Public Notices

public_notices Wisconsin Administrative Register No. 675, 3/31/2012

Public Notices

Children and Families

Revision of Child Care Co-Payment Schedule for Licensed and Certified Care under s. DCF 201.08 (3) (a) 4., Wisconsin Administrative Code

Chapter DCF 201

Table DCF 201.08

Effective April 29, 2012

Under s. DCF 201.08 the department sets a schedule for parent copayment responsibilities for all parents who receive child care financial assistance under s. 49.155, Stats. Section DCF 201.08 (3) allows the department to adjust the amounts in the schedule based on a change in the federal poverty level by publishing the adjustments in the Administrative Register. The new parental copayment amounts will be effective April 29, 2012.

Child Care Co-Payment Schedule for Licensed and Certified Care

Look down the column for the family size until you find the gross monthly income level at or just below the family income. Look to the right to find the appropriate co-payment by family size.

	[-----------------------Gross Monthly Income----------------------)									WEEKLY CO-PAY AMOUNT
	FAMILY SIZE									CHILDREN IN SUBSIDIZED CARE:
	2	3	4	5	6	7	8	9	10+	1	2	3	4	5 +
70% FPL	883	1114	1345	1576	1807	2038	2269	2500	2731	6	10	16	20	26
75% FPL	946	1193	1441	1688	1936	2183	2431	2678	2926	6	13	19	25	31
80% FPL	1009	1273	1537	1801	2065	2329	2593	2857	3121	9	15	21	28	34
85%FPL	1072	1352	1633	1913	2194	2474	2755	3035	3316	13	19	25	31	40
90%FPL	1135	1432	1729	2026	2323	2620	2917	3214	3511	14	23	30	38	45
95% FPL	1198	1511	1825	2138	2452	2765	3079	3392	3706	19	28	36	45	52
100% FPL	1261	1591	1921	2251	2581	2911	3241	3571	3901	21	31	39	50	58
105% FPL	1324	1670	2017	2363	2710	3056	3403	3749	4096	24	33	44	52	61
110% FPL	1387	1750	2113	2476	2839	3202	3565	3928	4291	27	37	45	55	64
115% FPL	1450	1829	2209	2588	2968	3347	3727	4106	4486	30	39	49	59	67
120% FPL	1513	1909	2305	2701	3097	3493	3889	4285	4681	33	44	52	61	72
125% FPL	1576	1989	2401	2814	3226	3639	4051	4464	4876	37	47	55	66	76
130% FPL	1639	2068	2497	2936	3355	3784	4213	4642	5071	39	51	61	73	83
135% FPL	1702	2148	2593	3039	3484	3930	4375	4821	5266	43	55	67	79	91
140% FPL	1765	2227	2689	3151	3613	4075	4537	4999	5461	45	58	71	83	97
145% FPL	1828	2307	2785	3264	3742	4221	4699	5178	5656	49	61	72	86	99
150% FPL	1891	2386	2881	3376	3871	4366	4861	5356	5851	52	64	77	89	103
155% FPL	1954	2466	2977	3489	4000	4512	5023	5535	6046	54	66	80	92	105
160% FPL	2017	2545	3073	3601	4129	4657	5185	5713	6241	58	71	83	96	109
165% FPL	2080	2625	3169	3714	4258	4803	5347	5892	6436	59	73	86	98	111
170% FPL	2143	2704	3265	3826	4387	4948	5509	6070	6631	60	77	89	103	114
175% FPL	2206	2784	3361	3939	4516	5094	5671	6249	6826	62	78	92	106	117
180% FPL	2269	2863	3457	4051	4645	5239	5833	6427	7021	65	81	96	109	120
185% FPL	2333	2943	3554	4164	4775	5385	5996	6606	7217	66	84	99	111	123
190% FPL	2396	3023	3650	4277	4904	5531	6158	6785	7412	67	85	102	114	126
195% FPL	2459	3102	3746	7389	5033	5676	6320	6963	7607	70	88	105	117	130
200% FPL	2522	3182	3842	4502	5162	5822	6482	7142	7802	72	90	107	120	132

Co-payment types: REG is based on family size, FPL and number of children in care; this code is used for working parents, W-2, and FSET participants. KIN is $0 and is used for families with court ordered kinship or guardianship care. NCK is based on 70% FPL and is used for families that have no court order but are caring for a relative child. FOS is $0 and is used for foster families. PSP is ½ of regular copayment and is used for Milwaukee Public Schools before and after school care when the authorization is for more than 20 hours per week. WWE is based on 70% FPL and is used for W-2 participants in their first month of unsubsidized employment. THS is based on 70% FPL and is used for teen parents that are attending high school. When any authorization is for less than 35 hours of care per week, the copayment is pro-rated based upon the hours of authorized care.

Health Services

(Medical Assistance Reimbursement of Ambulatory Surgical Centers)

The State of Wisconsin reimburses ambulatory surgical centers for medically necessary services provided to low-income persons through the State's Medical Assistance program. The State's Medical Assistance program, also referred to as Medicaid, is administered by the Wisconsin Department of Health Services (the Department) and operates under the authority of Title XIX of the Federal Social Security Act and sections 49.43 to 49.47 of Wisconsin Statutes.

