Changes to the Federal Share

Effective for claims processed and paid on and after October 1, 2007, the federal share will increase from 57.47 percent to 57.62 percent for the following services:

• Community support program (CSP) services.
• Crisis intervention services.
• Outpatient mental health and substance abuse services in the home or community for adults.

Wisconsin Medicaid will pay only the federal share of the contracted rates for these services.

Contracted Rates Remain Unchanged

The contracted rates for CSP services, crisis intervention services, and outpatient mental health and substance abuse services in the home or community remain unchanged.

The contracted rate is the uniform rate determined by the Department of Health and Family Services and required by the Medicaid state plan.

Updated Maximum Allowable Fee Schedules

Refer to Attachments 1-3 of this Wisconsin Medicaid and BadgerCare Update for the updated Wisconsin Medicaid maximum allowable fee schedules.

Note: Crisis intervention services are provided fee-for-service for all Medicaid recipients. Community support program services and outpatient mental health and substance abuse services provided in the home or community for adults are provided fee-for-service for all Medicaid recipients except for recipients enrolled in Children Come First (CCF) or Wraparound Milwaukee (WAM).

Recipients enrolled in CCF or WAM must receive CSP services or outpatient mental health and substance abuse services provided in the home or community for adults within these managed care programs since these services are included in the programs’ capitation rate.

Attachment 1 — Wisconsin Medicaid Maximum Allowable Fee Schedule for Community Support Program Services
Attachment 2 — Wisconsin Medicaid Maximum Allowable Fee Schedule for Crisis Intervention Services
Attachment 3 — Wisconsin Medicaid Maximum Allowable Fee Schedule for Outpatient Mental Health and Substance Abuse Services in the Home or Community for Adults