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6.7 Reserved This page last updated in Release Number: 15-01 Release Date: 06/10/2015 Effective Date: 06/10/2015 6.8 Interstate Placements 6.8.1 Interstate Placements Introduction An interstate placement occurs when a state or state contracted agency arranges for an individual to be admitted to an institution in another state. "Arranges for" means any action by a state or state-contracted agency beyond providing information to the person or the person's family (or both). Do not consider the following to indicate interstate placement: 1. Giving information to individuals about another state's Medicaid program. 2. Giving information to individuals about the availability of health care services and facilities in another state. 3. Helping individuals locate an institution in another state when that person is capable of indicating intent and independently decides to move. When a state or state-contracted agency makes the placement, the state making the placement is the person's Medicaid residence. The person's intent makes no difference. If Wisconsin places a person into an institution in Tennessee, Wisconsin remains the state of residence for Medicaid even if the person expresses an intent to reside in Tennessee. If Tennessee places a person in Wisconsin, Tennessee is the Medicaid residence despite an indicated intent by the person to make his or her home in Wisconsin. Follow this rule even when placement is made by a state because that state lacks a sufficient number of appropriate facilities to provide services to its residents. Use the general rule of residency when a competent person leaves an institution in which he or she was placed by another state. If the person is not able to indicate intent, Medicaid residence continues to be that of the state that made the placement. 6.8.2 Reciprocal Agreement Wisconsin has a reciprocal agreement with some other states (see the list below) in which individuals that are placed in out-of-state institutions (not placed there as a result of an interstate placement) are the residents of the state where the institution is. For example, a person institutionalized in Wisconsin who would otherwise be considered a resident of Minnesota is a Wisconsin resident for Medicaid purposes. These are the states with which Wisconsin has this agreement: • Alabama • Arkansas • California • Georgia