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Wisconsin Department of Health Services

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ATTACHMENT A

BRAIN INJURY WAIVER (CARS Profile 506)

  1. Waiver slots in the Brain Injury Waiver are regular slots which use state GPR funds to match the federal share of MA.

  2. Reimbursement will be based on the average daily claims which must be less than or equal to the state per diem rate for program participants.

  3. Any costs exceeding the state per diem rate should not be reported on this line, but on BIW Federal and selected local match lines.

  4. If the average daily claim for program participants equals less than the state per diem rate, any unused funds will be applied to the BIW Federal line (local match slots) to provide MA match during the year-end contract reconciliation.

  1. Funding for either type of slot may be used to reimburse the county agency for costs they incur if the costs are included in a valid claim submitted for an eligible BIW waiver program participant and associated administrative costs.

TABLE 1: EXAMPLE OF BIW PROFILE (CARS 506) CHARGES

 

Avg Cost/Day

 Federal & State GPR (CARS Profile 506)

Overage (charges to Profile 507 & County selected locally matched lines)
1. Regular Slots

$190.00

$180.00

$ 10.00

Cars Profile 506 Total

 

$180.00

 

Amount to charge on Cars Profile 507

 

 

$ 10.00

BIW FEDERAL (CARS Profile 507)

  1. Waiver slots funded on the BIW Federal line are locally matched slots where only local funds are allocated by the county agency to match the federal share of MA. Reimbursement shall be the federal share of the average daily claims for all program participants multiplied by the maximum number of days in the year the participant is eligible. The balance of the daily claims must be charged on county selected local match lines.

  1. The federal share of costs exceeding the state per diem rate of BIW regular slots reported on CARS line 506.

TABLE 2: EXAMPLE OF BIW FEDERAL PROFILE CHARGES

 

Avg Cost/Day Or Amount Carried from Profile 506

 Federal Share (CARS Profile 507)

Local Charges (County selected locally matched lines)

1. BIW Locally Matched Slots

$125.00

$73.88

$ 51.12
2. Federal Overage of BIW "Regular" Slots

$ 10.00

$ 4.09

$ 5.91

Cars Profile 507 Total

 

$77.97

 

Amount to charge County Selected Locally Matched Lines (COP or Community Aids)

 

 

$ 57.03

Additional Funds:
Any unused state funds from BIW may be applied to provide MA match for locally matched slots during the year-end contract reconciliation.

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