Public notices
Health and Family Services
(Medical Assistance Reimbursement of Physicians)
The State of Wisconsin reimburses physicians for medical services provided to Medical Assistance recipients 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 Wisconsin Department of Health and Family Services (the Department), is called Medicaid or Medical Assistance (MA). 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 for physician services. The Department is proposing to establish an additional section of the plan relating to physician services reimbursement.
Proposed Change
The Department proposes to provide supplemental payments for services provided by physicians who are members of medical practice groups affiliated with public governmental hospitals in order to recognize the unique role of these providers in the State Medicaid healthcare delivery system. The estimated fiscal effect of these changes in State Fiscal Year 2006-07 is approximately $19.5 million all funds, ($11.3 million federal financial participation (FED) and $8.2 million state expenditures). The change is effective November 1, 2006.
Copies of Proposed Change
Copies of the proposed change will be sent to every county social services or human service department main office where they will be available for public review. For more information, interested persons may fax or write to:
Hospitals, Physicians and Clinics Section
Division of Health Care Financing
P.O. Box 309
Madison, WI 53701-0309
Fax: (608) 266-1096
Written comments on the proposed changes should be sent to the above address. The comments received on the changes will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. at:
Division of Health Care Financing
Room 350, State Office Building
One West Wilson Street
Madison, WI
