The Wisconsin Medicaid reimbursement rate for home and community-based services (HCBS) will go up by 5% effective January 1, 2022, through March 31, 2024. The increase comes from federal funding authorized by Section 9817 of the American Rescue Plan Act (ARPA). Programs benefiting from the increase include:
BadgerCare Plus Managed Care
Care4Kids
Children Come First
Children’s Long-Term Support (CLTS) Waiver
Family Care
Family Care Partnership
IRIS (Include, Respect, I Self-Direct)
Medicaid fee-for-service state plan services
Program of All-Inclusive Care for the Elderly (PACE)
SSI Managed Care
Wraparound Milwaukee
HCBS providers serve Wisconsin’s frail elders and people of all ages with disabilities, enabling them to live independently or in home-like settings in the community. These services are essential to meeting their daily needs and avoiding unnecessary institutionalization. Further, HCBS are shown to be a cost-effective alternative to higher levels of care, such as nursing home placements and hospital services.
This 5% rate increase will help providers get adequate reimbursement to recruit staff and maintain this important system that delivers such critical care.
Providers eligible for the rate increase will receive follow-up communications from DHS with operational details. Services will need to be coded properly to be reimbursed at the new rate.
