If an individual does not pay the monthly premium in the benefit month, a restrictive reenrollment period (RRP) of three calendar months will be applied, unless there is good cause.
Individuals will be able to regain eligibility during the RRP if any of the following conditions are met:
- The individual pays all past-due premiums by the last day of the RRP.
- The individual’s income drops below 100% of the federal poverty level.
- The individual is granted a temporary premium waiver.
The changes will be effective January 1, 2024, for new applicants and for existing members who no longer have continuous Medicaid coverage as a result of the public health emergency. For existing members who still have continuous coverage, the changes will be effective as of the member’s next renewal after January 1, 2024.
The change to Medicaid, is projected to result in decreased annual expenditures of $6,436,000 all funds (AF), composed of $3,904,000 federal match (FED) and $2,532,000 state funds/general purpose revenue (GPR).
Copies of Changes
Copies of the Medicaid state plan amendment may be obtained free of charge by calling or writing:
Mail:
ATTN: DHS SPA Coordinator
Bureau of Benefits Policy
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701-0309
Fax: (608) 266-1096
Attention: DHS SPA Coordinator
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. 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 change based on comments received.
