These proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114 (1) (a), Stats.
Summary of Comments:
No comments were reported.
Ch. PI 11 - Handicapping conditions including significant developmental delay.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114 (1) (a) Stats.
Summary of Comments:
No comments were reported.
Ch. PI 11 - Method of resolving disputes concerning children with EEN between school boards and the parents of those children.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules were reviewed by the department's Small Business Review Advisory Committee on September 26, 1995. The committee agrees with the department that the rules will have a significant impact on a substantial number of small businesses regarding continuing education requirements. The following are comments of the committee members.
Continuing education requirements will require more staff time in order to respond to inquiries from registrants and schools. Staff will also have to spend time preparing mailings for registrants. They will also have to process renewal applications. There will be increased costs for registrants who have to obtain continuing education credit. Those costs may, in turn, be passed along to consumers.
The new interior design statutes require the department to develop rules regarding continuing education requirements. Towards that end, the department has required registrants to complete a minimum number of education credits. Because the statute mandates that the department include these rules provisions, the resultant costs are unavoidable. Registrants will be not required to file certificates of completion with the department for their continuing education, but will instead be required to certify on their renewal application forms that they have satisfied the required credits. While additional staff time will have to be spent on administering the continuing education provisions and the renewals, these increases are an inevitable result of having to register a new class of individuals.
Summary of Comments:
No comments were reported.
12. Public Service Commission
(CR 96-17)
Ch. PSC 185 - Standards for water public utility service.
Summary of Final Regulatory Flexibility Analysis:
There will be no adverse fiscal impact of these rules on state or local units of government or on small business.
Summary of Comments:
No comments were reported.
Ch. RL 34 - Private security person or a private detective carrying a loaded firearm in a vehicle while on duty as a private security person.
Summary of Final Regulatory Flexibility Analysis:
These proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114 (1) (a), Stats.
Summary of Comments:
No comments were reported.
Ch. Trans 269 - Transportation of garbage refuse permits.
Summary of Final Regulatory Flexibility Analysis:
This proposed rule will have no adverse impact on small businesses.
Summary of Comments:
No comments were reported.
S. Trans 139.05 - Fee for title and registration processing contractors.
Summary of Final Regulatory Flexibility Analysis:
This proposed rule will have no adverse impact on small businesses beyond any effect imposed by the statutes.
Summary of Comments:
No comments were reported.
Ch. Trans 102 - Driver license issuance.
Summary of Final Regulatory Flexibility Analysis:
The proposed rule making will have no effect on small businesses.
Summary of Comments:
No comments were reported.
Ch. Trans 325 - Motor carrier safety regulations, motor carrier safety requirements for transportation of hazardous materials and motor carrier safety requirements for intrastate transportation of hazardous materials.
Summary of Final Regulatory Flexibility Analysis:
This proposed rule will have no adverse impact on small businesses.
Summary of Comments:
No comments were reported.
P u b l i c N o t i c e
Public Notice
Health & Family Services
(Medical Assistance Reimbursement of Hospitals)
The State of Wisconsin reimburses hospitals for medical services provided to low-income persons under the authority of Title XIX of the Federal Social Security Act and ss. 49.43 to 49.47, Wis. Stats. Medicaid or Medical Assistance (MA) is administered by the State's Department of Health and Family Services. Federal statutes require a state plan for inpatient services that describes the methods and standards for paying for hospital inpatient services.
A state plan is now in effect for the reimbursement of inpatient hospital services, including reimbursement of Medicaid services provided by mental health hospitals owned and operated by the State. The Department is proposing to modify how state-operated mental health hospitals are reimbursed for Medicaid services effective July 1, 1996. The proposed method provides for payment at interim rates during the hospitals' fiscal year. After completion of the fiscal year, the hospitals' actual cost of providing Medicaid services for the year will be compared to the payments provided at the interim rates. If these payments exceed the costs, the difference will be recovered by the Medicaid program. If these payments are less than the costs, the difference will be paid to the state-operated mental health hospitals. Payments may be less than costs if federal limitations on Medicaid payments do not allow payment of the full cost of providing Medicaid services. In addition to the payment of the hospitals' costs, a disproportionate share hospital payment will be determined according to the currently effective state plan based on the hospitals' costs.
This change will ensure that the Medicaid program carries its share of the financial operating needs of the state's mental health hospitals. In addition, this change will increase payments to a level that is more comparable with the Medicaid rates paid under the DRG-based payment system to mental health hospitals not operated by the state.
Implementation of the above change to the State Plan for inpatient hospital services is expected to increase current annual expenditures of the Wisconsin Medicaid program by $1,750,000 all funds ($1,050,000 federal financial participation and $700,000 general purpose revenue).
Copies of Proposed Changes
Copies of proposed changes will be sent to every county social services or human services department main office, where they will be available for public review. For more information, interested people may write to:
Hospital Reimbursement Unit
Bureau of Health Care Financing
FAX (608) 266-1096
Division of Health
P.O. Box 309
MADISON, WI 53701-0309
Written Comments
Written comments on the proposed changes are welcome and should be sent to the above address. The comments received on the changes will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily at:
Bureau of Health Care Financing
Room 265, State Office Building
One West Wilson Street
MADISON, WI
The State of Wisconsin
Department of Administration
Document Sales Unit
