Wisconsin. Bureau of Health Care Financing: Medical Assistance HMO Program Records, 1981-2009

Container Title
Series 2627
Part 1 (Series 2627): Original Collection, 1982-1995
Physical Description: 9.8 cubic feet (9 records center cartons and 2 archives boxes) 
Scope and Content Note: The earliest program documented is the Health Insurance Risk Sharing Pool (HIRSP), begun in 1983 to insure individuals unable to obtain private insurance for health reasons. This program was not Medical Assistance, as it was underwritten by assessments on insurance companies doing business in Wisconsin. Initially limited to Dane and Milwaukee counties, HIRSP was expanded to include voluntary programs in other counties. The records include minutes of the board of governors, correspondence, audits, responses from individual HMOs, and studies and reports. The records document agency responsibilities for contracting for services with private firms such as Blue Cross Blue Shield of Wisconsin and EDS; setting rates; investigating grievances concerning service providers; and conducting audits, quality assessments, and contractual compliance studies. Other records document various cost containment efforts dating from 1995 to 2000 although managed care programs for medicaid clients date to 1984. These programs included contracting with private HMOs for AFDC and Healthy Start clients and with managed care programs such as iCare, a Milwaukee provider for individuals under 65 on SSI (supplemental security income) who were on medical assistance. In Madison they contracted with Children Come First (CCF), a managed care program for children with severe emotional disturbances; in Milwaukee they contracted a similar program, Wrap Around Milwaukee (WAM). Also included are records about the Preferred Provider Program (PPP) initiative. Other records document detailed planning for BadgerCare, a program to provide affordable health care for children and adults in low-income working families.
Box   1
Folder   1
Abortions, sterilizations and hysterectomies, 1984-1989
Box   1
Folder   2
Administrative and its HMOs
Box   1
Folder   3
Advisory Committee, 1985-1986
Box   1
Folder   4
Advocates, 1986-1992
Alcohol and other drug abuse
Box   1
Folder   5
Complaints, 1992
Box   1
Folder   6
Managed Care Plan, 1986-1990
Box   1
Folder   7
Minority providers, 1989
Box   1
Folder   8
Project Fresh Start, 1989-1990
Box   1
Folder   9
Studies, 1986-1990
Ambulance/emergency services
Box   1
Folder   10
Ambulance Association meetings, 1989
Box   1
Folder   11
Audit Milwaukee, 1987
Box   1
Folder   12
Claims, 1990-1991
Box   1
Folder   13
Claim audit background and final report, 1990-1992
Box   1
Folder   14
General, 1987-1989
Individual/ambulance companies
Box   1
Folder   15
Bell, 1987-1989
Box   1
Folder   16
Curtis, 1987
Box   1
Folder   17
Paratech, 1989-1990
Box   1
Folder   18
Review of individual HMOs
Box   1
Folder   19
Anti-HMO advocacy
Box   1
Folder   20
Association of Wisconsin HMOs, 1987-1989
Box   1
Folder   21
Billing extraordinary claims, 1985-1992
Black Health Care Coalition
Box   1
Folder   22
General, 1992-1992
Box   1
Folder   23
Primary Care Pilot Program, 1991-1992
Box   1
Folder   24
Budget materials, 1987-1988
Box   1
Folder   25
Bureau of Economic Assistance, 1985
Bureau of Health Care Financing
Box   1
Folder   26
