Section 1115 BadgerCare Reform Demonstration Waiver

Announcements

  • November 20, 2017: This page includes information for the waiver extension and the previously submitted waiver application for former foster care youth. Per direction from the Centers for Medicare & Medicaid Services (CMS), the extension, former foster care youth, and amendment are being combined into one application.
  • November 7, 2017: Status update for the waiver amendment.
  • Frequently asked questions (FAQs) regarding the BadgerCare Reform Demonstration Waiver Amendment.

Rewarding Work: BadgerCare Reform

The Department of Health Services (DHS) has launched the application process for the Section 1115 BadgerCare Reform Demonstration Waiver Amendment, which includes policy changes aimed at helping more people move from government dependence to true independence by encouraging work and providing incentives for healthy lifestyles. Amendments to the Section 1115 demonstration waiver, known as the BadgerCare Reform Demonstration Waiver, are reforms that build on Governor Scott Walker’s “Wisconsin Works for Everyone” initiative, aimed at helping more people move into employment. These reforms affect nonpregnant adults without dependent children who are mentally and physically able to work and who are receiving government-funded health care benefits. It also assists BadgerCare Plus members who are battling addiction. The reforms are based on changes in state law under 2015 Wisconsin Act 55. DHS must obtain approval from CMS before these changes can take effect.

Section 1115 demonstrations and waiver authorities in Section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children’s Health Insurance Program (CHIP). Learn more about all current and concluded state programs authorized under these authorities.

Listed below are the current Section 1115 demonstration waivers with information about timelines, documents, public hearings, and how to submit comments.

Extension

DHS is adding a request to the waiver amendment to extend the current Section 1115 BadgerCare Reform Demonstration Waiver. The current waiver expires December 31, 2018, and per CMS regulations, DHS must submit an extension request one year in advance of the waiver expiration. This request does not change the waiver amendment application DHS submitted to CMS previously.

Timeline

  • December 7, 2017: Public hearing in Green Bay
  • December 5, 2017: Public hearing in Janesville
  • November 24, 2017–January 5, 2018: Public comment period
  • November 20, 2017: Public notice posted

Documents

Copies of documents are posted below for you to download at no charge.

December 5, 2017: BadgerCare Reform Demonstration Waiver Extension – Draft Application (16 MB, PDF)

November 20, 2017:

You can request copies by contacting Al Matano at:

Division of Medicaid Services
P.O. Box 309
Madison, WI 53707-0309
Phone: 608-267-6848
Fax: 608-266-3205
Email: alfred.matano@dhs.wisconsin.gov

Public Hearings and Comments

Two public hearings are scheduled to solicit input for the waiver extension:

Tuesday, December 5, 2017
10 a.m.–1 p.m.
Pontiac Convention Center
The Regal Room
2809 N. Pontiac Dr.
Janesville, WI 53545
Notice of Public Hearing
Watch the live webcast.

Thursday, December 7, 2017
10 a.m.–1 p.m.
Brown County Central Library
515 Pine St.
Green Bay, WI 54301
Notice of Public Hearing
Watch the live webcast.

In addition, written comments will be accepted from November 24–December 24, 2017. Written comments can be sent to the Division of Medicaid Services at:

P.O. Box 309
Madison, WI 53707-0309
Fax: 608-266-1096
Email: wisconsin1115clawaiver@dhs.wisconsin.gov

Amendment

The waiver amendment was submitted to CMS on June 7, 2017. More information about the waiver amendment can be found below.

Timeline

Milestone dates of the Section 1115 BadgerCare Reform Demonstration Waiver Amendment:

Wisconsin Works for Everyone: DHS Submits Application to Reform BadgerCare Plus for Childless Adults

  • May 1, 2017: Tribal consultation; public hearing in Milwaukee
  • April 26, 2017: Public hearing in Wausau
  • April 19, 2017 – May 19, 2017: Full waiver posted, public comment period

Rewarding Work: DHS Releases Governor Walker's Plan to Reform Health Care Benefit for Childless Adults

  • March 27, 2017: Notification to tribes

Documents

Copies of waiver documents are posted below for you to download at no charge:

Section 7.2 Summary of Public Comments and Wisconsin DHS Response (pages 25-33 of the final application) (PDF)

You can also request copies of the waiver documents by contacting Al Matano at:

Division of Medicaid Services
P.O. Box 309
Madison, WI 53707-0309
Phone: 608-267-6848
Fax: 608-266-3205
Email: alfred.matano@dhs.wisconsin.gov

Public Hearing and Comments

Two public hearings were held to solicit input on the BadgerCare Reform Demonstration Waiver Amendment:

Wednesday, April 26, 2017
11 a.m.–2 p.m.
Northcentral Technical College
Auditorium 1004
1000 W. Campus Dr.
Wausau, WI 54401
Notice of Public Hearing
Watch a recording of the live webcast.

Monday, May 1, 2017
4–7 p.m.
Milwaukee Center for Independence
MCFI Main Campus, Harry and Jeanette Weinberg Building
2020 W. Wells St.
Milwaukee, WI 53233
Notice of Public Hearing
Watch a recording of the live webcast.

In addition, written comments were accepted from April 19–May 19, 2017. Written comments were sent to the Division of Medicaid Services at:

P.O. Box 309
Madison, WI 53707-0309
Fax: 608-266-1096
Email: wisconsin1115clawaiver@dhs.wisconsin.gov

Former Foster Care Youth

Wisconsin is applying for a Section 1115 demonstration waiver to continue providing Medicaid coverage to former foster care youth who were in foster care and receiving Medicaid benefits in another state when they turned 18 years old. Learn more about the waiver for continuing coverage for former foster care youth. Per direction from CMS, the waiver application for former foster care youth has been added to the amendment application.

Last Revised: December 5, 2017