Dental services, including simple tooth extractions and any necessary suturing related to the extractions, performed by a dentist who is a volunteer health provider; and dental hygiene services, performed by a dental hygienist who is a volunteer health provider.
Under this section, the nonprofit agency may not provide emergency medical services, hospitalization, or surgery, except as provided in par. (b) 8.
Under this section, the nonprofit agency shall provide health care services primarily to low-income persons who are uninsured and who are not recipients of any of the following:
A volunteer health care provider who is a dentist may provide dental services or a volunteer health care provider who is a dental hygienist may provide dental hygiene services, to persons who are recipients of Medical Assistance, if all of the following apply:
The nonprofit agency's fees for these services apply to the recipients and to persons who are not recipients of Medical Assistance.
The agency accepts discounted payments, based on ability to pay, from the persons who are not Medical Assistance recipients.
All of the following apply to a volunteer health care provider whose joint application with a school board or relevant governing body is approved under sub. (2)
Before first providing health care services in a school, the volunteer health care provider shall provide to the school board or relevant governing body proof of satisfactory completion of any competency requirements that are relevant to the volunteer health care provider, as specified by the department of public instruction by rule, and shall consult with the school nurse, if any, of the school.
Under this subsection, the volunteer health care provider may provide only to students from 4-year-old kindergarten to grade 6 the following health care services:
Any other health care services designated by the department of public instruction by rule.
Under this subsection, the volunteer health care provider may not provide any of the following:
Any health care services provided under par. (b)
shall be provided without charge at the school and shall be available to all students from 4-year-old kindergarten to grade 6 regardless of income.
Under this subsection, a volunteer health care provider may provide instruction in human growth and development if the instructional program is in compliance with requirements of s. 118.019
, except that the volunteer health care provider may not provide instruction on a topic specified under s. 118.019 (2) (e)
Volunteer health care providers who provide services under this section are, for the provision of these services, state agents of the department of health and family services for purposes of ss. 165.25 (6)
, 893.82 (3)
Reduction in fees prohibited. 146.905(1)
Except as provided in sub. (2)
, a health care provider, as defined in s. 146.81 (1)
, that provides a service or a product to an individual with coverage under a disability insurance policy, as defined in s. 632.895 (1) (a)
, may not reduce or eliminate or offer to reduce or eliminate coinsurance or a deductible required under the terms of the disability insurance policy.
(2) Subsection (1)
does not apply if payment of the total fee would impose an undue financial hardship on the individual receiving the service or product.
History: 1991 a. 250
; 1995 a. 225
Long-term care insurance. 146.91(1)
In this section, "long-term care insurance" means insurance that provides coverage both for an extended stay in a nursing home and home health services for a person with a chronic condition. The insurance may also provide coverage for other services that assist the insured person in living outside a nursing home including but not limited to adult day care and continuing care retirement communities.
The department, with the advice of the council on long-term care insurance, the office of the commissioner of insurance, the board on aging and long-term care and the department of employee trust funds, shall design a program that includes the following:
Subsidizing premiums for persons purchasing long-term care insurance, based on the purchasers' ability to pay.
Reinsuring by the state of policies issued in this state by long-term care insurers.
Allowing persons to retain liquid assets in excess of the amounts specified in s. 49.47 (4) (b) 3g.
, for purposes of medical assistance eligibility, if the persons purchase long-term care insurance.
The department shall collect any data on health care costs and utilization that the department determines to be necessary to design the program under sub. (2)
In designing the program, the department shall consult with the federal department of health and human services to determine the feasibility of procuring a waiver of federal law or regulations that will maximize use of federal medicaid funding for the program designed under sub. (2)
The department, with the advice of the council on long-term care insurance, may examine use of tax incentives for the sale and purchase of long-term care insurance.
History: 1987 a. 27
; 1989 a. 56
Patient visitation. 146.95(2)(a)(a)
Any individual who is 18 years of age or older may identify to a health care provider at an inpatient health care facility at any time, either orally or in writing, those persons with whom the individual wishes to visit while the individual is a patient at the inpatient health care facility. Except as provided in par. (b)
, no inpatient health care facility may deny visitation during the inpatient health care facility's regular visiting hours to any person identified by the individual.
Subject to s. 51.61
for a treatment facility, an inpatient health care facility may deny visitation with a patient to any person if any of the following applies:
The inpatient health care facility or a health care provider determines that the patient may not receive any visitors.
The inpatient health care facility or a health care provider determines that the presence of the person would endanger the health or safety of the patient.
The inpatient health care facility determines that the presence of the person would interfere with the primary operations of the inpatient health care facility.
The patient has subsequently expressed in writing to a health care provider at the inpatient health care facility that the patient no longer wishes to visit with the person. Unless subd. 2.
applies, an inpatient health care facility may not under this subdivision deny visitation to the person based on a claim by someone other than a health care provider that the patient has orally expressed that the patient no longer wishes to visit with that person.
History: 1997 a. 153
Uniform claim processing form.
Beginning no later than July 1, 2004, every health care provider, as defined in s. 146.81 (1)
, shall use the uniform claim processing form developed by the commissioner of insurance under s. 601.41 (9) (b)
when submitting a claim to an insurer.
History: 2001 a. 109
The department shall, within 90 days after the commencement of each fiscal year, assess hospitals, as defined in s. 50.33 (2)
, a total of $1,500,000, in proportion to each hospital's respective gross private-pay patient revenues during the hospital's most recently concluded entire fiscal year. Each hospital shall pay its assessment on or before December 1 for the fiscal year. All payments of assessments shall be deposited in the appropriation under s. 20.435 (4) (gp)
Reporting of wounds and burn injuries. 146.995(2)(a)(a)
Any person licensed, certified or registered by the state under ch. 441
who treats a patient suffering from any of the following shall report in accordance with par. (b)
Any wound other than a gunshot wound if the person has reasonable cause to believe that the wound occurred as a result of a crime.
Second-degree or 3rd-degree burns to at least 5% of the patient's body or, due to the inhalation of superheated air, swelling of the patient's larynx or a burn to the patient's upper respiratory tract, if the person has reasonable cause to believe that the burn occurred as a result of a crime.
For any mandatory report under par. (a)
, the person shall report the patient's name and the type of wound or burn injury involved as soon as reasonably possible to the local police department or county sheriff's office for the area where the treatment is rendered.
Any such person who intentionally fails to report as required under this subsection may be required to forfeit not more than $500.
Any person reporting in good faith under sub. (2)
, and any inpatient health care facility that employs the person who reports, are immune from all civil and criminal liability that may result because of the report. In any proceeding, the good faith of any person reporting under this section shall be presumed.
The reporting requirement under sub. (2)
does not apply under any of the following circumstances:
The patient is accompanied by a law enforcement officer at the time treatment is rendered.
The patient's name and type of wound or burn injury have been previously reported under sub. (2)
The wound is a gunshot wound and appears to have occurred at least 30 days prior to the time of treatment.
Health care worker protection. 146.997(1)(a)
"Department" means the department of workforce development.
"Health care facility" means a facility, as defined in s. 647.01 (4)
, or any hospital, nursing home, community-based residential facility, county home, county infirmary, county hospital, county mental health complex or other place licensed or approved by the department of health and family services under s. 49.70
or a facility under s. 45.50
"Health care provider" means any of the following: