Changes have been proposed to the Wisconsin Medical Assistance Purchase Plan (MAPP). Please read the memo below for more information.


To:      All Legislators

From:   Representatives André Jacque, John Macco, Eric Genrich, David Steffen & Mike Rohrkaste

Date:   September 15, 2015

RE:      Co-Sponsorship of LRB 2576/1: MAPP Reform & Sustainability – Improving Work Supports and Incentives for Individuals with Disabilities

Deadline:  Tuesday, September 29 at 5:00 pm

We will be introducing LRB 2576/1 to update Wisconsin’s Medical Assistance Purchase Plan (MAPP) to ensure the program remains an important and relevant part of Wisconsin’s work incentives for disabled individuals. This legislation is the result of months of discussions with DHS, the Governor’s Committee for People with Disabilities, WI Board for People with Developmental Disabilities, WI Council on Physical Disabilities and the Survival Coalition.

The MAPP program is not currently functioning as a work incentive program the way it was intended, but with the changes proposed in this bill, MAPP can become a more valuable and sustainable tool in Wisconsin’s efforts to improve employment outcomes for people with disabilities.  The program has needed to be updated for about a decade now and our proposal, in keeping with a work incentive program, will require participants to pay a small minimum monthly premium and will also offer more equitable results in determinations of income, including elimination of the marriage penalty and removing disincentives for retirement savings.

Proposed changes:

  • Institute a minimum $25 premium for all participants who are under 150% of the federal poverty level.  Stakeholders have indicated that charging everyone at least a minimum premium establishes a fairer premium structure for all and research indicates that charging a premium is particularly helpful in offsetting the cost of the Medicaid buy-in program.
  • Treat earned and unearned income the same in regards to eligibility and premium calculations.
  • Determine eligibility on the basis of the individual participant’s income and assets.
  • For participants with adjusted income above 250% FPL, deduct all medical, remedial and long term care expenses from income to determine eligibility.
  • Give participants the ability to contribute to their independence/retirement accounts without risking the loss of eligibility in other Medicaid programs once they can no longer work or they retire.

Click here to open a pdf of the proposed bill.