Richard Kleist, telephone (608) 264-7029
Compliance & Restoration Section
Wis. Dept. of Transportation
P.O. Box 7917
Madison, WI 53707-7917
Legal questions may be addressed to:
John Sobotik, Assistant General Counsel
Telephone (608) 267-9320
Office of General Counsel
Wis. Dept. of Transportation
P.O. Box 7910
Madison, WI 53707-7910
Alternate formats of the proposed rule will be provided to individuals at their request.
Notice of Submission of Proposed Rules to the Presiding Officer of each House of the Legislature, Under S. 227.19, Stats.
Please check the Bulletin of Proceedings for further information on a particular rule.
Ch. Comm 115 - Relating to the community-based economic development program.
S. HFS 196.03 (22) (e), (f) and (g) and Note - Relating to exemption of concession stands at locally-sponsored sporting events from being regulated as restaurants.
Veterinary Examining Board
(CR 98-9):
Chs. VE 1 to 10 - Relating to veterinarians and veterinary technicians.
Administrative Rules Filed With The
Revisor Of Statutes Bureau
The following administrative rules have been filed with the Revisor of Statutes Bureau and are in the process of being published. The date assigned to each rule is the projected effective date. It is possible that the publication of these rules could be delayed. Contact the Revisor of Statutes Bureau at (608) 266-7275 for updated information on the effective dates for the listed rules.
Agriculture, Trade & Consumer Protection
(CR 98-14):
An order affecting chs. ATCP 32, 33 and 35, relating to fertilizer bulk storage, pesticide bulk storage and the agricultural chemical cleanup program.
Effective 10-01-98.
An order creating ch. ETF 52, relating to the administration of the duty disability benefit program under s. 40.65, Stats.
Effective 10-01-98.
An order repealing and recreating s. HSS 45.05 (11) and s. HFS 46.06 (11), relating to outdoor play space for children attending day care centers.
Effective 10-01-98.
An order creating s. Ins 3.70, relating to aggregating creditable coverage for the state Health Insurance Risk-Sharing Plan (HIRSP), pursuant to s. 149.10 (2t) (a), Stats.
Effective 10-01-98.
An order affecting chs. NR 20 and 26 and ss. NR 21.04, 23.05 and 25.10, relating to recreational and commercial fishing regulations and fish refuges on the inland, outlying and boundary waters.
Effective 04-01-99.
E x e c u t i v e O r d e r s
The following is a listing of recent Executive Orders issued by the Governor.
Executive Order 340. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for the Brave Men and Women of the Armed Forces of the United States Who Lost Their Lives in the Korean War.
Executive Order 341. Relating to a Proclamation on Year 2000 Preparedness.
Executive Order 342. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for the Late Jacob J. Chestnut and the Late John Gibson of the United States Capitol Police Department.
Executive Order 343. Relating to the Creation of a Supplementary Class of Non-Voting, Non-Statutory Members of the Wisconsin Land Council.
Executive Order 344. Relating to a Proclamation of a State of Emergency.
Executive Order 345. Relating to the Amendment of Executive Order No. 344.
Executive Order 346. Relating to a Proclamation of a State of Emergency.
Executive Order 347. Relating to a Proclamation that the Flags of the United States and the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for those Individuals Killed in the Bombing Incidents Outside the United States Embassies in Nairobi, Kenya and Dar es Salaam, Tanzania.
Executive Order 348. Relating to the Amendment of Executive order No. 346.
Public Notices
Public Notice
Health & Family Services
(Medical Assistance Reimbursement for Case Management Services:
Targeted Case Management for Child Welfare Clients in Out-of-Home Care)
The State of Wisconsin reimburses providers for case management 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 and Family Services, is called Medical Assistance (MA) or Medicaid. 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.
Among providers of case management services are those who provide targeted case management for families with children up to the age of 21 who are at risk of physical, mental, or emotional dysfunction. The recipients of this service make up what is called Target Group N.
The Wisconsin Department of Health and Family Services is proposing to modify the rate methodology for targeted case management (TCM) services delivered by the Bureau of Milwaukee Child Welfare or its subcontractors for those clients in Target Group N where the child has been placed in substitute (out-of-home) care within Milwaukee County. The Department's proposal involves no change in the definition of the already existing group and the benefits remain the same.
The state's estimate of any expected increase or decrease in annual aggregate Medicaid expenditures shows an increase of $17,814,708 (Federal Financial Participation-FFP $10,482,174) in state fiscal year (SFY) '98 and $35,629,416 (FFP $20,964,348) in SFY '99. A decrease would take place in Title IV-E expenditures of $12,470,296 (FFP $6,235,148) in SFY '98 and $24,940,591 (FFP $12,470,296) in SFY '99.
The billing process will be established in such a manner as to prevent the processing of duplicate billings for the same client for the same service period. This will be accomplished by installing edits between procedure codes in the Wisconsin Medicaid Management Information System (MMIS) system. The methodology also contains a provision for adjusting the rate to an actual cost basis after completion of the federal fiscal year. In addition, amendments are being proposed to the Department's Cost Allocation Plan to ensure avoidance of duplicate claims for TCM and Title IV-E.
The Department is changing its methods and standards in this manner because this is a more efficient and comprehensive way to track the time expended in delivering these case management services.
The methodology uses the federally approved Random Moment Time Study (RMTS) as a tool in developing the monthly rate per client. Initially the Department will implement the new rate methodology in Milwaukee effective April 1, 1998. Based on legislation and other factors, the Department may implement the methodology on a statewide basis.
Proposed Change
The proposed change is to:
▶ Create a new rate methodology which will employ the Random Moment Time Study (RMTS) as a tool in developing the monthly rate per client for targeted case management services.
Copies of the Available Proposed Changes
A copy of the proposed change may be obtained free of charge by calling or writing as follows:
Regular Mail
Attention: State Plan Coordinator
Bureau of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
