Department of Health Services Logo

 

Wisconsin Department of Health Services

Home

What's New!

General Information

Aging and Disability Resource Centers

Consumer 
Information

Program Monitoring and Evaluation

Program Operations

WI Functional Screen

State and Fed Requirements

Encounter Reporting

Data Warehouse

History of LTC Redesign

 

Nursing Home Resources in the Family Care Benefit

This page includes resources for the managed care organizations (MCOs) for operationalizing the nursing home benefit in Family Care. 

Nursing Home Rates

July 1, 2013 Rates
If a provider does not have 7/1/13 rates listed, MCOs should continue to use the 7/1/12 rate spreadsheet as interim rates until the 7/1/13 rates are available. If you have questions, please contact Jane Gottwald (715-836-3059).

Prior Year's Rates:

Memos/Technical Assistance

Other Resources/Links

Calendar Year (CY) 2013 DD Center Rates (PDF, 67 KB)

Division of Quality Assurance - Nursing Homes introduction 

Methods of Implementation and Medicaid Handbook:

  • Methods Of Implementation For Wisconsin Medicaid Nursing Home Payment Rates For The Period July 1, 2013 Through June 30, 2014 (ForwardHealth portal)
  • Medicaid Online Handbook (ForwardHealth portal)
  • Notes regarding Methods of Implementation and Medicaid Handbook:
    • The Methods of Implementation represent the most current program requirements and rules relative to nursing home and ICF-IID provider reimbursement.
    • Providers should continue to refer to the handbook for program requirements and rules.
    • Because the Methods of Implementation are updated every year, and the handbook is not, providers may identify sections where the two documents are not identical. In every instance, the Methods are considered authoritative.
    • As an example, the handbook contains certain obsolete references to bed hold billing requirements. Providers will see the correct current bed hold requirements in section 1.500 of the Methods.

PDF: The free Adobe Acrobat Reader software is needed to view print portable document format (PDF) files. Learn more.

Last Revised: March 11, 2014