Medicaid State Plan

What is the Medicaid State Plan?

The State Plan is the officially recognized statement describing the nature and scope of Wisconsin's Medicaid program. Learn more about the Medicaid State Plan.

Structure of the State Plan

Medicaid was created by the Social Security Amendments of 1965, which added Title 19 to the Social Security Act. The State Plan originated with that legislation. Learn more about how the State Plan is structured.

Frequently Used Sections

Rate Methodologies

• Inpatient hospital rate methodologies Attachment 4.19-A (PDF)
• Outpatient hospital rate methodologies Attachment 4.19-B (PDF)
• Nursing home rate methodologies Attachment 4.19-D (PDF)
• Non-institutional rate methodologies Attachment 4.19-B (PDF)

Covered Services

• Covered services categorically needy Attachment 3.1-A (PDF)
• Supplement one covered services categorically needy Attachment 3.1-A Supplement 1 (PDF)
• Covered services medically needy Attachment 3.1-B (PDF)
• Supplement one covered services medically needy Attachment 3.1-B Supplement 1 (PDF)

Eligibility

• Non-financial eligibility requirements Attachment 2.2-A (PDF)
• Non-financial eligibility requirements Attachment 2.2-A Supplements (PDF)
• Financial eligibility requirements Attachment 2.6-A (PDF)
• Financial eligibility requirements Attachment 2.6-A Supplement (PDF)