Explanation of the Expanded IGT Program
The Governor’s budget would replace the State’s
current IGT program, which uses county nursing
facility losses to capture Federal Medicaid matching
funds, with a new IGT program that relies on
borrowed county dollars  annually transferred to the
State and matched by the federal government. Rock,
Sheboygan and Walworth have agreed to serve as the
transfer counties.
This change is necessary to address federal concerns
with the current IGT program and to capture
significantly more federal Medicaid funds.
An IGT program similar to that proposed by the
Governor is used by approximately 26 other states.