AB150, s. 2987 16Section 2987. 49.45 (8) (title) of the statutes is amended to read:
AB150,1075,1817 49.45 (8) (title) Home Per-visit limits on home health services
18reimbursement.
AB150, s. 2988 19Section 2988. 49.45 (8e) of the statutes is created to read:
AB150,1075,2420 49.45 (8e) Monthly limits on home health, and private-duty nursing services
21reimbursement.
(a) Except as provided in par. (b), reimbursement under s. 20.435
22(1) (b) and (o) for home health and private-duty nursing services provided to a
23medical assistance recipient in a month may not exceed the average monthly cost of
24nursing home care, as determined by the department.
AB150,1075,2525 (b) This subsection does not apply to any of the following:
AB150,1076,1
11. A medical assistance recipient under the age of 22.
AB150,1076,32 2. A ventilator-dependent individual under s. 49.46 (2) (b) 6. m. or 49.47 (6) (a)
31.
AB150,1076,74 3. An individual not covered under subds. 1. and 2., if the department
5determines that the cost of providing the individual with nursing home care would
6exceed the cost of providing the individual with home health and private-duty
7nursing services.
****Note: This is reconciled s. 49.45 (8e). It has been affected by drafts with the following
LRB numbers: -1137/2 and-2408/1.
AB150, s. 2989 8Section 2989. 49.45 (8m) (intro.) of the statutes is amended to read:
AB150,1076,149 49.45 (8m)Rates for respiratory care services. (intro.) Notwithstanding a
10determination by the department of a maximum rate
the limits under sub. subs. (8)
11and (8e), the rates under sub. (8) and rates charged by providers under s. 49.46 (2)
12(a) 4. d. that are not home health agencies, for reimbursement for respiratory care
13services for ventilator-dependent individuals under ss. 49.46 (2) (b) 6. m. and 49.47
14(6) (a) 1., shall be as follows:
AB150, s. 2990 15Section 2990. 49.45 (11) of the statutes is amended to read:
AB150,1076,1816 49.45 (11) Penalty. Any person who receives or assists another in receiving
17assistance under this section, to which the recipient is not entitled, shall be subject
18to the penalties under s. 49.12 49.95.
****Note: This is reconciled s. 49.45 (11). This Section has been affected by drafts with the
following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2991 19Section 2991. 49.45 (12) (c) of the statutes is amended to read:
AB150,1077,420 49.45 (12) (c) The department shall request proposals for a system of
21machine-readable identification cards for medical assistance recipients and a
22computerized support system for the cards that will accept and respond to

1electronically conveyed requests from health care providers for information related
2to medical assistance recipients, such as eligibility, coverages and authorizations.
3The request for proposals shall specify that the systems are to be operating by
4January 1, 1996 1997.
AB150, s. 2992 5Section 2992. 49.45 (24m) (a) of the statutes is amended to read:
AB150,1077,96 49.45 (24m) (a) By September 1, 1990, select a county in this state and solicit
7bids from providers of home health care and personal care services in that county for
8the provision, on a contractual basis, of home health and personal care services
9authorized under ss. 49.46 (2) (a) 4. d. and (b) 6. j. and 49.47 (6) (a) 1.
AB150, s. 2993 10Section 2993. 49.45 (25) (am) of the statutes is renumbered 49.45 (25) (am)
11(intro.) and amended to read:
AB150,1077,1712 49.45 (25) (am) (intro.) Except as provided under pars. (be) and (bg) and sub.
13(24), case management services under s. 49.46 (2) (b) 9. and (bm) are reimbursable
14under medical assistance only if provided to a medical assistance beneficiary who
15receives case management services from or through a certified case management
16provider in a county, city, village or town that elects, under par. (b), to make the
17services available and who has meets at least one of the following conditions:
AB150,1077,18 181. Has a developmental disability, as defined under s. 51.01 (5) (a),.
AB150,1077,19 192. Has a chronic mental illness, as defined under s. 51.01 (3g), or.
AB150,1077,20 203. Has Alzheimer's disease, as defined under s. 46.87 (1) (a), is.
AB150,1077,21 214. Is an alcoholic, as defined under s. 51.01 (1) , or.
AB150,1077,22 225. Is drug dependent, as defined under s. 51.01 (8), is.
AB150,1077,23 236. Is physically disabled, as defined by the department, is.
AB150,1077,24 247. Is a severely emotionally disturbed child, is.
AB150,1077,25 258. Is age 65 or over or, after December 31, 1991, has.
AB150,1078,1
110. Has HIV infection, as defined in s. 252.01 (2).
AB150, s. 2994 2Section 2994. 49.45 (25) (am) 9. of the statutes is created to read:
AB150,1078,43 49.45 (25) (am) 9. Is a member of a family that has a child who is at risk of
4serious physical, mental or emotional dysfunction, as defined by the department.
