The process for accessing personal care services through Medicaid is changing for those who are enrolled in “fee for services” Medicaid. This impacts most children and some adults including:

• BadgerCare Plus members
• Wisconsin Medicaid members
• Include, Respect, I Self-Direct (IRIS) members who do not self-direct their personal care services
• Members enrolled in Wraparound Milwaukee or Children Come First programs

The change impacts the assessment process to determine eligibility and the numbers of hours of support a member is eligible to receive. DHS recently issued a Forward health memo called the  New Personal Care Independent Assessment and Prior Authorization Policy describing the change. Attached is the fact sheet that was sent to members starting Monday April 17th. Implementation will start June 1st.

	New Approval Process for Personal Care Services
	PCIAfactsheet4-2017.pdf, 70KB ∞