Annual Update to Income Thresholds for Determining Whether a Child or Tax Dependent is Expected to Be Required to File a Tax Return

This operations memo announces annual updates to the income thresholds used under modified adjusted gross income (MAGI) budgeting rules when determining whether a child or tax dependent is expected to be required to file a tax return.

Private Pay Nursing Home and Group B Plus Waivers Rates

This operations memo provides updates to the institutional cost of care values. These values include the daily average private pay nursing home rate used to determine a divestment penalty period. They also include the monthly average private pay nursing home rate and monthly rate for state centers for persons with developmental disabilities, which are used to calculate income limits for Home and Community-Based Waiver (HCBW) Group B Plus eligibility.

Health Care Personnel Exclusion and Return to Work Following an Acute Respiratory Illness

This memo provides guidance to prevent healthcare-associated transmission of respiratory viral infections by defining when health care personnel (HCP) should be excluded from work and when they may safely return. This guidance applies to common and seasonal respiratory viruses that circulate in Wisconsin each year such as influenza, respiratory syncytial virus (RSV), parainfluenza, rhinovirus/enterovirus, and SARS-CoV-2.  

Statewide Epinephrine Standing Order for Pharmacists

Under Wisconsin law (Wis. Stat. § 255.07), a health care provider with prescribing authority who is
employed by or under contract with the department may issue a statewide standing order for the
dispensing of epinephrine delivery systems for use under sub. (4) by authorized individuals or by
employees or agents of authorized entities who have completed the training required by sub. (5).

Maintaining Coverage During Redeterminations of Eligibility for Additional Programs and Pending Disability Determinations

This memo announces changes to ensure existing coverage is maintained for:

  • Katie Beckett Medicaid (KBM), Wisconsin Well Woman Medicaid (WWWMA), and Senior Care members while their eligibility is being redetermined at renewal or following a change in circumstances.
  • Members moving from BadgerCare Plus (or other non-disability-based Medicaid category) to a disability-based Medicaid category while disability is being determined, provided they are otherwise eligible for disability-based Medicaid.
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Last revised December 10, 2025