DLTC Memo Series 2007-16
To: Listserv
For: County Department of Community Program Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
From: Sinikka Santala Administrator
Division of Long Term Care
Subject: Rate Information For Billing For Services Provided By The
Centers For Persons With Developmental Disabilities
Document Summary
Each year, the Wisconsin Department of Health and
Family Services reviews and revises the rates charged for services at the
centers for persons with developmental disabilities.
RATE SCHEDULE CENTERS FOR PERSONS WITH DEVELOPMENTAL
DISABILITIES July 1, 2007 - June 30, 2008
The Wisconsin Department of Health and Family Services develops and
approves the rates for the centers for persons with developmental
disabilities. Rates are based on the actual cost of providing these
services. The department has established two rates for services at the
centers for persons with developmental disabilities. One rate is for long
term care services and the other rate is for intensive treatment services.
The rate increase indicated below reflects increases in labor costs as
well as increases in fuel and utilities costs.
At the centers for persons with developmental disabilities, county
departments of developmental disabilities services are billed only for
individuals ineligible for Medicaid, designated as inappropriately placed,
and/or admitted for intensive treatment program services described below.
Per s. 51.437(4rm)(c)1, the county has 60 days to pay the bill. If payment
is not received within 60 days, the amount will automatically be deducted
from the next DHS
payment to the county through the CARS system.
INTENSIVE TREATMENT PROGRAM (ITP) SERVICES were established at
Southern Wisconsin Center (SWC) and Northern Wisconsin Center (NWC) per
1993 Wisconsin Act 16 and at Central Wisconsin Center (CWC) per 1999
Wisconsin Act 9. ITP services are available for individuals at the centers
statewide. Services are provided to individuals with developmental
disabilities who require active treatment and who are also diagnosed as
having a mental illness or who exhibit extremely aggressive and
challenging behaviors.
Under s. 51.437(4rm)(c)2m, the county department of developmental
disabilities services will be billed the non-federal share for services
provided to individuals under s. 51.06(1m)(d) who are eligible for
Medicaid. The ITP rates were calculated to create a uniform statewide rate
for intensive treatment program services provided at the centers. A
uniform statewide ITP rate will enable counties to access the closest
facility or select the facility that best suits the person's needs without
regard to rate differences.
The Billing and Collections Unit of the Bureau of Fiscal Services will
bill the counties for the non-federal share of the Medicaid ITP rates for
the care of the persons receiving ITP services. The amount charged to the
counties will be lower if some portion of the care is covered by
non-Medicaid dollars. The amount charged to the counties will also change
as the Medicaid rate per day and/or the non-federal share changes. On
October 1, 2007 the non-federal share of Medicaid will decrease from 42.53
percent to 42.38 percent. The county will not be billed for the
non-federal share of the Medicaid payments for clients admitted for ITP
services whose cost of care is covered by a Family Care CMO (Care
Management Organization).
On February 7, 2007, the Department announced in the DDES Information
Memo 2007-01 that as of April 1, 2007 admissions to Winnebago Mental
Health Institute's Services for Multiply Impaired Children (SMIC) unit
will be closed and these services will now be provided at Central
Wisconsin Center and Northern Wisconsin Center ITPs. In addition, the
Department notified counties of its intent to transfer services from
Winnebago Mental Health Institute's Transitional Living Center (TLC) unit
to the ITP at Southern Wisconsin Center during calendar year 2008.
On April 20, 2007 the Department also announced in the DDES Numbered
Memo 2007-06 that after review of the full impact on counties of these
transfers, it will apply the following fiscal processes:
- DHS
will fund the non-federal share of costs for any child or
adolescent under the age of 22, who are receiving active treatment and
voluntarily transfers from SMIC or TLC to a DD center between April 1,
2007 and December 31, 2007.
- DHS
will fund the non-federal share of costs, during the short term
stay for children and adolescents who are eligible for admission to an
ITP and who are voluntarily admitted to a DD center and are in need of
active treatment between April 1, 2007 and December 31, 2007 as
determined by a pre-admission assessment. These are children and
adolescents with an intellectual disability who would have been
admitted to SMIC but will not be admitted due to the SMIC unit not
accepting admissions as of April 1, 2007.
- DHS
will waive the 10% surcharge for counties for those children
who were transferred from SMIC/TLC during calendar year 2007.
- Beginning in calendar year 2008, DHS
will impose the appropriate
ITP costs and surcharges for former and future SMIC and TLC clients
admitted to ITP.
EXTENDED INTENSIVE TREATMENT SURCHARGE: Per s. 51.06(5), the
department is authorized to assess a surcharge equal to 10% of the total
cost of care provided to individuals in the ITP's based on their length of
stay. The surcharge is imposed for each six-month period in which a
resident remains at a center beyond his or her discharge date, which is
set by the center and the individual's county of residence. The surcharge
amount will increase by 10% of the total cost of care provided during each
six-month period thereafter. The Department of Health and Family Services
notified the counties regarding the implementation of this surcharge on
October 12, 2006 in the DDES Information Memo 2006-18.
TRANSITIONING PERSONS TO COMMUNITY CARE: The county will be
billed $48.00 per day if an independent professional review established
under 42 USC 1396a(a)(31) determines the person served is appropriate for
community care, and there is adequate state and federal funding to provide
these community services (Per s. 51.437(4rm)(c)2.b.).
RATES AT CENTERS
|
CENTRAL |
NORTHERN |
SOUTHERN |
| Daily Rate for Long Term Care |
$711.00 |
$990.00 |
$630.00 |
| Intensive Treatment Services - Per Day |
$738.00 |
$738.00 |
$738.00 |
| Non Federal Share (7/1/07 - 9/30/07) |
$313.87 |
$313.87 |
$313.87 |
| Non Federal Share (10/1/07 - 6/30/08) |
$312.76 |
$312.76 |
$312.76 |
REGIONAL OFFICE CONTACT: N/A
CENTRAL OFFICE CONTACT:
Michael Hughes
Division of Enterprise Services
1 West Wilson Street, P.O. Box 7851
Madison, WI 53707-7851
(608) 267-2254
MEMO WEB SITE: http://www.dhs.wisconsin.gov/dsl_info/
cc Area Administrators/Human Service Area Administrators
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County/Tribal Aging Directors
DDES Facility Central Office Staff
DDES Center Directors
DD Service Coordinators
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