General, 1988-1989
Box   1
Folder   27
Contract Monitor Milwaukee, 1987
Capitalization rates
Box   1
Folder   28-29
1985-1987
Box   2
Folder   1
1989-1994
Fee for service
Box   2
Folder   2
Calculation, 1992
Box   2
Folder   3
Final report, 1989
Box   2
Folder   4
Request for proposal - Actuarial Services, 1989-1992
Box   2
Folder   5
Center for Health Policy - HMO evaluation, 1986-1987
Box   2
Folder   6
Center for Health Statistics, 1985-1988
Box   2
Folder   7-8
Center for Public Representation, 1986-1987
Box   2
Folder   9
Maternal and child health, 1986
Box   2
Folder   10
Certification - providers
Box   2
Folder   11
Children's Initiative, 1989
Box   2
Folder   12
Children Come First Managed Care Program, 1992-1993
Box   2
Folder   13
Chiropractic services, 1987-1988
Box   2
Folder   14
Civil rights compliance, 1987-1988
Box   2
Folder   15
Civil rights compliance, 1991-1992
Box   2
Folder   16
Cocaine grant, 1990
Box   2
Folder   17
Commissioner of Insurance, 1986-1989
Box   2
Folder   18
Community relations - Social Development Commission, Milwaukee County, combined financial statement, 1989-1990
Community Service Plan
Box   2
Folder   19
1985-1986
Box   2
Folder   20
1987-1989
Contract with HMOs
Box   2
Folder   21
1984-1987
Box   2
Folder   22
1988-1992
Box   2
Folder   23
1993-1994
Box   2
Folder   24
Compliance review, 1985-1986
Box   3
Folder   1
Negotiation issues, 1985-1991
Correspondence
General
Box   3
Folder   2
1986
Box   3
Folder   3
1987
Box   3
Folder   4
1988
Box   3
Folder   5
1989-1990
Box   3
Folder   6
Dane County, 1986-1989
Box   3
Folder   7
Eau Claire County, 1986-1991
Box   3
Folder   8
Mandatory HMO enrollment process, 1988-1990
Milwaukee County
Box   3
Folder   9
1985-1987
Box   3
Folder   10
1988-1989
Box   3
Folder   11
Declining HMO participation
Box   3
Folder   12
Dental care, 1987-1991
Box   3
Folder   13
Disenrollment and exemptions, 1987-1993
Box   3
Folder   14
EDS, 1986-1991
Box   3
Folder   15
Correspondence, 1992-1994
Box   3
Folder   16
Education and Enrollment Program - request for proposal, 1987
Box   3
Folder   17
Elderly Project/On Look Program, 1986
Box   3
Folder   18
Exemption Policy, 1988
Box   3
Folder   19
Expansion of HMO program, 1987-1988
Face to Face HMO Enrollment Project
Box   3
Folder   20
1986-1987
Box   3
Folder   21
1989-1990
Box   3
Folder   22
1991-1992
Box   4
Folder   1
Federal audit of Wisconsin HMO Program
Federal Freedom of Choice Waiver
Box   4
Folder   2
Medical Assistance/HMO background, 1982
Extension request - Medical Assistance/HMO Program
Box   4
Folder   3
1982
Box   4
Folder   4
1982-1984
Box   4
Folder   5
1986-1988
Box   4
Folder   6
1990-1994
Box   4
Folder   7
Cost data - Medical Assistance/HMO Program, 1993-1996
Box   4
Folder   8
Grievance materials, 1984-1989
Box   4
Folder   9
Health Care Financing Administration, 1988-1995
Box   4
Folder   10
Health Care Task Force, 1986-1987
Box   4
Folder   11
Health Check, 1985-1987
Box   4
Folder   12
Health Check recoupment, 1992
Box   4
Folder   13
Healthy Start, 1991
Box   4
Folder   14
Hispanic Forum, 1989-1990
Health maintenance organizations
Box   4
Folder   15
Annual statement summary, 1994
Common Enclosures
Box   4
Folder   16
1984-1987
Box   4
Folder   17
1988-1990
Box   4
Folder   18
1991-1993
Box   4
Folder   19
Enrollment, 1985-1993
Box   4
