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, 2013 Rates
If a provider does not have 7/1/13 rates listed, MCOs should continue to
use the 7/1/12 rate spreadsheet as interim rates until the 7/1/13 rates
are available. If you have questions, please contact Jane
Prior Year's Rates:
Calendar Year (CY) 2013 DD Center Rates (PDF,
of Quality Assurance - Nursing Homes introduction
Methods of Implementation and Medicaid Handbook:
Of Implementation For Wisconsin Medicaid Nursing Home Payment Rates For
The Period July 1, 2013 Through June 30, 2014 (ForwardHealth portal)
Online Handbook (ForwardHealth portal)
- Notes regarding Methods of Implementation and Medicaid Handbook:
- The Methods of Implementation represent the most current
program requirements and rules relative to nursing home and
ICF-IID provider reimbursement.
- Providers should continue to refer to the handbook for
program requirements and rules.
- Because the Methods of Implementation are updated every
year, and the handbook is not, providers may identify sections
where the two documents are not identical. In every instance,
the Methods are considered authoritative.
- As an example, the handbook contains certain obsolete
references to bed hold billing requirements. Providers will see
the correct current bed hold requirements in section 1.500 of
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March 11, 2014