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General Information

Aging and Disability Resource Centers

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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, 2011 Final Rates
The 7/1/11 rate worksheet is final although a few providers may not be included. For those rates or any other questions please contact Jane Gottwald (715-836-3059).

• Updated 5/3/12 Final July 1, 2011 RUGs-48 rates (Excel, 428 KB)

Prior Year's Rates

• Updated 3/24/11 October 1, 2010 RUGs-48 rates (Excel, 423 KB)
• Updated 3/24/11 July 1, 2010 RUGs-34 rates (Excel, 433 KB)

Memos/Technical Assistance

• 11-02 MCO Access and Contracts with Nursing Home Commissions formed under s. 49.49(7) (PDF, 34 KB; replaces memo TA 10-05)
• Changes to Coverage, Daily Rate, and Billing Instructions for Negative Pressure Wound Therapy Pumps for Nursing Homes
  • Memo to MCOs: Changes in Coverage for Negative Pressure Wound Therapy Pumps in Medicaid Nursing Home Daily Rate (PDF, 41 KB)
  • Memo to MA Nursing Home Providers: Managed Care Organization billing for Negative Pressure Wound Therapy Pumps (PDF, 36 KB)
  • Forward Health Update 1010-104 (December 2010) (PDF, 104 KB)
• 10-10: Technical assistance documents providing guidance to Managed Care Organizations for implementing the Resource Utilization Grouper (RUGS) payment method for nursing home services with Family Care members (PDF, 110.5 KB)
  • Appendix A: Part I - Managed Long-Term Care Contract Language Change: Payments to Nursing Homes
    Effective: January 1, 2009 (PDF, 134 KB)
  • Appendix B: Part II - Overview and Technical Assistance for Implementation of MDS 3.0 and RUGS IV in Family Care Effective: October 1, 2010 (PDF, 105 KB)
• CIB #2009-1: Payment of Nursing Home Providers When a Family Care Member Is Also Enrolled in a Hospice Program and Receiving Hospice Care Services in a Nursing Home (PDF, 86 KB)

Other Resources/Links

Methods Of Implementation For Wisconsin Medicaid Nursing Home Payment Rates For The Period July 1, 2010 Through June 30, 2011 (ForwardHealth portal)

Medicaid Online Handbook (ForwardHealth portal)

Division of Quality Assurance - Nursing Homes introduction 

Fiscal Year (FY) 2010 DD Center Rates (PDF, 61 KB)

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Last Revised: May 04, 2012