Public Notices
Department of Financial Institutions
Division of Banking
Notice of Interest Rate on Required Residential Mortgage Loan Escrow Accounts for 2010
Under Section 138.052 (5) (a), Stats., with some exceptions, a bank, credit union, savings bank, savings and loan association, or mortgage banker, which originates a residential mortgage loan requiring an escrow account to assure the payment of taxes or insurance, shall pay interest on the outstanding principal of the escrow.
Section 138.052 (5) (am) 2., Stats., directs the division of banking to determine annually the required interest rate. The rate is based on the average of interest rates paid on regular passbook deposit accounts by institutions under the division of banking's or office of credit unions' jurisdiction.
The Department of Financial Institutions, Division of Banking, has calculated the interest rate required to be paid on escrow accounts under Section 138.052 (5), Stats., to be 0.46% for 2010. This interest rate shall remain in effect through December 31, 2010.
Contact Person
Mr. Michael J. Mach, Administrator
Department of Financial Institutions
Division of Banking
Telephone (608) 261-7578

Department of Health Services
Medical Assistance Reimbursement for Inpatient and Outpatient Hospital Services:
State of Wisconsin Hospital Medicaid Hospital Payment Plans beginning January 1, 2010
The State of Wisconsin reimburses hospitals for services provided to Medical Assistance recipients under the authority of Title XIX of the Social Security Act and Chapter 49 of Wisconsin Statutes. This program, administered by the State's Department of Health Services (DHS), is called Medicaid or Medical Assistance.
Under the current Medicaid Inpatient and Outpatient Hospital State Plans (i.e., proposed effective date of July 1, 2009), the rate-setting methodology for hospitals is a provider specific, cost based DRG payment system adjusted by case mix. Payments are adjusted as necessary to ensure budget compliance. The current Medicaid hospital reimbursement methodology also involves a retroactive cost settlement process.
Proposed Change
About half of the hospitals in Wisconsin are deemed Critical Access Hospitals (CAHs). CAHs currently receive rates estimated to provide 100% of CAH facility-specific costs including a retroactive settlement process. The 2009-2011 Wisconsin Biennial Budget, 2009 Wisconsin Act 28, requires the Department of Health Services (DHS) to reduce Medicaid spending by about $600 million (all funds) in the biennium. This proposal helps to implement the savings contained in the DHS plan that was originally proposed, and publicly released, in September 2009.
Therefore, the Department is proposing to implement a rate setting methodology change for CAH inpatient and outpatient hospital services, i.e., reimbursing 90% of facility-specific CAH costs. The change is proposed to take effect for services provided on or after January 1, 2010.
The Department's proposals involves no change in the definition of those eligible to receive benefits under Medicaid, and the benefits available to eligible recipients remains the same. The effective date for these proposed changes will be January 1, 2010.
This notification is intended to provide notice of the type of changes that are included in the amendment. Interested parties should obtain a copy of the actual proposed plan amendment to comprehensively review the scope of all changes.
Copies of the Proposed Change
A copy of the proposed change may be obtained free of charge at your local county agency or by calling or writing as follows:
By Mail
Division of Health Care Access and Accountability
P.O. Box 309
Madison, WI 53701-0309
State Contact
Curtis Cunningham, Section Chief
Hospital Rate Setting
(608) 261-6858 (phone)
(608) 266-1096 (FAX)
A copy of the proposed change is available for review at the main office of any county department of social services or human services. A copy of the proposed state plan(s) may also become available on the Wisconsin Medicaid ForwardHealth web site circa January 1, 2010 at:
Written Comments
Written comments are welcome. Written comments on the proposed change may be sent by FAX, email, or regular mail to the Division of Health Care Access and Accountability. The FAX number is (608) 266-1096. The email address is curtis.cunningham@wisconsin.gov. Regular mail can be sent to the above address. All written comments will be reviewed and considered.
All written comments received 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.
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