State of Wisconsin Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

27.10 Liability Effective Dates

Nursing homes, State centers, and State mental hospitals receive a CARES weekly paper report, #CCN150RA, that lists the patient liability amounts for their Medicaid residents.  The report includes case number, primary person name, patient liability status (approval, closure, increase, decrease, unchanged), the date the action was confirmed on AGEC, prior patient liability amount, current patient liability amount, effective begin date, and effective end date.

 

Income changes which are reported timely and result in an increased patient liability have the following effective dates:

1. Before cutoffCutoff is another name for Adverse Action. Adverse Action is a batch job that is run in CARES approximately 13 calendar days prior to the end of the month. It is run at this time to allow 10 days for negative notices to be sent as a result of any benefit reduction, denial, or closure. , effective the first of the following month.

2. After cutoff, effective the first of the month after the following month.

 

Do not complete F-10110's (formerly DES 3070) for retroactive patient liability increases since the memberA recipient of Medicaid; formerly referred to as a "client." must receive timely notice.

 

Decreases in patient liability are always effective the first of the month in which the decrease in income occurs or the decrease is reported, whichever is later.  If the date of change that you enter into CARES will cause an incorrect effective date on the fiscal agenct file, run with dates in CARES.  Do not complete a F-10110 (formerly DES 3070)  unless you are unable to confirm the decrease after running with dates in CARES.

 

 

 

 

This page last updated in Release Number: 08-01

Release Date: 02/01/08

Effective Date: 02/01/08

 

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The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030