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Wisconsin SeniorCare

  • Wisconsin Senior Care - Renewal (modified: 1 year ago)
    Wisconsin requests a 10-year extension of its section 1115 demonstration called the SeniorCare Prescription Drug Assistance Program; to be continued through December 31, 2028. This demonstration has been in effect since September 1, 2002 and provides a comprehensive prescription drug benefit for seniors, age 65 or older, with income at or below 200 percent of the federal poverty level. SeniorCare has an open formulary nearly identical to that of Wisconsin Medicaid and covers over-the-counter insulin as well as prescription drugs with a federal rebate agreement. Cost sharing requirements are imposed based on individual or family income. The state is not proposing program changes. CMS is extending the federal public comment period that opened July 5, 2018 through August 19, 2018 as some of the program information was embedded within the application appendices and unable to view. CMS has updated the pending weblink so the full extension application is available for public input.
  • Wisconsin SeniorCare (modified: 4 years ago)
    Wisconsin has requested to extend its "SeniorCare" Medicaid demonstration that extends eligibility to provide prescription drugs as a necessary primary health care benefit to seniors, age 65 or older, with income up to 200% of the federal poverty level (FPL). SeniorCare enrollees pay an annual $30 enrollment fee and incur co-pays of $5 for generic drugs and $15 for brand name drugs. Enrollees with income at or below 160% of the FPL have no other out-of-pocket costs. Those with income between 160 to 200% of the FPL pay the first $500 in prescription drug costs at the SeniorCare rate. The federal public comment period will be open from July 13, 2015 through August 11, 2015.