This memo clarifies policy about Medicaid coverage requirements for Children’s Long-Term Support (CLTS) Waiver Program eligibility and provides operational guidance on the associated actions that county waiver agencies must take to ensure CLTS Waiver Program applicants and participants obtain and maintain Wisconsin Medicaid full-benefit coverage.

This operations memo announces an increase to the Medicaid long-term care (LTC) home equity limit to align with federal requirements. 

The Wisconsin Department of Health Services (DHS) continues to recommend routine administration of the hepatitis B vaccine within 24 hours after birth for all newborns and the full 3-dose vaccine series for all children by 18 months.

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.

This operations memo announces a change to the asset verification requirements for food units with FoodShare eligibility tested under regular SNAP rules (see FoodShare Wisconsin Policy Handbook, Section 4.2.2 Regular SNAP Rules).

This operations memo announces this year’s Social Security Cost-of-Living Adjustment (COLA) and the resulting increase in some Medicaid financial eligibility limits, effective January 1, 2026.
 

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.

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.  

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).

This memo announces policy changes regarding how disability determinations made for Katie Beckett Medicaid (KBM) are treated for other Medicaid programs and FoodShare.