Effective July 1, 2017, DHS will be amending the inpatient hospital state plan regarding reimbursement for state prison inmate inpatient hospital stays. The following changes will be contained in the July 1, 2017 inpatient hospital state plan amendment:
• Effective July 1, 2017, acute care hospitals that provide services to Medicaid-eligible inmates will be reimbursed at a percentage of their usual and customary charge equal to the average in-state acute care hospital cost to charge ratio.
This notification is intended to provide notice of the type of changes that are included in the amendment. Interested parties should obtain a copy of the actual proposed plan amendment to comprehensively review the scope of all changes.
Proposed Change
It is estimated that these changes will reduce the projected annual aggregate Medicaid expenditures in state fiscal year 2018 by $3,392,366 (All Funds), composed of $1,400,878 state general purpose revenue (GPR) and $1,991,488 federal match (Fed). State fiscal year 2018 is the period of time from July 1, 2017 through June 30, 2018.
The Department’s proposal involves no change to the definition of those eligible to receive benefits under Medicaid. The set of benefits available to eligible recipients remains the same; this proposal changes only Wisconsin Medicaid reimbursement policies. The effective date for these proposed changes will be July 1, 2017.
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
Division of Medicaid Services
P.O. Box 309
Madison, WI 53701−0309
State Contact
Ben Nerad, Hospital Rate Setting Section Chief
Bureau of Fiscal Management
(608) 261-8397 (phone)
(608)266-1096 (fax)
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, email, or regular mail per the above information. All written comments received will be reviewed, considered, and made 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 to the proposed change based on comments received.
