Public Notice: CCS Cost-Report Effective January 1, 2021

PUBLIC NOTICE

Department of Health Services

Addition of Separate Comprehensive Community Services Cost-Report for Tribal Nations

The Wisconsin Department of Health Services (DHS) Division of Medicaid Services (DMS) will be implementing an optional page of the Tribal FQHC cost-report for Tribal Nations that is specific to their Comprehensive Community Services (CCS) program. This cost-report will be used to identify CCS specific costs separate from all other Tribal Federally Qualified Health Center (FQHC) costs. This change will be effective January 1, 2021.

Fiscal impact: $0.

Copies of Changes

Copies of the state plan may be obtained free of charge by calling or writing:

Mail:

Laura Brauer

Bureau of Benefits Policy

Division of Medicaid Services

P.O. Box 309

Madison, WI 53701-0309

Phone:

[phone]

Fax:

[phone]

Attention: Laura Brauer

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 as described above. All written comments will be reviewed and considered.

Because the State Office Building at 1 West Wilson Street, Madison, Wisconsin is currently closed to the public, written comments will not be available for in person public review. Requests to review written comments received may be submitted to the Division of Medicaid Services as described above. Revisions may be made in the proposed changed methodology based on comments received.