Public Notices

public_notices Wisconsin Administrative Register No. 690, 6/14/2013

Public Notices

Health Services

Medicaid Reimbursement for Prescription Drugs —
Multi-State Purchasing Pool Supplemental Rebate Agreement

The State of Wisconsin reimburses providers for 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 Services (the Department), is called Medical Assistance (MA) or Medicaid. In addition, Wisconsin has expanded this program to create the BadgerCare and BadgerCare Plus programs under the authority of Title XIX and Title XXI of the Social Security Act and ss. 49.471, 49.665, and 49.67 of the Wisconsin Statutes. 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. A separate program, SeniorCare, provides “Prescription drug assistance for elderly persons" under the authority of s. 49.688 of the Wisconsin Statutes.

Change in Payment Methods

Among the services provided to recipients of services under Medical Assistance, BadgerCare, BadgerCare Plus, and SeniorCare are prescription drugs and related pharmacy services. Expenditures for pharmacy services are offset in part by rebate agreements with suppliers of prescription drugs. Part of the system by which Wisconsin receives these rebates is a multi-state purchasing pool supplemental rebate agreement. The Department intends to change the template of the supplemental rebate agreement.

The change will be effective January 1, 2014, and will apply to claims with dates of service on or after that date. The change to Medicaid, BadgerCare, BadgerCare Plus, and SeniorCare supplemental rebate agreement is projected to result in no change in expenditures.

Copies of Changes

Copies of the revised contract template may be obtained free of charge by calling or writing as follows:

Regular Mail
Kim Reniero
Bureau of Benefits Management
Division of Health Care Access and Accountability
P.O. Box 309
Madison, WI 53701-0309

Fax
[phone]
Attention: Kim Reniero

Telephone
Kim Reniero
Bureau of Benefits Management
[phone]

E-Mail
[e-mail]

Copies of the state plan change will be made 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 Division of Health Care Access and Accountability. The fax number is [phone]. The e-mail address is [e-mail]. 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.

Natural Resources

Notice of State Implementation Plan Submittal to Legislature to Incorporate Rule Revision of Total Suspended Particulate

On May 16, 2013, the Wisconsin Department of Natural Resources (WDNR) submitted to the standing committees of the legislature with jurisdiction over environmental matters under s. 13.172 (3), Wis. Stats., a report describing WDNR's proposal to submit a revision to Wisconsin's State Implementation Plan (SIP) for air quality to the U.S. Environmental Protection Agency (EPA). The WDNR is requesting that the U.S. EPA approve the proposed SIP revision to incorporate the repeal of the state's total suspended particulate air quality standard. The purpose of the proposed SIP revision is to incorporate the following rule revision that became effective on December 1, 2011: AM-23-07B — Repeal of the state's total suspended particulate (TSP) air quality standard. The WDNR pursued this rule change to align the state's air quality standards, which can be found in ch. NR 404, Wis. Adm. Code, with the federal National Ambient Air Quality Standards (NAAQS). The Wisconsin Natural Resources Board (NRB) adopted this rule change on June 22, 2011. The Wisconsin NRB's order is included in the report.

A hard copy or electronic copy of the report that WDNR is providing to the legislature may be obtained by contacting Mr. Joseph Hoch, Regional Pollutants Section Chief, at [phone] or [e-mail].

Natural Resources

Notice of State Implementation Plan Submittal to Legislature for Nitrogen Dioxide, Ozone, and Sulfur Dioxide National Ambient Air Quality Standards

On May 16, 2013, the Wisconsin Department of Natural Resources (WDNR) submitted to the standing committees of the legislature with jurisdiction over environmental matters under s. 13.172 (3), Wis. Stats., a report describing WDNR's proposal to submit a revision to Wisconsin's State Implementation Plan (SIP) for air quality to the U.S. Environmental Protection Agency (EPA). The WDNR is requesting that the U.S. EPA approve Wisconsin's infrastructure SIP for the 2008 ozone, and the 2010 nitrogen dioxide and sulfur dioxide National Ambient Air Quality Standards (NAAQS). Pursuant to Section 110 (a) of the federal Clean Air Act (CAA), states are required to submit an infrastructure SIP to provide for the implementation, maintenance, and enforcement of revised NAAQS. The purpose of this proposed SIP revision is to comply with Section 110 (a) of the CAA. The proposed SIP revision does not include any changes to Wisconsin's administrative rules. The U.S. EPA revised the NAAQS for ozone in 2008, effective on May 27, 2008 [73 FR 16436], the NAAQS for nitrogen dioxide in 2010, effective on April 12, 2010 [75 FR 6474], and the NAAQS for sulfur dioxide in 2010, effective on August 23, 2010 [ 75 FR 35520]. The draft infrastructure SIP that the WDNR plans to submit to the U.S. EPA is included in the report.

A hard copy or electronic copy of the report that WDNR provided to the legislature may be obtained by contacting Mr. Joseph Hoch, Regional Pollutants Section Chief, at [phone] or [e-mail].

Natural Resources

Notice of State Implementation Plan Submittal to the Legislature Regarding Supplemental Information for Wisconsin's Fine Particulate Matter Redesignation Request for the Milwaukee-Racine Nonattainment Area

On May 29, 2013, the Wisconsin Department of Natural Resources (WDNR) submitted to the standing committees of the Wisconsin State Legislature with jurisdiction over environmental matters under s. 13.172 (3), Wis. Stats., a report describing WDNR's proposal to submit a revision to Wisconsin's State Implementation Plan (SIP) for air quality to the U.S. Environmental Protection Agency (EPA). This report includes an ammonia (NH3) emissions inventory and fine particulate matter (PM2.5) design value modeling for the Milwaukee-Racine PM2.5 Nonattainment Area. The Milwaukee-Racine PM2.5 Nonattainment Area includes the counties of Milwaukee, Racine, and Waukesha. In light of two recent decisions from the United States Court of Appeals for the District of Columbia (EME Homer City Generation, L.P. v. EPA issued on August 21, 2012 and Natural Resources Defense Council v. EPA issued on January 4, 2013), the U.S. EPA requested this additional information before it could make a regulatory decision on the Department's outstanding PM2.5 redesignation request that was originally submitted on June 5, 2012.

A hard copy or electronic copy of the report that WDNR is providing to the legislature may be obtained by contacting Mr. Joseph Hoch, Regional Pollutants Section Chief, at [phone] or [e-mail].