Public Notices
Department of Health Services
State of Wisconsin Medicaid Nursing Facility Payment Plan: FY 08-09
(Medical Assistance Reimbursement of Nursing Homes)
The State of Wisconsin reimburses Medicaid-certified nursing facilities for long-term care and health care services provided to eligible persons 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 State's Department of Health Services, is called Medical Assistance (MA) or Medicaid. Federal Statutes and regulations require that a state plan be developed that provides the methods and standards for setting payment rates for nursing facility services covered by the payment system. A plan that describes the nursing home reimbursement system for Wisconsin is now in effect as approved by the Centers for Medicare and Medicaid Services (CMS).
The Department is proposing changes in the methods of payment to nursing homes and, therefore, in the plan describing the nursing home reimbursement system. The changes are effective March 1, 2009.
The proposed changes would update the payment system and make a payment-related policy change.
The estimated increase in annual aggregate expenditures attributable to these changes for nursing homes serving MA residents is approximately $75,000 all funds, ($44,000 FFP), excluding patient liability.
The proposed change is being implemented to comply with Wisconsin Statutes governing Medicaid payment systems, particularly s.
49.45 (6m), Wis. Stats.
The proposed change is as follows:
Create Sections
2.760 and
3.657 to provide 75 facilities to receive $1,000 each as a prevention incentive for participating in a program to reduce pressure sores.
Copies of the Proposed Changes:
Copies of the available proposed changes and proposed rates may be obtained free of charge by writing to:
Division of Long Term Care
Attention: Nursing Home Medicaid Payment Plan
P.O. Box xxx
Madison, WI 53701-xxxx
or by faxing James Cobb at 608-264-7720.
Written Comments/Meetings:
Written comments on the proposed changes may be sent to the Division of Long Term Care at the above address. The comments will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room B274 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changes based on comments received.
