WHA-Developed Medicaid Emergency Department Care Coordination Program Signed into Law

April 20, 2018

Legislation designed to incentivize Wisconsin hospitals to offer care coordination services for high utilizers of hospital emergency departments was signed into law by Gov. Scott Walker April 16. The legislation, now known as 2017 Act 279, was recommended to the legislative authors, Rep. Jessie Rodriguez (R-Oak Creek), Rep. Joe Sanfelippo (R-New Berlin) and Sen. Alberta Darling (R-River Hills), through work done by WHA members as part of WHA’s 2016 Medicaid Workgroup. The program provides a payment of up to $1,000 per patient for a 12-month period to provide intensive care coordination services to certain Medicaid enrollees, as well as a shared savings component for hospitals and health systems that are able to demonstrate savings to the Medicaid program.

Over the next several weeks, WHA will work with the state’s Medicaid program to discuss implementation of this legislation. WHA staff will also develop an Act summary of the legislation, which will be made available in the member portal soon.

Contact WHA's Kyle O'Brien at kobrien@wha.org or Lisa Ellinger at ellinger@wha.org or 608-274-1820 for more information about the legislation or if your organization is interested in applying to be an eligible provider in the program.

This story originally appeared in the April 20, 2018 edition of WHA Newsletter