Public notices
Health and Family Services
(Medical Assistance Reimbursement for School-Based Services:
Cost-Based Reporting to Determine Rates for School District Reimbursement)
The State of Wisconsin reimburses providers for school-based 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.
The Wisconsin Department of Health and Family Services is proposing to modify the methods for calculating reimbursement for school districts for school-based services. The Department proposes to use cost-based reporting to determine rates for reimbursement for school-based services. No change will be made in the services provided under the school-based services benefit.
Proposed Change
The proposed change is to use cost-based reporting to determine rates for reimbursement for school-based services. This change is projected to have no fiscal effect on program expenditures.
Copies of the Proposed Change: A copy of the proposed change may be obtained free of charge by calling or writing as follows:
Regular Mail
Al Matano
Bureau of Fee-for-Service Health Care Benefits
Division of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
Phone
Al Matano
(608) 267-6848
FAX
(608) 266-1096
Attention: Al Matano
E-Mail
A copy of the proposed change are 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 Department. The FAX number is (608) 266-1096.
The e-mail address is
matana@dhfs.state.wi.us. 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.
Health and Family Services
(Medical Assistance Reimbursement of Nursing Homes)
State of Wisconsin Medicaid Nursing Facility Payment Plan: FY 05-06
The State of Wisconsin reimburses Medicaid-certified nursing facilities for long-term care and health care services provided to eligible persons under the authority of Title XIX of the Federal 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 setting payment rates for nursing facility services covered by the payment system. A plan that describes the nursing home reimbursement system for Wisconsin is now in effect as approved by the Centers for Medicare and Medicaid Services (CMS).
The Department is proposing a change in the methods of payment to nursing homes and, therefore, in the plan describing the nursing home reimbursement system. The change is effective January 1, 2006.
The proposed change would establish a pilot program for ventilator-dependent residents. The estimated increase in annual aggregate expenditures attributable to this change is approximately $500,000 all funds, ($290,000 FFP), excluding patient liability.
The proposed change is being implemented as a pilot program to end residents' dependency on mechanical ventilation and transition them to the most appropriate setting commensurate with their highest level of independence.
The proposed change is:
Establish a pilot rehabilitation program to end residents' dependency on mechanical ventilation and transition them to the most appropriate setting commensurate with their highest level of independence. An enhanced payment to fund an intensive rehabilitation program will be provided to a pilot facility for a restricted time period.
Copies of the Proposed Change:
Copies of the available proposed change may be obtained free of charge by writing to:
Division of Health Care Financing
Attention: Nursing Home Medicaid Payment Plan
P.O. Box 309
Madison, WI 53701-0309
or by faxing James Cobb at 608-264-7720.
The available proposed changes may be reviewed at the main office at any county department of social services or human services.
Written Comments/Meetings:
Written comments on the proposed change may be sent to the Division of Health Care Financing, at the above address. The 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 changes based on comments received. There will also be public meetings to seek input on the proposed plan amendment. If you would like to be sent a public meeting notice, please write to the above address. Revisions may, also, be made in the proposed change based on comments received at these forums.
