This operations memo announces changes to benefit proration when a member loses and gains eligibility after untimely completion of a six-month report form (SMRF) or untimely submission of verification that is required as part of the SMRF.

This operations memo provides the 2025 amounts for the spousal impoverishment community spouse income allowance minimum allocation, the spousal impoverishment dependent family member income allowance standard, and the shelter base amount.

This memo announces changes to ensure Medicaid and BadgerCare Plus members’ existing coverage is maintained while the agency is redetermining their eligibility at renewal or due to a change in their circumstances.

This memo announces updated policies regarding 12-month continuous coverage for children enrolled in certain health care benefits.

This memo outlines the reporting requirements for calendar year (CY) 2024 Community Mental Health Services Block Grant (CMHSBG) funds and expenditure requirements for the use of CY 2026 CMHSBG funds. Counties must comply with the reporting requirements in the Program Participation System, including reporting consumer functional outcomes every six months through the Consumer Status Data Set in the Program Participation System.

This memo references Profile #516 of the State and County Contract for Social and Community Programs, outlines the reporting requirements for reporting the use of Community Mental Health Allocation for calendar year 2024, and outlines expenditure requirements for the use of calendar year 2025 funds. This memo is distributed now to foreshadow reporting requirements for calendar year 2025 mental health services. Counties must comply with the reporting requirements in the Program Participation System.

Agencies that received federal Substance Use Prevention, Treatment, and Recovery Services Block Grant funds in calendar year 2024 must complete their annual report online no later than May 15, 2025. In addition, agencies must enter primary prevention data into the Substance Abuse Prevention Services Information System by May 15, 2025.

The Wisconsin Department of Health Services (DHS) Office of Preparedness and Emergency Health Care (OPEHC) is notifying emergency medical service (EMS) medical directors and EMS service directors that a new service medical director training course is now available.

This memo provides an overview of new overpayment claim creation and processing functionality added to the benefit recovery investigation tracking system (BRITS) as of December 9, 2024.

The purpose of this memo is to provide information on how to:

• Determine when an entity-operator and/or non-client resident renewal background check is required.
• Submit a background check renewal request to the Division of Quality Assurance (DQA).
• Determine the required date of renewal for persons who completed their last background check during DQA’s 2021 Background Check Renewal drive.