A copy of the proposed change may be obtained free of charge by calling or writing as follows:
Regular Mail
Bureau of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
Phone
Mary Laughlin, Budget Unit Chief
Telephone (608) 261-7833
FAX
(608) 266-1096
Attention: Mary Laughlin
E-Mail
A copy of the proposed change is 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 change may be sent by FAX, e-mail, or regular mail to the Bureau of Health Care Financing. The FAX number is (608) 266-1096.
The e-mail address is
matana@dhfs.state.wi.us. Regular mail can be sent to the above address. All written comments will be reviewed and considered.
All written comments received will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room 250 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changed methodology based on comments received.
Public Notice
Health and Family Services
(Medical Assistance Reimbursement for Dental Services:
State of Wisconsin Medicaid Payment Plan for FY 1999-2000 and 2000-2001)
The State of Wisconsin reimburses providers for dental services provided to Medical Assistance recipients under the authority of Title XIX of the Social Security Act and ss. 49.43 to 49.497, Wisconsin Statutes. This program, administered by the State's Department of Health and Family Services, is called Medical Assistance (MA) or Medicaid.
Summary
Wisconsin's MA program covers basic dental services within the following categories of service:
(a) diagnostic;
(b) preventive;
(c) restorative;
(d) endodontics;
(e) periodontics;
(f) fixed and removable prosthodontics;
(g) oral and maxillofacial surgery;
(h) orthodontics; and
(i) adjunctive general services.
Limitations apply to the frequency and type of covered dental services. MA payment for dental services is the lesser of the provider's usual and customary charges or amounts prescribed under a fee schedule established by the Department.
The Wisconsin Legislature is in the process of completing work on the 1999-2001 State Budget. The new State Budget is expected to increase rates for providers of dental services to MA recipients. Pending final legislative action, the Department is proposing to increase rates for reimbursement of these providers. The Department is proposing to modify the fee-for-service rate for reimbursement for dental services under the MA program for adults to 65% of calendar year 1998 usual and customary charges and for children to 69% of calendar year 1998 usual and customary charges. The Department's proposal involves no change in the definition of the already existing group and the benefits remain the same. The Department expects these changes to become effective July 1, 1999.
It is estimated that this change will increase annual aggregate Medicaid expenditures by $2,998,300 all funds in state fiscal year (SFY) 2000 ($1,762,900 federal and $1,235,400 state GPR). In state fiscal year (SFY) 2001 the increase is estimated to be $5,293,100, all funds ($3,133,500 federal and $2,159,600 state GPR).
Proposed Change
The proposed change is to: Modify the fee-for-service rate for reimbursement for dental services under the MA program for adults to 65% of calendar year 1998 usual and customary charges and for children to 69% of calendar year 1998 usual and customary charges.
Copies of the Proposed Change
A copy of the proposed change may be obtained free of charge by calling or writing as follows:
Regular Mail
Bureau of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
Phone
Mary Laughlin, Budget Unit Chief
Telephone (608) 261-7833
FAX
(608) 266-1096
Attention: Mary Laughlin
E-Mail
A copy of the proposed change is also 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 change may be sent by FAX, e-mail, or regular mail to the Bureau of Health Care Financing. The FAX number is (608) 266-1096.
The e-mail address is
matana@dhfs.state.wi.us. Regular mail can be sent to the above address. All written comments will be reviewed and considered.
All written comments received will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room 250 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changed methodology based on comments received.
Public Notice
Health and Family Services
(Medical Assistance Reimbursement for Personal Care Services:
State of Wisconsin Medicaid Payment Plan for FY 1999-2000 and 2000-2001)
The State of Wisconsin reimburses providers for personal care services services provided to Medical Assistance recipients under the authority of Title XIX of the Social Security Act and ss. 49.43 to 49.497, Wisconsin Statutes. This program, administered by the State's Department of Health and Family Services (DHFS), is called Medical Assistance (MA) or Medicaid.
Summary
The Wisconsin Legislature is in the process of completing work on the 1999-2001 State Budget. The new State Budget is expected to increase rates for personal care services. Under the budget bill, reimbursement rates for personal care services would be increased effective July 1, 1999, and again in 2000-2001. Under the MA program, personal care services are coordinated by licensed home health agencies, independent living centers and designated county human service agencies. Personal care workers are required to have 40 hours of training and to work under the supervision of a registered nurse. The current hourly reimbursement rate for personal care services is $11.50 per hour. Under the rate increase provided in the bill, the rate would be increased by 50¢ per hour beginning July 1, 1999. Beginning July 1, 2000, personal care providers would receive an additional 1% increase provided to all non-institutional providers under the proposed budget bill. The Department's action is subject to further change, pending final legislative action. The Department's proposal involves no change in the definition of the already existing group and the benefits remain the same.
It is estimated that this change will increase annual aggregate Medicaid expenditures by $3,268,000 all funds in state fiscal year 2000 ($1,921,500 federal and $1,346,500 state GPR). In state fiscal year (SFY) 2001 the increase is estimated to be $3,803,900 all funds ($2,251,900 federal and $1,552,000 state GPR).
Proposed Change
The proposed change is to: Increase the rate for personal care services by 50¢ per hour beginning July 1, 1999 and to further modify the rate for reimbursement for personal care services under the MA program by an increase of 1% beginning July 1, 2000.
Copies of the Proposed Change
A copy of the proposed change may be obtained free of charge by calling or writing as follows:
Regular Mail
Bureau of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
