Private Pay Nursing Home and Group B Plus Waivers Rates

This operations memo provides updates to the institutional cost of care values. These values include the daily average private pay nursing home rate used to determine a divestment penalty period. They also include the monthly average private pay nursing home rate and monthly rate for state centers for persons with developmental disabilities, which are used to calculate income limits for Home and Community-Based Waiver (HCBW) Group B Plus eligibility.

Health Care and FoodShare Eligibility Policy for New Categories of Immigrants

The Department of Homeland Security created ten new visa classes of admission (COAs) for immigration processing purposes. The Wisconsin Department of Health Services (DHS) utilizes COA codes from the Department of Homeland Security to determine an applicant’s immigration status for
Medicaid, BadgerCare Plus, and FoodShare eligibility. This memo announces the categories of COAs and how they correspond to existing Medicaid, BadgerCare Plus, and FoodShare non-citizen eligibility policies. 

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Last revised October 18, 2025