Public Notice: Medicaid Reimbursement for CHIP Lead Abatement Program

PUBLIC NOTICE

Department of Health Services

CHIP Lead Abatement Program

The State of Wisconsin reimburses providers for services provided to Medical Assistance recipients under the authority of Title XIX of the Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. This program, administered by the State's Department of Health Services (the Department), is called Medical Assistance (MA) 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 s. 49.471 of the Wisconsin Statutes. Federal statutes and regulations require that a state plan be developed that provides the methods and standards for reimbursement of covered services. A plan that describes the reimbursement system for the services (methods and standards for reimbursement) is now in effect.

Change in Payment Methods

The Department is seeking federal funding pursuant to Section 2105(a)(1)(D)(ii) of the Social Security Act for the development and implementation of a lead abatement program through the use of a Children’s Health Insurance Program (CHIP) health services initiative. Federal assistance is necessary to minimize and further prevent the long-term adverse health effects associated with lead exposure. Under this program the Department will provide coordinated and targeted lead abatement services to eligible properties in impacted areas of the city of Milwaukee and other areas within the state of Wisconsin to mitigate all lead hazards.

The change will be effective July 1, 2018, and is projected to result in Increased annual expenditures of $14,472,100 all funds (AF), composed of $13,717,600 federal match (FED) and $754,500 state funds/general purpose revenue (GPR).

Copies of Changes

Copies of the program plans may be obtained free of charge by calling or writing as follows:

Regular Mail:

Karl Hauth

Bureau of Benefits Management

Division of Medicaid Services

P.O. Box 309

Madison, WI 53701-0309

Fax:

[phone]

Attention: Shelly Coppernoll

Telephone:

Karl Hauth

[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 Medicaid Services. 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.