modifications requested by HCFA in its approval of the 1995-1996 nursing facility payment plan. Some of the changes are necessary to implement various budget cost containment policies contained in the 1995-97 State Budget, Wis. Act 27. Some of the changes are technical in nature; some clarify various payment plan provisions.
The estimated increase in annual aggregate expenditures attributable to these changes for nursing homes serving MA residents is approximately $34,000,000 all funds ($17,000,000 FFP), including patient liability.
The proposed changes are being implemented to assure adequate funding related to increases in costs incurred by efficiently and economically operated facilities, and to comply with Wisconsin statutes governing Medicaid payment systems, particularly s. 49.45 (6m), Wis. Stats.
For the following proposed changes, the plan amendment proposals are being developed and are not available at this time. See below for discussion of public meetings.
These proposed changes are as follows:
1. Modify the methodology to adjust the reimbursement for nursing homes within the parameters of the 1995-97 State Budget Act, 1995 Wis. Act 27, which may be by application of a percent change based on the previous year's rates.
2. Modify the methodology to adjust for inflation.
3. Modify standards to determine base payment amounts with consideration for the facility's previous year's rates and the facilities' allowable cost as reported in 1995 cost reports.