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Milestone Criteria Current State Future State Summary of Actions Needed Implementation of Wis. Admin. Code ch. | Wisconsin Medicaid The revisions to requirement that DHS 75 requires all will revise Wis. Admin. | administrative code providers assess certified programs to Code DHS 75 to update | were authorized by treatment needs based | use the Wisconsin- references to ASAM Wisconsin’s governor on SUD-specific, multi- | Uniform Placement patient placement in July 2018. The new dimensional assessment | Criteria (UPC), ASAM | criteria and clarify regulations will follow tools that reflect patient placement whether any additional | the state’s rulemaking evidence-based clinical | criteria, or other similar | standards are approved. | process. treatment guidelines patient placement criteria approved by the Listening sessions department. In practice, were held on 5/21/19, many certified §/23/19, 6/17/19, programs are using the 6/20/19, 6/27/19, and ASAM placement 7/16/19. The input criteria. collected through these sessions is The WI UPC is a SUD- incorporated in rule specific, drafting. A rule draft multidimensional will then be shared assessment tool first with an Advisory implemented in 1996. Committee for This tool established discussion and uniform definitions of comment. This phase levels of care, of rulemaking will improved patient continue through placement consistency, 2019. and established adoption of common Following revisions standards of program suggested by the admission, continued Advisory Committee, stay, and discharge the draft rule will be criteria. published for public comment and analysis Admission to a of economic impact in program is based on an 2020. intake procedure that includes screening, Final rule approval by approved patient the Wisconsin placement criteria, and legislature is initial assessment. anticipated by early 2021, but may occur sooner if comments on the draft are limited.

Wisconsin BadgerCare Reform Demonstration

Approval Period: October 29, 2024 through December 31, 2029 Page 43