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PUBLIC NOTICE
Department of Health Services
(Medicaid Reimbursement for Personal Care Services)
The State of Wisconsin reimburses providers for services provided to Medical Assistance recipients under the authority of Title XIX of the Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. This program, administered by the State's Department of Health Services (the Department), is called Medical Assistance (MA) or Medicaid. In addition, Wisconsin has expanded this program to create the BadgerCare Plus programs under the authority of Title XIX and Title XXI of the Social Security Act and s. 49.471 of the Wisconsin Statutes. 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.
Change in Payment Methods
Among the services provided to recipients of services under Medical Assistance and BadgerCare Plus are personal care services. The current proposal is to increase reimbursement rates for personal care services. Under this proposal, hourly rates would increase from an hourly rate of $16.08 to $16.40 in 2017-18 [state fiscal year (SFY) 2018] and to $16.73 in 2018-19 (SFY year 2019).
The change is tentatively expected to be effective July 1, 2017. Final resolution of this proposed action is contingent upon adoption of the biennial budget bill by the Wisconson Legislature and signature of the bill by the Governor. Pending the finalization of the underlying legislation, this change will apply to claims with dates of service on or after the effective date.
The change to Medicaid and BadgerCare Plus is projected to result in increased annual expenditures of $5,034,300 all funds (AF), composed of $2,085,900 state funds/general purpose revenue (GPR) and $2,948,400 federal match (FED). In SFY 2019 the anticipated increased annual expenditures would be $9,936,300 all funds, composed of $4,111,200 GPR and $5,825,100 FED.
Copies of Changes
Copies of the final legislation when enacted may be obtained free of charge by calling or writing as follows:
Regular Mail:
Al Matano
Bureau of Fiscal Management
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701-0309
Fax:
(608) 266-1096
Attention: Al Matano
Telephone:
Al Matano
Bureau of Fiscal Management
(608) 267-6848
E-Mail:
Copies of the state plan change will be made available for review at the main office of any county department of social services or human services.
Written Comments
Written comments are welcome. Written comments on the proposed changes may be sent by FAX, e-mail, or regular mail to the Division of Medicaid Services. The FAX number is (608) 266-1096. The e-mail address is Alfred.Matano@dhs.wisconsin.gov. Regular mail can be sent to the above address. All written comments will be reviewed and considered.
The written comments will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room 350 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changed methodology based on comments received.
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