Health Care Delivery Coordination: Wisconsin’s Title V Program and the Division of Medicaid Services convene quarterly and have cultivated a strong working relationship. This enhances programming efforts and supports a framework valuing in-depth discussion of topics including: Maternal Mortality Review, Prenatal Care Coordination, Healthy Birth Outcomes, and Obstetric Medical Home.
Memorandum of Understanding: The Title V Program and Medicaid have an established Memorandum of Understanding allowing for analysis and exchange of data and data sets, information products, and technical assistance. This Memorandum of Understanding strives to improve the health status of low income women, infants, and children (including CYSHCN) by assuring access and provision of preventive services, and any necessary treatment and/or follow up care allowed under the Social Security Act.
Medicaid: Wisconsin’s Medicaid program provides health care coverage to over one million residents through access to 28 different programs including pregnant women, children, and people with disabilities, adults, and seniors. Medicaid covers health care services, including hospital, physician, dental, behavioral health, and long-term care. Members receive coverage through fee‐for‐service or managed care systems. Wisconsin’s program has partially expanded eligibility for Medicaid, however it does not receive additional federal funds available through the Affordable Care Act.
Medicaid Waivers that Influence Care for the maternal and child/special health care needs populations: Wisconsin has two Medicaid waiver programs that serve children, including Katie Beckett (TEFRA program) and Children’s Long-Term Support, a home and community based 1915(c) waiver program. Wisconsin charges a “parental payment” for children who participate in the Children’s Long-Term Support waiver. This payment is only charged for families with children between 0 and 18 years of age. The payment is a percentage of the costs of the program, ranging from 0-41%, depending on family income. Children in the TEFRA Katie Beckett program have no parental payments. More information on Parental Payments can be found on the Wisconsin Department of Health Service's website.
As of March 1, 2021, the Children’s Early Intervention and Long-Term Support Program Enrollment and Waitlist includes:
Birth to 3 Program: 5,740 children are enrolled statewide, with approximately 13,000 children receiving early intervention services at some point during the year.
Children’s Long-Term Support Waiver Program: 10,486 children with disabilities are enrolled statewide, including 6,598 children with intellectual/developmental disabilities, 679 children with physical disabilities, and 3,209 children with severe emotional disturbance.
Children’s Long-Term Support Waitlist: 1,026 children with significant disabilities are currently waiting to be enrolled and start receiving Children’s Long-Term Support Waiver Program services and supports.
Katie Beckett Medicaid Services: 7,752 children are enrolled and receiving Katie Beckett Medicaid services statewide.
Wisconsin has several adult-only waivers, including the Family Care Waiver, Family Care Intellectual Disability/Developmental Disability, Self-Directed Support-Developmental Disability, and Self-Directed Support Elderly/Physically Disabled, all with individual program names (i.e. Family Care, Family Care Partnership, PACE, and IRIS).
As of April 16, 2020, the Wisconsin Department of Health Services requested approval from the U.S. Department of Health and Human Services to grant temporary authority to 36 flexibilities under Section 1135 authority in connection to the COVID-19 outbreak and emergency.
Medicaid Enrollment: Medicaid health care enrollment can be viewed and accessed on the Wisconsin Department of Health Services website as PDFs or Excel spreadsheets by month, enrollment coverage, and population status: pregnant women, children, parents and caretakers, elderly, and the disabled.
Another public assistance program is FoodShare Wisconsin. FoodShare helps people with limited money to purchase food to stop hunger and improve nutrition and overall health. In addition, the Wisconsin Department of Health Services’ Office of the Secretary provides a Monthly Statistics Major Events and Other Items of Interest report which includes program statistics and announcements of Department of Health Services-received grants, awards and new programs.
Coordinated Health Care Delivery Access Programs: Family Planning Only Services is a limited Medicaid benefit program providing routine contraceptive management or related services to low-income individuals who are of reproductive age (typically 15 years of age or older) and who are otherwise not eligible for Medicaid or BadgerCare Plus. The Family Planning Only Services provides men and women with certain family planning-related services and supplies to prevent unplanned pregnancies.
Prenatal Care Coordination is a Wisconsin Medicaid benefit that helps pregnant women and, when appropriate, their families, gain access to medical, social, educational, and other services related to pregnancy. Wisconsin Medicaid and BadgerCare Plus require the establishment of a Memorandum of Understanding between Prenatal Care Coordination providers and HMOs, recognizing that these agencies have common clients, and agree to cooperate in removing access to barriers, coordinating care, and provide culturally competent services.
HealthCheck Early and Periodic Screening, Diagnosis, and Treatment ensures that children receive early detection and care, so that health problems are prevented or diagnosed and treated as early as possible. This benefit provides periodic, comprehensive health screening exams as well as periodic screenings, outreach, and case management. Additionally, medically necessary services (HealthCheck "Other Services") are available for Medicaid members 21 years of age and under.
Through Title V Program contracts, ABC for Health helps address access to insurance coverage for maternal and child health and CYSHCN populations, and provides a video series on Health Reform and changes to BadgerCare Plus.
Family Voices of Wisconsin provides newsletters, fact sheets, and reports to families on health care, Long Term Supports, Medicaid, Mental Health, Money Matters, Transition to Adult Life, and Wisconsin Advocacy.
The WellBadger Resource Center – through braided funding from the Title V Program, WIC, Wisconsin Well Women Program, and Medicaid – provides information and referral services connecting women, pregnant women, families of CYSHCN, adolescents, and health professionals with health care resources. WellBadger provides telephone connections, an online directory, and connections to services by live chat, text messaging, and mobile technology to better engage vulnerable populations, special needs groups, and culturally and linguistically diverse populations. WellBadger staff provide English, Spanish, and Hmong language services.
Governor Evers’ Administration has identified key health priorities that will contribute to making Wisconsin stronger by investing in children, families and communities, and recognizing that health care is a cornerstone of workforce and economic development in all communities across the state. These priorities are reflected in the Wisconsin Department of Health Services budget.
WisCovered.com was created by the Wisconsin Office of the Insurance Commissioner to help residents find health insurance experts to assist them in finding insurance plans that meets their needs and budgets.
There were 69 bills passed into law during the 2019-2020 legislative session, some of which are directly relevant to the Title V Program:
Act 1: Intellectual Disability Language - Deleted any phrase similar to the phrase "mental retardation," or "mentally retarded," from the state's administrative code, replacing these phrases with the term "intellectual disability."
Act 24: Vaccines for Children - Pharmacists will now be allowed to administer vaccines to children under age 6 so long as the prescription order is issued within the last 29 days and the pharmacist has successfully completed an approved training course.
Act 27: Driver's Education - Technical College and Department of Transportation-licensed private driver schools are now required to offer a commercial motor vehicle driver education course and provide instruction in the recognition and prevention of human trafficking.
Act 56: Telehealth Services - The Wisconsin Department of Health Services is now required to treat telehealth services the same as in-person services. This ensures Medicaid can provide reimbursement for remote patient care and monitoring services, and ensures Medicaid reimbursement for the same telehealth services that Medicare covers.
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