CONTACT: Stephanie Smiley, (608) 266-1683
DEPARTMENT LAUNCHES WEBSITE ON MEDICAID SAVINGS
MADISONDepartment of Health Services Secretary, Dennis G. Smith,
today launched a website that outlines initiatives designed to keep the
state’s Medicaid program sustainable, fair and equitable. The site was
developed in an effort to ensure that the cost savings measures are posted
for the public to see prior to any formal submission of changes to the
“This website is a transparent way for Wisconsin citizens, providers,
advocates and stakeholders to view and provide comments on what the
Department is proposing to keep Medicaid financially stable,” Secretary
Smith said. “The feedback we get on these initiatives will be considered
before we formally submit our proposed changes to the federal government
Currently, one of every five Wisconsin residents is served by Medicaid.
With a $1.33 billion decrease of federal matching funds and past budget
estimates based on a projected enrollment decline while enrollments
actually increased, the Department was tasked with finding savings to keep
the program solvent and meet 2011-2013 state budget targets.
Summaries of each initiative are listed individually by program and by
four reform categories on the website: eligibility, benefits, service
delivery and payment reforms. Additional reforms will be posted on the
site as they are finalized. Some of the first initiatives posted on the
Virtual PACE - In Wisconsin, roughly 120,000 Medicaid enrollees
are also enrolled in Medicare and are known as “dual eligible”
members. Currently, the members must navigate a fragmented health care
system that limits coordination between health providers and increases
costs. The new program, Virtual PACE, is a coordinated care system for
Wisconsin’s dual eligible members who wish to receive their services in
community settings. This is accomplished by fully integrating Medicare and
Medicaid services and funds.
Medical Homes for Children in Foster Care - Currently, there are
5,500 children in foster care who receive Medicaid services in Wisconsin.
Many of the foster care children need specialty care and are receiving
that care on a fee-for-service basis. As a result, care may be limited
among providers, is not coordinated, and may not address the specific
needs of foster care children. The Departments of Health Services and
Children and Families are creating a medical home model for children in
foster care that provides health care services that are evidence-based and
will ensure better health, improved behavior and mental health, with the
goal of achieving positive permanent placement outcomes.
To view the first of several Medicaid savings initiatives and provide
input, visit: www.dhs.wisconsin.gov/MAreform.
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Last Revised: September 26, 2011