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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
An interstate placement occurs when a state or state contracted agency arranges for an individual to be admitted to an institution in another state.
"Arranges for" means any action by a state or state-contracted agency beyond providing information to the person or the person's family (or both). Do not consider the following to indicate interstate placement:
Giving information to individuals about another state's MA program.
Giving information to persons about the availability of health care services and facilities in another state.
Helping a person locate an institution in another state when that person is capable of indicating intent and independently decides to move.
When a state or state-contracted agency makes the placement, the state making the placement is the person's MA residence. The person's intent makes no difference. If Wisconsin places a person into an institution in Minnesota, Wisconsin remains the state of residence for MA even if the person expresses an intent to reside in Minnesota.
If Minnesota places a person in Wisconsin, Minnesota is the MA residence despite an indicated intent by the person to make his/her home in Wisconsin.
Follow this rule even when placement is made by a state because that state lacks a sufficient number of appropriate facilities to provide services to its residents.
Use the general rule of residency when a competent person leaves an institution in which s/he was placed by another state. But if the person is not able to indicate intent, MA residence continues to be that of the state that made the placement.
Wisconsin has a reciprocal agreement with some other states (see the list below) that persons who are in out-of-state institutions, but were not placed there as a result of an interstate placement, are the residents of the state where the institution is. For example, a person institutionalized in Wisconsin who would otherwise be considered a resident of Minnesota is a Wisconsin resident for MA purposes.
These are the states with whom we have this agreement:
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Alabama |
Kentucky |
Pennsylvania |
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Arkansas |
Maryland |
S. Carolina |
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California |
Minnesota |
S. Dakota |
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Florida |
Mississippi |
Texas |
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Georgia |
New Mexico |
Virginia |
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Idaho |
N. Dakota |
W. Virginia |
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Kansas |
Ohio |
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The state in which the person is physically present is the MA residence when two or more states disagree about the person's residence.
If you determine that a state other than Wisconsin is the person's legal residence, contact the other state about providing MA coverage.
This page last updated in Release Number : 02-03
Release Date : 07/01/02
Effective Date : 07/01/02
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