Category: Medicaid/Medicare
Wisconsin’s Medicare experience ranks 13th in nation
Wisconsin ranks 13th among states for Medicare experience, according to an inaugural report by The Commonwealth Fund that found differences in program beneficiaries’ ability to afford care, find doctors and avoid unnecessary hospitalizations.
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Senators advance MAPP changes
Lawmakers are advancing legislation that would provide more flexibility for those enrolled in the Medicaid Purchase Plan, a program that allows working adults with disabilities to earn more than they could in other Medicaid programs.
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Pocan calls on CMS to pull new Medicare prior authorization model
U.S. Rep. Mark Pocan, D-Black Earth, has introduced a resolution condemning a Trump administration plan to increase the number of services that require prior authorization in traditional Medicare.
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BadgerCare Plus work requirements expected to take effect January 2027
Wisconsin’s Medicaid director expects that work requirements will start for many childless adults in BadgerCare Plus at the beginning of 2027, after federal officials indicated they’re unlikely to grant states extensions for implementation.
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GOP lawmakers object to DHS rule change
Republican members of the Assembly health committee last week asked for changes to a rule aiming to ensure quality and reduce the risk of fraud, waste and abuse in Medicaid care planning and coordination services for mothers and infants.
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Kaul sues HHS over handling of Medicaid data
Wisconsin joined a multistate lawsuit last week to block the Department of Health and Human Services from using Medicaid member data or sharing it with other federal agencies for reasons unrelated to healthcare, like immigration enforcement.
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Evers asks legislators to provide nearly $70 million to implement Trump tax-and-spending law
Gov. Tony Evers said Thursday that legislators will need to approve $69.2 million in additional state funding over the current biennium so the Department of Health Services can implement changes required by President Donald Trump’s tax-and-spending law.
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