16. Modification of administrative adjustment procedures for inpatient reimbursement and elimination of the administrative adjustments committee, in order to promote administrative efficiency by eliminating procedural requirements that are not needed or are rarely used under the current rate-setting methodology.
17. To promote administrative efficiency, addition of policies and procedures by which a hospital would be required to request review and modification of how Department staff are carrying out provisions of the inpatient rate setting methodology before the hospital could pursue legal review through administrative hearing or court appeal.
Implementation of the above changes to the State Plans for inpatient hospital services and outpatient hospital services are expected to increase annual expenditures of the Wisconsin Medical Assistance Program by $11.7 million all funds ($6.9 million federal financial participation and $4.8 million general purpose revenue) for the state fiscal year 1996-1997.
Copies of Proposed Changes
Copies of the proposed changes will be sent to every county social services or human services department main office where they will be available for public review. For more information, interested people may fax or write to:
Hospital Reimbursement 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 265, State Office Building
One West Wilson Street
Madison, WI
The State of Wisconsin
Department of Administration
Document Sales Unit
P.O. Box 7840
Dated Material. Please Do Not Delay!
