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Residential Rate Setting Project

Purpose of Project

The purpose of the residential rate-setting project is to establish a uniform methodology for determining all-inclusive rates for services provided by community-based residential programs that reflect the reasonable costs of services in relation to the acuity of members served by those programs. The application of a common methodology will:

  • Promote access to and quality of services for members.
  • Treat consistently providers offering similar services.
  • Establish predictability for purchasers and providers of residential services.
  • Maintain transparency and good stewardship of resources.
  • Ensure consistency with CMS guidelines.

Residential Rate-Setting Project Overview (PDF, 23 KB)

Current Project Status

Residential Rate-Setting Project Update - December 3, 2010 (PDF, 94 KB)

Frequently Asked Questions

The Department of Health Services, Division of Long Term Care, welcomes stakeholder feedback and questions regarding the residential rate setting project. In order to assure an effective and efficient response to your comments, we are in the process of drafting a Frequently Asked Questions (FAQs) document that will be regularly updated and published to our website. Please continue to submit your questions or comments to our general mailbox at DHSOFCE@wisconsin.gov.

Receive Project Updates and Notifications of Stakeholder Meetings

Sign-up to receive information about the Wisconsin DHS residential rate-setting project, including notification of stakeholder meetings.

View materials shared at previous stakeholder meetings

Other Resources

There are three key components to the project:

  1. Residential Service Costs
  2. Room and Board Costs of Residential Settings
  3. Member obligation for room and board costs of residential settings
    1. Family Care Member Income Calculation for Payment of Room and Board in Substitute Care (DLTC Numbered Memo 2010-05) (PDF, 54 KB)
      • Instructions for accessing PPS and line-by-line instructions for the online tool to calculate member obligation for room and board costs of residential setting. (PDF, 359 KB)
    2. Webcast - Instructions for Standardizing Member Income Considered Available for Room and Board (help) March 10, 2010; Presenters: Charles Jones and Deb Rathermel, Division of Long Term Care; 52 minutes
    3. Member Obligation - Frequently Asked Questions
      • Submit a question. We will monitor submitted questions and periodically updated the FAQ for inclusion. 

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Last Revised: January 24, 2011