Public Notices

P.O. Box 309

Madison, WI 53701-0309

Fax:

[phone]

Attention: Rita Subhedar

Telephone:

Rita Subhedar

Bureau of Benefits Management

[phone]

E-Mail:

[e-mail]

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 Health Care Access and Accountability. The FAX number is [phone]. The e-mail address is [e-mail]. 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 changed methodology based on comments received.

Department of Health Services

(Medical Reimbursement for Transportation Services)

The state of Wisconsin reimburses providers for services provided to low-income persons under the authority of Title XIX of the Social Security Act and sections 49.43 to 49.47, Wisconsin Statutes. The Wisconsin Department of Health Services administers this program, which is called Medical Assistance or Medicaid. In addition, Wisconsin has expanded this program to create the BadgerCare Plus programs under the authority of Title XIX and Title XXI of the Social Security Act and chapters 49.43 to 49.47 of Wisconsin Statutes. Together the Medical Assistance and BadgerCare Plus programs are referred to as ForwardHealth.

Among the providers reimbursed under the Medicaid and BadgerCare Plus programs are providers of transportation services. Recipients of medically necessary services are entitled to reimbursement for transportation services to medical appointments. Effective for dates of service on and after July 1, 2011, Wisconsin Medicaid and BadgerCare Plus began to provide transportation services through the use of a transportation manager. However, after that date, individuals who are enrolled in managed care in Milwaukee, Waukesha, Kenosha, Racine, Ozaukee, and Washington counties continued to receive transportation services through the managed care organizations who provide their health care services. Effective for dates of service on and after September 1, 2012, individuals in those counties - Milwaukee, Waukesha, Kenosha, Racine, Ozaukee, and Washington - will also begin to receive transportation services through the use of a transportation manager. Through a request for proposal (RFP) process, the Department of Health Services selected LogistiCare, LLC (LogistiCare) to provide transportation services through the transportation broker system. The transportation manager will begin to provide transportation services to Medicaid and BadgerCare Plus recipients in the six Wisconsin counties which were previously excluded from the use of the transportation manager.

The transportation manager system will be a more efficient way to deliver transportation services by providing a centralized way to provide these services. By centralizing administration of these services, it will also make it possible for the Department to control fraud or misuse of these services.

The cost of providing these services in will not change. It is hoped that the efficiencies inherent in the transportation manager model will eventually result in some savings. However, current projections are for a fiscal impact of no change in in costs to the federal government (FED), in the general purpose revenue (GPR), and in those two amounts together, referred to as all funds (AF). Federal fiscal year (FFY) 2012 began on October 1, 2011 and ends on September 30, 2012, while FFY 2013 will begin October 1, 2012 and end September 30, 2013.

Written Comments and Copies of the Proposed Change:

A copy of the proposed change may be obtained free of charge at your local county agency or by calling or writing as follows:

Regular Mail

Rob Thomas
Division of Health Care Access and Accountability

PO Box 309

Madison, WI 53701-0309

Phone

Rob Thomas

Division of Health Care Access and Accountability

[phone]

FAX

[phone]

Attention: Rob Thomas

E-Mail

[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 Division of Health Care Access and Accountability. The FAX number is [phone]. The e-mail address is [e-mail]. 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 472 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made based on comments received.