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Department staff attends regular meetings with the Great Lakes Inter-Tribal Council, Inc. (GLITC Inc.) and individual tribal health clinics to discuss various aspects of BadgerCare and its impact on the Indian Health Service. In addition, staff attends regular meetings of the Council on American Indian Health and the soon to be established Wisconsin American Indian Forum. The forum, as its predecessor the Council, will meet monthly to explore a wider range of issues including social service issues.

The Department plans to extend the current special procedures for Native Americans that we have in the Medicaid managed care program to the BadgerCare program. Additional special procedures might also be required for Native Americans in BadgerCare. Our goal is to assure that BadgerCare is coordinated with Indian Health Service benefits and funding sources so that IHS benefits and funds are used most effectively for those Native Americans that do not have alternative sources of health care.

4. BadgerCare Public Notices

Providers and recipients will be informed of the BadgerCare Plus initiative in December 2007 and January 2008 through member updates and provider updates.

The state law language changes were included in Wisconsin’s 2007-2009 Biennial Budget, 2007 Wisconsin Act 20, to authorize the BadgerCare Plus program. Public notice for all laws, as part of enactment, is announced in the state’s largest newspaper, Milwaukee Journal-Sentinel. 2007 Wisconsin Act 20 was published on public notice provided on October 26, 2007.

9.9.1 Describe the process used by the state to ensure interaction with Indian Tribes and organizations in the state on the development and implementation of the procedures required in 42 CFR 457.125. (Section 2107(c)) (42 CFR 457.120(c))

Please see paragraph 3. in the previous response, to Question # 9.9.

9.9.2 For an amendment relating to eligibility or benefits (including cost sharing and enrollment procedures), please describe how and when prior public notice was provided as required in 457.65(b) through (d).

The cost sharing changes in this plan amendment were part of the BadgerCare Plus program which was created by 2007 Wisconsin Act 20. Public notice procedures were part of the legislative process. Legislative committee meetings, including those in which bill hearings are conducted,

WISCONSIN

Effective Date:

Approval Date: 72