AB150, s. 2995 5Section 2995. 49.45 (25) (am) 11. of the statutes is created to read:
AB150,1078,76 49.45 (25) (am) 11. Is a child who is eligible for early intervention services
7under s. 51.44.
AB150, s. 2996 8Section 2996. 49.45 (25) (am) 12. of the statutes is created to read:
AB150,1078,99 49.45 (25) (am) 12. Is infected with tuberculosis.
AB150, s. 2997 10Section 2997. 49.45 (25) (bg) of the statutes is amended to read:
AB150,1078,1811 49.45 (25) (bg) An independent living center, as defined in s. 46.96 (1) (a), that
12is a certified case management provider may elect to provide case management
13services to one or more of the categories of medical assistance beneficiaries specified
14under par. (am). The amount of allowable charges for the services under the medical
15assistance program that is not provided by the federal government shall be paid from
16nonfederal, public funds received by the independent living center from a county,
17city, village or town or from funds distributed under the appropriation under s.
1820.435 (5) (bm) or
as a grant under s. 46.96.
AB150, s. 2998 19Section 2998. 49.45 (25) (bm) (intro.) of the statutes is amended to read:
AB150,1078,2220 49.45 (25) (bm) (intro.) Case management services under this subsection may
21not be provided to a person under the category of severely emotionally disturbed
22child
par. (am) 7. unless any of the following is true:
AB150, s. 2999 23Section 2999. 49.45 (34) of the statutes is amended to read:
AB150,1079,324 49.45 (34) Medical assistance manual. The department shall prepare a
25medical assistance manual that is clear, comprehensive and consistent with ss. 49.43

1to 49.47
this subchapter and 42 USC 1396a to 1396u and shall, no later than July
21, 1992, provide the manual to counties for use by county employes who administer
3the medical assistance program.
AB150, s. 3000 4Section 3000. 49.45 (39) of the statutes is created to read:
AB150,1079,55 49.45 (39) School medical services. (a) Definitions. In this subsection:
AB150,1079,96 1. "School" means a public school described under s. 115.01 (1) or a charter
7school, as defined in s. 115.001 (1). It includes school-operated early childhood
8programs for developmentally delayed and disabled 4-year-old and 5-year-old
9children.
AB150,1079,1210 2. "School medical services" means health care services that are provided in a
11school to children who are eligible for medical assistance and that are appropriate
12to a school setting, under rules promulgated by the department.
AB150,1079,2213 (b) Payment for school medical services. If a school district elects to provide
14school medical services and meets all requirements under par. (c), the department
15shall reimburse the school district for the federal share of allowable charges for the
16school medical services that it provides and for allowable administrative costs. The
17department shall promulgate rules establishing a methodology for making
18reimbursements under this paragraph. All other expenses for the school medical
19services shall be paid for by the school district with funds received from state or local
20taxes. The school district shall comply with all requirements of the federal
21department of health and human services for receiving federal financial
22participation.
AB150,1079,2523 (c) Certification and reporting requirements. The department shall promulgate
24rules establishing specific certification and reporting requirements with respect to
25school medical services under this subsection.
AB150, s. 3001
1Section 3001. 49.45 (40) of the statutes is created to read:
AB150,1080,42 49.45 (40) Periodic record matches. The department shall cooperate with the
3department of industry, labor and human relations in matching records of medical
4assistance recipients under s. 49.32 (7).
AB150, s. 3002 5Section 3002. 49.45 (41) of the statutes is created to read:
AB150,1080,166 49.45 (41) Mental health crisis intervention services. A county, city, village
7or town may elect to make mental health crisis intervention services under this
8subsection available in the county, city, village or town to medical assistance
9recipients through the medical assistance program. A county, city, village or town
10that elects to make the services available shall reimburse the provider of the mental
11health crisis intervention services for the amount of the allowable charges for those
12services under the medical assistance program that is not provided by the federal
13government. The department shall reimburse the provider of mental health crisis
14intervention services under this subsection only for the amount of the allowable
15charges for those services under the medical assistance program that is provided by
16the federal government.
AB150, s. 3003 17Section 3003. 49.455 (4) (c) of the statutes is repealed and recreated to read:
AB150,1080,2318 49.455 (4) (c) 1. For all years other than 1996 and 1997, the minimum monthly
19maintenance needs allowance equals $1,500 increased by the same percentage as the
20percentage increase in the consumer price index between September 1988 and
21September of the year before the year involved. For 1996 and 1997, the minimum
22monthly maintenance needs allowance equals the lesser of the amount determined
23under subd. 2., or the sum of the following:
AB150,1080,2424 a. One-twelfth of 200% of the poverty line for a family of 2 persons.
AB150,1080,2525 b. Any excess shelter allowance under par. (d).
AB150,1081,4
12. The minimum monthly maintenance needs allowance in a year may not
2exceed $1,500 increased by the same percentage as the percentage increase in the
3consumer price index between September 1988 and September of the year before the
4year involved.
