Public notice
Health and Family Services
Medical Assistance Reimbursement of Nursing Homes
State of Wisconsin Medicaid Nursing Facility Payment Plan: FY02-03
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 Family Services, 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 is now in effect as approved by the Center for Medicare/Medicaid Services (CMS).
The Department is proposing a change in the methods of payment to nursing homes and, therefore, in the plan describing the nursing home reimbursement system. The change is effective January 1, 2003.
The proposed change would make one payment-related policy change. This change is necessary to implement a policy contained in the Wisconsin 2002-2004 Biennial Budget.
The estimated increase in annual aggregate expenditures attributable to this change for nursing homes serving MA residents is approximately $300,000 all funds, ($180,000 FFP).
The proposed change is being implemented to comply with Wisconsin Statutes governing Medicaid payment systems, particularly s.
49.45 (6m), Stats.
The proposed change is to:
Revise Section
3.775, regarding the distribution of funds associated with the Family Care Medicaid patient days.
Copies of the proposed changes:
Copies of the available proposed change may be obtained free of charge by writing to:
Division of Health Care Financing
PO Box 309
Madison, WI 53701-0309
Attention: Nursing Home Medicaid Payment Plan
or by faxing James Cobb at 608-264-7720.
The available proposed change may be reviewed at the main office at any county department of social services or human services.
Written comments/meetings:
Written comments on the proposed change may be sent to the Division of Health Care Financing, at the above address. The 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.
