us-wi/statute/49.343/2 — Determination of rates.

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The department shall review a proposed rate submitted under par. (a) and audit the provider submitting the proposed rate to determine whether the proposed rate is appropriate to the level of services to be provided, the qualifications of the provider to provide those services, and the reasonable and necessary costs of providing those services. In reviewing a proposed rate, the department shall consider all of the following factors: 1. Changes in the consumer price index for all urban consumers, U.S. city average, as determined by the U.S. department of labor, for the 12 months ending on June 30 of the year in which the proposed rate is submitted. 1m. Changes in the consumer price index for all urban consumers, U.S. city average, for the medical care group, as determined by the U.S. department of labor, for the 12 months ending on June 30 of the year in which the proposed rate is submitted. 2. Changes in the allowable costs of the residential care center for children and youth, group home, or child welfare agency based on current actual cost data or documented projections of costs. 3. Changes in program utilization that affect the per client rate or per client administrative rate. 4. Changes in the department’s expectations relating to service delivery. 5. Changes in service delivery proposed by the provider and agreed to by the department. 6. The loss of any source of revenue that had been used to pay expenses, resulting in a lower per client rate or per client administrative rate for services. 6m. Whether the agency is accredited by a national accrediting body that has developed child welfare standards. 7. Changes in any state or federal laws, rules, or regulations that result in any change in the cost of providing services, including any changes in the minimum wage, as defined in s. 49.141 (1) (g). 8. Competitive factors. 9. The availability of funding to pay for the services to be provided under the proposed rate. 10. Any other factor relevant to the setting of a rate that the department may determine by rule promulgated under sub. (4).

(b)(1)#

Changes in the consumer price index for all urban consumers, U.S. city average, as determined by the U.S. department of labor, for the 12 months ending on June 30 of the year in which the proposed rate is submitted.

(b)(1m)#

Changes in the consumer price index for all urban consumers, U.S. city average, for the medical care group, as determined by the U.S. department of labor, for the 12 months ending on June 30 of the year in which the proposed rate is submitted.

(b)(2)#

Changes in the allowable costs of the residential care center for children and youth, group home, or child welfare agency based on current actual cost data or documented projections of costs.

(b)(3)#

Changes in program utilization that affect the per client rate or per client administrative rate.

(b)(4)#

Changes in the department’s expectations relating to service delivery.

(b)(5)#

Changes in service delivery proposed by the provider and agreed to by the department.

(b)(6)#

The loss of any source of revenue that had been used to pay expenses, resulting in a lower per client rate or per client administrative rate for services.

(b)(6m)#

Whether the agency is accredited by a national accrediting body that has developed child welfare standards.

(b)(7)#

Changes in any state or federal laws, rules, or regulations that result in any change in the cost of providing services, including any changes in the minimum wage, as defined in s. 49.141 (1) (g).

(b)(8)#

Competitive factors.

(b)(9)#

The availability of funding to pay for the services to be provided under the proposed rate.

(b)(10)#

Any other factor relevant to the setting of a rate that the department may determine by rule promulgated under sub. (4).

Determination of rates.