Family Care Prevocational Services Definition

Update: February 23, 2010

The Wisconsin Department of Health Services recently distributed a draft of technical guidelines related to the definition of pre-vocational services. To see a copy of the draft, click here.

Along with a copy of the draft, Fredi-Ellen Bove of DHS distributed the following message:

"As you know, at the end of December 2009, the federal Centers for Medicare and Medicaid Services (CMS) approved a revised definition of pre-vocational services for the Family Care program, as part of the approval for the renewal of the Family Care Medicaid waiver. This revised definition was the result of discussions and meetings in the fall between the Department and external stakeholders.

As we indicated in the fall, the Department is committed to developing, in collaboration with external stakeholders and partners, technical assistance guidance related to this new definition.

Attached is a first draft developed by the Department of technical guidance for the approved pre-vocational services definition. We are inviting you to review and provide comments on this draft material by Friday, March 5. Please e-mail your comments to me, Tammy Hofmeister, and Lisa Mills.

Based on the comments received, the Department will develop a revised draft, which will be circulated to stakeholders and partners. The Department will provide a mechanism for stakeholders to provide any final comments on the revised draft before the guidance is completed.

Thank you for your interest and involvement in this issue."

Update: November 21, 2009

As many of you are aware, proposed changes to the definition of prevocational services within Family Care has spurred a significant amount of emotional activity in recent weeks. In response to many of the calls and e-mails we have received, The Arc-Wisconsin has been deeply involved in discussions with the Department of Health Services (DHS) and others that could be impacted by the proposed changes. The Arc-Wisconsin worked with DHS to gain grassroots input into the proposed changes, as well as revisions suggested by Rehabilitation for Wisconsin (RFW). We are grateful to the Department of Health services for their response to concerns about the initial proposed definition changes. On November 20th, a revised definition, one that incorporated many of the suggestions put forward by The Arc-Wisconsin and other organizations, was announced by DHS. This new definition must be approved by the Centers for Medicare & Medicaid Services (CMS), the federal entity with oversight over state Medicaid programs.

Below are some documents that will help provide some clarification:

Click Here For Department of Health Services' Responses to Frequently Asked Questions

Click Here for Department of Health Services' Final Proposed Prevocational Service Definition, November 20, 2009

Click Here for Department of Health Services' Initial Proposed Prevocational Services Definition

Click Here for Rehabilitation for Wisconsin's Proposed Changes to Prevocational Services Definition