Folder   20
Fee for service comparison, 1991-1993
Box   4
Folder   21
Group memos, 1990-1991
Box   4
Folder   22
Outreach and Recipient Education Program, 1992
Box   4
Folder   23
Response to request for bids, 1995
Compcare
Box   4
Folder   24
Audits, 1991-1993
General correspondence
Box   4
Folder   25
1984-1987
Box   4
Folder   26
1988-1991
Box   5
Folder   1
1992-1994
Box   5
Folder   2
Dean Care, 1984-1989
Box   5
Folder   3
Employers Health, 1988-1989
Family Health Plan
St. Francis
Box   5
Folder   4
1985-1986
Box   5
Folder   5
1987
Box   5
Folder   6
Audits, 1993
Box   5
Folder   7
General, 1984-1987
General correspondence
Box   5
Folder   8
1988-1991
Box   5
Folder   9
1992-1994
Group Health Cooperative
Dane
Box   5
Folder   10
1984-1987
Box   5
Folder   11
1988-1990
Box   5
Folder   12
1991-1993
Eau Claire
Box   5
Folder   13
1986-1990
Box   5
Folder   14
1991-1993
Box   5
Folder   15
HMO of Wisconsin, 1984-1987
Health Reach
General correspondence
Box   5
Folder   16
1984-1986
Box   5
Folder   17
1987
Box   5
Folder   18
Grievances, 1986-1987
Box   5
Folder   19
Reviews and audits, 1986-1987
Box   5
Folder   20
Jackson Health Plan, 1984-1986
Maxicare - Managed Health Services
Box   5
Folder   21
Audits
General correspondence
Box   6
Folder   1
1984-1985
Box   6
Folder   2
1986-1987
Box   6
Folder   3
1988-1989
Box   6
Folder   4
1990
Box   6
Folder   5
1991-1992
Box   6
Folder   6
1993-1994
Box   6
Folder   7
Metlife, 1988
Box   6
Folder   8
Midelfort Health Plan, 1987
Box   6
Folder   9
Physicians Plus, 1986-1991
Primecare
Audits
Box   6
Folder   10
Alcohol and other drug abuse, 1993
Box   6
Folder   11
Other, 1991-1993
Box   6
Folder   12
Compliance review
Box   6
Folder   13
Contract materials, 1992-1993
Box   6
Folder   14
Financial statements, 1992-1993
General correspondence
Box   6
Folder   15
1984-1985
Box   6
Folder   16
1986
Box   6
Folder   17
1987
Box   6
Folder   18
1988-1989
Box   6
Folder   19
1991-1993
Box   6
Folder   20
Grievances
Response to request for bid
Box   6
Folder   21
1986-1987
Box   6
Folder   22
1991-1992
Box   7
Folder   1
1993-1994
Samaritan
General correspondence
Box   7
Folder   2
1984-1985
Box   7
Folder   3
1986-1987
Box   7
Folder   4
1988-1989
Box   7
Folder   5
1990-1991
Box   7
Folder   6
Quality assurance minutes
Total Care
Box   7
Folder   7
1984-1985
Box   7
Folder   8
1986-1987
U-Care
Box   7
Folder   9
1985-1989
Box   7
Folder   10
1990-1991
Box   7
Folder   11
Unity Health Plan, 1986-1987
Wisconsin Health Organization
Audit
Box   7
Folder   12
Claims, 1987-1993
Box   7
Folder   13
Dental, 1992-1993
Box   7
Folder   14
Other, 1991-1993
Box   7
Folder   15
Contract compliance review, 1988-1992
Box   7
Folder   16
Corrective Action Plan, 1992-1993
Box   7
Folder   17
Plan monitoring, 1992-1993
Box   7
Folder   18
Financial statements, 1985-1994
Box   7
Folder   19
Genesis/Medcomp Care merger, 1992-1993
General correspondence
Box   8
Folder   1
1984-1987
Box   8
Folder   2
1988-1991
Box   8
Folder   3
1992-1993
Box   8
Folder   4
Grievances
Box   8
Folder   5
Medical Assistance Advocate, 1993
Box   8
Folder   6
Response to request for bid, 1991-1992
Box   8
Folder   7
HMO Taskforce
Box   8
Folder   8
Healthy Women and Infants Project, 1993-1994
Box   8
Folder   9
Immunization - measles outbreak
Box   8
Folder   10
Independent Care Grant
