equal-access-affordability
Reason(s) for non-compliance: • The Lead Agency does not limit all family copayments to seven percent or less of family income, as required by 98.45(l)(3). (Plan Question 3.1.1a). Please note the Lead Agency has an approved waiver for this requirement through July 31, 2026. • The Lead Agency does not include the rationale for the policy to allow providers to charge families additional amounts above the required co-payment, including required data and a demonstration of how the policy promotes affordability and access for families, as required by 98.45(d)(2)(ii). (Plan Questions 3.1.2ei and 3.1.2eii) Overall Target Completion Date: 07/31/2026 Action Step Number Action Step Description Target Completion Date 1 Update WI State Plan to provide additional information on rationale for the policy to allow providers to charge families additional amounts above the required co-payment. 08/31/2025 2 7% Copayment requirement Wisconsin Statutory change 49.155(1m), inclusion in WI Biennial Budget 07/31/2025 3 7% Copayment requirement Wisconsin Administrative Rule change 201.08 04/30/2026 4 7% Copayment requirement system changes 06/30/2026 5 7% Copayment requirement Wisconsin Shares Handbook updates 07/31/2026 6 7% Copayment requirement statewide policy implementation and training 07/31/2026