Public Notic: Reimbursement of Monkeypox Vaccine Administration

PUBLIC NOTICE

Department of Health Services

Reimbursement of Monkeypox Vaccine Administration

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 in effect.

Change in Covered Services and Payment Methods

The Department is making the following changes to the reimbursement of the Monkeypox

Vaccine Administration:

1. Increasing the Rate of reimbursement for Monkeypox Vaccine Administration from $3.31 to

$15. This will be valid throughout the Monkeypox public health emergency, then revert back to

the regular rate of vaccine administration.

The change will be effective October 1, 2022 and will apply to claims with dates of service on or after that date. The change to Medicaid, BadgerCare, and BadgerCare Plus is projected to result in increased annual expenditures of $ 90,000 all funds (AF), composed of $ 59,670 federal match

(FED) and $30,330 state funds/general purpose revenue (GPR).

Copies of Changes

Copies of the Monkeypox Vaccine Administration Medicaid state plan amendment may be obtained free of charge by calling or writing:

Mail: Bailey Dvorak

Bureau of Benefits Policy Division of Medicaid Services

P.O. Box 309

Madison, WI 53701-0309

Phone: [phone]

Fax: [phone]

Attention: Bailey Dvorak

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 change based on comments received.