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2.4 Sufficient Provider Capacity at Critical Levels of Care including for Medication Assisted Treatment for OUD
Wisconsin Medicaid will use data from the state’s Medicaid Management Information System (MMIS) to evaluate provider capacity. Additional information regarding the data collection, reporting, and analytic methodologies will be described in the SUD Monitoring Protocol.
Milestone Criteria Current State Future State Summary of Actions Needed
Completion of Wisconsin Medicaid As Wisconsin Medicaid | Wisconsin will assessment of the currently enrolls updates licensure or complete baseline availability of providers | healthcare professionals | certification measurements for enrolled in Wisconsin | and programs in requirements, including | provider capacity at Medicaid and accepting | categories aligned with | revisions to Wis. each level of care by new patients in the their state licensure or | Admin. Code ch. DHS _ | November 2019. following critical levels | certification. Wisconsin | 75, it will update its of care throughout the | will use a combination | methodology to assign state (or at least in of DEA registration, the new provider participating regions of | state program credentials with the the state) including certification, and state | appropriate level of those that offer MAT: _| licensure information care. e Outpatient services | collected during ¢ Intensive outpatient | provider enrollment to
services identify SUD treatment © MAT (medications | Providers, including
as well as those that offer MAT.
counseling and
other services) e Intensive care in
residential and
inpatient settings e Medically
supervised
withdrawal
management
Wisconsin BadgerCare Reform Demonstration
Approval Period: October 29, 2024 through December 31, 2029 Page 48