Box   8
Folder   11
Indo-Chinese Clinic, 1991-1992
Box   8
Folder   12
Jewish Vocational Services Proposal, 1987-1988
Box   8
Folder   13
Lead poisoning, 1990-1992
Box   8
Folder   14
Legal opinions, 1985-1988
Box   8
Folder   15
Long-term HMO strategies, 1988-1989
Box   8
Folder   16
Maternal and child health - 0-3 Initiative, 1989-1992
Medicaid/HMO Program
Box   8
Folder   17
Preferred Enrollment Initiative background, 1985-1990
Box   8
Folder   18
Studies and reports
Box   8
Folder   19
Studies and reports, 1989-1992
Box   8
Folder   20
Workgroup, 1990
Box   8
Folder   21
Memoranda of understanding, background information, 1984-1986
Box   8
Folder   22
Milwaukee (City) Health Department, 1988-1989
Box   8
Folder   23
Milwaukee Comprehensive Community Health, closing, 1989-1990
Box   8
Folder   24
Milwaukee Comprehensive Community Health, quality assurance program, 1986
Box   8
Folder   25
Milwaukee HMO Forum
Box   8
Folder   26
Milwaukee Indian Health Board, 1985
Box   8
Folder   27
Milwaukee management report, 1988 May-July
Box   9
Folder   1
Neonatal risk sharing, 1990-1992
Box   9
Folder   2
Pharmacy, 1986-1990
Box   9
Folder   3
Policy interpretation, 1985-1991
Box   9
Folder   4
Patient dumping, 1989-1990
Box   9
Folder   5
Pregnancy issues - Prenatal Support Grant, 1988-1990
Box   9
Folder   6
Prenatal Support Demonstration Project, 1990
Box   9
Folder   7
Presumptive eligibility, 1988
Box   9
Folder   8
Primary Care Initiative
Box   9
Folder   9
Primary provider and drug utilization, 1985
Box   9
Folder   10
Prior authorization guidelines, 1986-1987
Quality assurance
Box   9
Folder   11
Reports, 1987
Box   9
Folder   12
Grant, 1992
Box   9
Folder   13
HMO specific, 1987
General correspondence
Box   9
Folder   14
1986-1987
Box   9
Folder   15
1988-1992
Box   9
Folder   16
Minutes/agendas/enclosures, 1989-1994
Box   9
Folder   17
Mt. Sinai IPA
Box   9
Folder   18
Subcommittee
Wisconsin Peer Review Organization
Box   9
Folder   19
1985-1987
Box   9
Folder   20
1988-1989
Box   9
Folder   21
1991-1992
Box   9
Folder   22
Quarterly planning meetings with HMO
Box   9
Folder   23
Recipient payments, 1986-1991
Box   9
Folder   24
Recipient Satisfaction Workgroup, 1994
Box   9
Folder   25
Recoupments, 1986-1988
Request for bids
Box   9
Folder   26
Medical Assistance/HMO Program, 1984-1988
Box   10
Folder   1
Medical Assistance/HMO programs, 1989-1995
Box   10
Folder   2
Review Committee request for bids and contracts, 1992-1993
Box   10
Folder   3
Risk sharing, 1984-1990
Box   10
Folder   4
Robert Wood Johnson Grant, 1987-1989
Box   10
Folder   5
Robinson hearing, 1987
Box   10
Folder   6
Severe emotional disturbance exemption, 1991-1993
Box   10
Folder   7
Social Development Commission, 1992-1993
Box   10
Folder   8
Social Security insurance, 1989
Box   10
Folder   9
State Health Insurance Program, 1985-1988
Box   10
Folder   10
Steering Committee - HMO Project, 1985
Teen Pregnancy Service
General
Box   11
Folder   1
1986-1987
Box   11
Folder   2
1988
Box   11
Folder   3
1989-1993
Box   11
Folder   4
Program review, 1989
Box   11
Folder   5
Transplants
Box   11
Folder   6
Utilization and encounter data, 1989-1990
Box   11
Folder   7
Utilization reports, 1991-1992
Box   11
Folder   8
Welfare reform, 1987-1989
Box   11
Folder   9
Wisconsin Independent Physicians group, 1990-1993