AB150,1081,75 3. In making the calculation under subd. 1. a., when the poverty line is revised
6the department shall use the revised amount starting on the first day of the 2nd
7calendar quarter beginning after the date of publication of the revision.
AB150, s. 3004 8Section 3004. 49.455 (4) (d) of the statutes is created to read:
AB150,1081,109 49.455 (4) (d) The excess shelter allowance equals the amount by which 30%
10of the amount determined under par. (c) 1. a. is exceeded by the sum of the following:
AB150,1081,1311 1. The community spouse's expenses for rent or mortgage principal and
12interest, taxes and insurance for his or her principal residence and, if the community
13spouse lives in a condominium or cooperative, any required maintenance charge.
AB150,1081,18142. The standard utility allowance established under 7 USC 2014 (e), except that
15if the community spouse lives in a condominium or cooperative for which the
16maintenance charge includes utility expenses, the standard utility allowance under
177 USC 2014 (e) is reduced by the amount of the utility expenses included in the
18maintenance charge.
AB150, s. 3005 19Section 3005. 49.455 (6) (b) 1. of the statutes is amended to read:
AB150,1081,2520 49.455 (6) (b) 1. In 1989, $60,000; in a calendar year after 1989, 1996 and 1997,
21$12,000 increased by the same percentage as the percentage increase in the
22consumer price index between September 1988 and September of the year before the
23year involved. In all other years,
$60,000 increased by the same percentage as the
24percentage increase in the consumer price index between September 1988 and
25September of the year before the year involved.
AB150, s. 3006
1Section 3006. 49.455 (6) (b) 2. of the statutes is created to read:
AB150,1082,22 49.455 (6) (b) 2. The lesser of the following:
AB150,1082,33 a. The spousal share computed under sub. (5) (a) 1.
AB150,1082,64 b. In any year, $60,000 increased by the same percentage as the percentage
5increase in the consumer price index between September 1988 and September of the
6year before the year involved.
AB150, s. 3007 7Section 3007. 49.46 (1) (a) 4. of the statutes is amended to read:
AB150,1082,98 49.46 (1) (a) 4. Any person receiving benefits under s. 49.177 49.77 or federal
9Title XVI.
AB150, s. 3008 10Section 3008. 49.46 (1) (a) 15. of the statutes is created to read:
AB150,1082,1311 49.46 (1) (a) 15. Any individual who is infected with tuberculosis and meets the
12income and resource eligibility requirements for the federal supplemental security
13program under 42 USC 1381 to 1383d.
AB150, s. 3009 14Section 3009. 49.46 (1) (d) 4. of the statutes is amended to read:
AB150,1082,1615 49.46 (1) (d) 4. A child who meets the conditions under 42 USC 1396a (e) 3. (3)
16shall be considered a recipient of benefits under s. 49.177 49.77 or federal Title XVI.
AB150, s. 3010 17Section 3010. 49.46 (1) (e) of the statutes is amended to read:
AB150,1082,2318 49.46 (1) (e) If an application under s. 49.47 (3) shows that the person has
19income and resources within the limitations of s. 49.19, federal Title XVI or s. 49.177
2049.77, or that the person is an essential person, an accommodated person or a patient
21in a public medical institution, the person shall be granted the benefits enumerated
22under sub. (2) whether or not the person requests or receives a grant of any of such
23aids.
AB150, s. 3011 24Section 3011. 49.46 (2) (a) 2. of the statutes is amended to read:
AB150,1083,4
149.46 (2) (a) 2. Early and periodic screening and diagnosis, including case
2management services, of persons under 21 years of age and all medical treatment
3and dentists' services specified in par. (b) 1. found necessary by this screening and
4diagnosis.
AB150, s. 3012 5Section 3012. 49.46 (2) (a) 4. d. of the statutes is amended to read:
AB150,1083,86 49.46 (2) (a) 4. d. Home health services, subject to the limitations under s. 49.45
7(8) and (8e),
or nursing services, if a home health agency is unavailable, nursing
8services, subject to the limitation under s. 49.45 (8e)
.
AB150, s. 3013 9Section 3013. 49.46 (2) (a) 4. g. of the statutes is renumbered 49.46 (2) (a) 4m.
10and amended to read:
AB150,1083,1111 49.46 (2) (a) 4m. Nurse midwifery Nurse-midwifery services.
AB150, s. 3014 12Section 3014. 49.46 (2) (b) 1. a. of the statutes is repealed.
AB150, s. 3015 13Section 3015. 49.46 (2) (b) 1. b. of the statutes is repealed.
AB150, s. 3016 14Section 3016. 49.46 (2) (b) 1. c. of the statutes is repealed.
AB150, s. 3017 15Section 3017. 49.46 (2) (b) 1. d. of the statutes is repealed.
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