Federal statutes and regulations require the State to maintain a state plan that describes its policies for administering the Medical Assistance program.

The Department is proposing technical modifications to existing sections of the state plan related to the ambulatory surgical center assessment to correct for errors in the language to make the language consistent with the legislative intent of the assessment. The modifications will clarify the amount of increased Medicaid reimbursement to ambulatory surgical centers under the assessment and clarify the effective dates of the state plan changes. The will be no change to annual aggregate expenditures under these changes. The effective date of the change will be April 1, 2012.

Copies of the Proposed Changes

Copies of the proposed changes 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:

Division of Health Care Access and Accountability
P.O. Box 309
Madison, WI 53701-0309
Fax: [phone]

Department staff have notified the health directors of Native American tribes in Wisconsin of this proposal and consulted with them.

Written Comments

Written comments on the proposed changes are welcome and 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 Access and Accountability
Room 350, State Office Building
One West Wilson Street
Madison, WI 53703

Health Services

Medical Assistance Reimbursement to Hospitals
Pay For Performance Payment Plan for State Fiscal Year 2012-2013

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 State Statutes. This program, administered by the State's Department of Health Services (Department), is called Medicaid or Medical Assistance.

The Department is proposing to modify inpatient hospital pay for performance measures and associated payment rates for state fiscal year 2012. The pay for performance measures are projected to distribute $5,000,000 all funds in state fiscal year 2012, composed of $1,978,000 general purpose revenue (GPR) and $3,022,000 federal funds (FED). The effective date of the change will be April 1, 2012.

Copies of 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:

Regular Mail
Division of Health Care Access and Accountability
P.O. Box 309
Madison, WI 537001-0309

State Contact
Sean Gartley
Bureau of Benefits Management
[phone] (phone)
[phone] (fax)
[e-mail]

A copy of the proposed change is available for review at the main office of any county department of social services or human services. Department staff have notified the health directors of Native American tribes in Wisconsin of this proposal and consulted with them.

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 [phone]. The email address is [e-mail]. 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 State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changed pay for performance measures based on comments received.

Natural Resources

Notice of Invalidity of Part of Section NR 106.10 (1) pursuant to section 227.40 (6), Stats.

On March 2, 2012, in Case No. 12-CV-0569, Midwest Environmental Defense Center Inc. v. Wisconsin Department of Natural Resources, et. al., an action for declaratory judgment under s. 227.40, Stats., the Circuit Court for Dane County, Branch 2, entered an Order pursuant to a Stipulation of the parties as follows:

STIPULATION AND ORDER

The plaintiff brought this action challenging the validity and reliance on a portion of Wis. Admin. Code s. NR 106.10 (1), which contains an exclusion to certain compounds subject to water quality based effluent limitations in WPDES permits. The parties wish to resolve this matter without additional litigation and believe this stipulation to be in the public interest and consistent with the requirements of the Clean Water Act and state laws and regulations implementing the Clean Water Act, and AGREE and STIPULATE as follows:

1. The part of the rule that reads, “but do not include the addition of compounds at a rate and quantity necessary to provide a safe drinking water supply, or the addition of substances in similar type and amount to those substances typically added to a public drinking water supply," does not comply with the requirements of the federal Clean Water Act, 33 U.S.C. ss. 1251 to 1387, and regulations adopted under that act and is therefore declared to be invalid, and the Department of Natural Resources shall continue not to rely on that part of the rule.

2. As required by Wis. Stat. s. 227.40 (6), by copy of this Stipulation and Order, the Legislative Reference Bureau is ordered to publish a notice of the Court's determination as to the invalidity of those portions of Wis. Admin. Code s. NR 106.10 (1) identified in this Stipulation and Order in the Wisconsin Administrative Register under Wis. Stat. s. 35.93 (4), and it shall insert an annotation of the Court's determination in the Wisconsin Administrative Code under Wis. Stat. s. 13.92 (4) (a).

3. The Department of Natural Resources shall grant or deny the four pending Wis. Stat. s. 283.63 petitions identified in the complaint by no later than thirty days following the date of the Court's entry of this Order, and if any of the petitions for hearing is granted, shall refer the matter to the Division of Hearings and Appeals within thirty days of the Department's granting of the petition.

4. This action may be dismissed.

(party signatures and contact information omitted.)

ORDER

The terms of the foregoing stipulation are approved by and made the order of the Court, and this action is dismissed, this 2nd day of March 2012. This is a Final Order under Wis. Stat. s. 808.03 (1).

BY THE COURT:

/s/

MARYANN SUMI

Circuit Judge, Branch 2

This notice is given by the Legislative Reference Bureau as required by s. 227.40 (6), Stats., and the order of the court.

Natural Resources

Notice of Repeal of Chapter NR 411 pursuant to section 227.26 (2) (i), Stats.

Pursuant to 2011 Wisconsin Act 121, Chapter NR 411, Wisconsin Administrative Code is repealed as provided under section 227.26 (2) (i) of the statutes, effective March 22, 2012.

This notice is given by the Legislative Reference Bureau as required by Section 2 of 2011 Wisconsin Act 121.