The Wisconsin Department of Health Services (DHS) American Rescue Plan Act (ARPA) Adult HCBS Minimum Fee Schedule Provider Cost Survey is now available. You’re invited to participate.

DHS will use survey data to develop a minimum fee schedule for select home and community-based services (HCBS) in the Family Care and Family Care Partnership programs. Minimum rates will be set for:

• Adult family homes (AFHs)2
• Residential care apartment complexes (RCACs)
• Community-based residential facilities (CBRFs)
• Supportive home care services, including supported independent living (SIL) services
• Personal care services

Live-in caregivers, owner-occupied AFHs with 1-2 beds, and any providers who use their Social Security Number (SSN) as their provider ID for billing purposes are not being asked to complete the survey. DHS will conduct focus groups with owner-occupied AFHs with 1-2 beds to collect additional information on their cost structure.

Once the new minimum fee schedule is implemented:

• DHS will require that Family Care and Family Care Partnership managed care organizations (MCOs) pay providers no less than the minimum fee schedule
• MCOs and providers can still negotiate higher rates based on member needs

Additional details:

• Providers are only being asked to complete one survey for their organization
• You have until November 12 to complete the survey
• Instructions, questions & answers (Q&A), and other training resources are available on the DHS website
• Please email questions about the survey directly to our survey partner, Milliman, Inc., at WIHCBS@milliman.com

Please visit the DHS website for more information about the ARPA Medicaid HCBS Rate Reform Initiative.

We thank you in advance for your participation in this highly important survey!

Sincerely,
The DHS and Milliman, Inc. ARPA Adult HCBS Minimum Fee Schedule Team