The federal Social Security Act requires state Medicaid programs to provide additional payments to hospitals that serve a disproportionate number of Medicaid patients. Currently, the Wisconsin Medicaid program provides increased payment for each inpatient hospital stay at hospitals that qualify for a disproportionate share adjustment. Federal statutes limit the amount of federal financial participation for such payments in Wisconsin to $7 million annually. Because the disproportionate share adjustment for qualifying hospitals is calculated prospectively under the State's current methodology, actual disproportionate share expenditures may exceed this funding limit. Alternatively, disproportionate share payments to hospitals may be lower than this limit, which would not allow the State to capture the full amount of the federal allocation to Wisconsin. To ensure that the $7.0 million of federal funding is acquired and not exceeded, the Department is proposing to modify its methodology for making disproportionate share payments to qualifying hospitals. The proposed modifications would not affect how hospitals qualify for a disproportionate share adjustment under the current State Plan.
Implementation of the above changes to the State Plan for inpatient hospital services is not expected to significantly change the annual expenditures of the Wisconsin Medicaid program for state fiscal year 1998-1999.
Copies of Proposed Changes and Proposed Payment Rates
Copies of the proposed changes will be sent to every county social services or human service department main office where they will be available for public review. For more information, interested persons may fax or write to:
Hospital Unit
FAX (608) 266-1096
Bureau of Health Care Financing
Division of Health
P. O. Box 309
Madison, WI 53701-0309
Written Comments
Written comments on the proposed changes are welcome and should be sent to the above address. The comments received on the changes 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
Dept. of Workforce Development
Public Notice Concerning the Centralized Receipt and
Disbursement of Child Support and Maintenance Payments
1997 Wis. Act 27 contains provisions which require the Department of Workforce Development to establish an automated statewide system for the centralized receipt and disbursement of child support and maintenance payments. As created by 1997 Wis. Act 27, s. 767.29 (1) (f), Stats., provides:
“If the department determines that the statewide automated support and maintenance receipt and disbursement system will be operational before October 1, 1999, the department shall publish a notice in the Wisconsin Administrative Register that states the date on which the system will begin operating. Before that date or October 1, 1999, whichever is earlier, the circuit courts, county child support agencies under s. 59.53 (5), clerks of court and employers shall cooperate with the department in any measures taken to ensure an efficient and orderly transition from the countywide system of support receipt and disbursement to the statewide system."
In accordance with this authority, this notice is published in the
Wisconsin Administrative Register to state that the statewide automated support and maintenance receipt and disbursement system will begin operating on January 4, 1999.
The State of Wisconsin
Department of Administration
Document Sales Unit
P.O. Box 7840
Dated Material. Please Do Not Delay!
