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WAHSA members are appreciative of the Governor’s efforts to increase
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the Medicaid nursing facility payment system and have agreed to fully
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support the funding increases contained in his budget. It must be
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understood, however, that the proposed 2001-03 budget would not
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dramatically improve the nursing facility payment system.
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The BDO Seidman report recommended increasing the Direct Care ceiling
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to 115% (now 100.33 %) and the Support Services and Administration
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ceilings to 110% (now 95% and 91.2%, respectively), which would move
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Wisconsin’s system closer to the nationwide averages. Under the
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Governor’s budget these ceilings are projected to be set 104% for Direct
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Care and at 95% for both Support Services & Administration.
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The proposed budget does not provide adequate funding to: rectify
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staffing shortages; meet optimal nursing staffing levels identified by the
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federal government; greatly increase staff wage/benefit packages; address
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provider concerns with the proposed elimination of the MA labor regions;
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or adequately fund a new payment system based on resident acuity.
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