Public Notices

public_notices Wisconsin Administrative Register No. 707, 11/14/2014

Public Notices

Department of Health Services

(Medicaid Reimbursement for Psychosocial Rehabilitation Services)

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 Plus program under the authority of Title XIX and Title XXI of the Social Security Act and ss. 49.471 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.

Change in Payment Methods

Among the services provided to members enrolled in Medical Assistance and BadgerCare Plus are three separate psychosocial rehabilitation programs: Community Support Programs (CSP), Comprehensive Community Services (CCS), and Community Recovery Services (CRS). These programs are overseen by the Division of Mental Health and Substance Abuse Services (DMHSAS). All three programs are administered by counties and/or tribes.

Wisconsin Medicaid will combine the federal legal authorities for CSP, CCS, and CRS under one psychosocial rehabilitation benefit. The CSP, CCS, and CRS services will continue to exist under the umbrella of the psychosocial rehabilitation program. Members will be able to receive any of the services they need that were previously provided by the three programs separately.

Wisconsin Medicaid will continue to provide counties/tribes with cost settlement/reconciliation for all three programs.

This notice is to inform the public that the Department intends to submit an amendment to Wisconsin's Medicaid state plan to effectuate this change. The changes will be effective January 1, 2015, and will apply to claims with dates of service on or after that date. The change to Medicaid and BadgerCare Plus is projected to result in no change in expenditures, as the existing services will continue unchanged, but in a more streamlined manner of administration.

The implementation date is the first day of the second quarter of federal fiscal year 2015 and is the first day of the third quarter of state fiscal year 2015.

Copies of Changes

Copies of the amendment to the Medicaid state plan, when drafted, may be obtained free of charge by calling or writing as follows:

Regular Mail:

Al Matano

Bureau of Fiscal Management

Division of Health Care Access and Accountability

P.O. Box 309

Madison, WI 53701-0309

Fax:

[phone]

Attention: Al Matano

Telephone:

Al Matano

Bureau of Fiscal 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 318 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changed methodology based on comments received.