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wow | = PC or Only, s MEG | "4 ww a DY12 DY 13 DY 14 DY 15 DY 16 88 Only, or Fy Both é cues PC Both | 5.20% $611.53 | $643.33 | $676.78 | $711.97 | $748.99 sUD PC Both | 5.10% $4,274.05 | $4.492.12 | $4,721.32 | $4,962.21 | $5,215.39

11.7.

11.8.

11.9.

Composite Federal Share Ratio. The Composite Federal Share is the ratio that will be used to convert the total computable budget neutrality limit to federal share. The Composite Federal Share is the ratio calculated by dividing the sum total of FFP received by the state on actual demonstration expenditures during the approval period by total computable demonstration expenditures for the same period, as reported through MBES/CBES and summarized on Schedule C. Since the actual final Composite Federal Share will not be known until the end of the demonstration’s approval period, for the purpose of interim monitoring of budget neutrality, a reasonable estimate of Composite Federal Share may be developed and used through the same process or through an alternative mutually agreed to method. Each Budget Neutrality Test has its own Composite Federal Share, as defined in the paragraph pertaining to each particular test.

Exceeding Budget Neutrality. CMS will enforce the budget neutrality agreement over the demonstration period, which extends from October 29, 2024 to December 31, 2029. If at the end of the demonstration approval period a Capped Hypothetical Budget Neutrality Test has been exceeded, the excess federal funds will be returned to CMS. If the Demonstration is terminated prior to the end of the budget neutrality agreement, the budget neutrality test shall be based on the time elapsed through the termination date. date

Corrective Action Plan. If at any time during the demonstration approval period CMS determines that the demonstration is on course to exceed its budget neutrality expenditure limit, CMS will require the state to submit a corrective action plan for CMS review and approval. CMS will use the threshold levels in the tables below as a guide for determining when corrective action is required.

Table 6: Budget Neutrality Test Corrective Action Plan Calculation

Demonstration Year Cumulative Target Definition Percentage

DY 12 Cumulative budget neutrality limit plus: 2.0 percent DY 12 through DY 13 Cumulative budget neutrality limit plus: 1.5 percent DY 13 through DY 14 Cumulative budget neutrality limit plus: 1.0 percent DY 14 through DY 15 Cumulative budget neutrality limit plus: 0.5 percent DY 15 through DY 16 Cumulative budget neutrality limit plus: 0.0 percent

Wisconsin BadgerCare Reform

Approval Period: October 29, 2024 through December 31, 2029 Page 34