SS 059-21 Scope Statement

This requested suspension of Medical Assistance rules will affect the work done by County and Tribal human services agencies administering the Medicaid and Children’s Health Insurance Program (CHIP) programs by increasing their recipient caseloads. It will also affect medical providers by decreasing the number of uninsured patients.

7.

Summary and preliminary comparison of any existing or proposed federal regulation that is intended to address the activities to be regulated by the rule

42 CFR § 435.952(c)(3) Requires that self-attestation for all eligibility criteria be accepted when documentation is not reasonably available to the individual during a natural disaster.

The suspension of Medical Assistance rules is needed to comply with conditions spelled out by section 6008(b) of the FFCRA in order for Wisconsin to qualify for an increase in federal match of 6.2 percentage points for the Medicaid and CHIP programs for the duration of the federal public health emergency. These requirements include a prohibition of the termination or reduction of benefits for any person who was receiving Medicaid on March 18, 2020, and for any person who is determined eligible for Medicaid on or after March 18, 2020, lasting through the end of the month following the end of the emergency period declared by the Secretary of the Department of Health and Human Services.

8.

Anticipated economic impact, locally or statewide

The proposed rule will have minimal or no economic impact.

9.

Agency contacts

Mark R. Thompson, Admin. Rules Attorney Office of Legal Counsel [phone] [e-mail]

Jackson Keuler, Admin. Rules Officer Office of Legal Counsel [phone] [e-mail]

1

1

A copy of the original Determination that a Public Health Emergency Exists is available at https://www.phe.gov/emergency/news/healthactions/phe/Pages/2019-nCoV.aspx.

2

A copy of the April 2021 Renewal of Determination That a Public Health Emergency Exists is available at https://www.phe.gov/emergency/news/healthactions/phe/Pages/COVID-15April2021.aspx.

3

A copy of this letter is available at https://ccf.georgetown.edu/wp-content/uploads/2021/01/Public-Health-Emergency-Message-to-Governors.pdf

4

As of June 3, 2021, the 7-day average number of administered vaccines reported to the CDC per day decreased by 38% from the previous week. See Covid Data Tracker: Trends in Number of COVID-19 Vaccinations in the US, Centers for Disease Control and Prevention, https://covid.cdc.gov/covid-data-tracker/#vaccination-trends (last visited June 8, 2021).