AB100-ASA1-AA8,161,85
49.26
(1) (h) 1. (intro.) An individual who
is 6 to 12 years of age and who fails
6to
meet the school attendance requirement under par. (ge) cooperate with case
7management efforts under par. (gm) is subject to sanctions as provided under subd.
81s. only if all of the following apply:
AB100-ASA1-AA8,162,920
49.26
(2) (b)
From the appropriation under s. 20.445 (3) (dg), the department
21shall allocate funds to county County departments
for the provision of or Wisconsin
22works agencies shall provide case management services to individuals who are
23subject to the school attendance requirement under the learnfare program under
24sub. (1) and their families to improve the school attendance and achievement of those
1individuals.
At least 75% of the funds that the department allocates under this
2paragraph to provide case management services to individuals who are 13 to 19 years
3of age shall be allocated to a county department of a county with a population of
4500,000 or more. A county department is eligible to receive funds under this
5subsection to provide case management services to individuals who are 13 to 19 years
6of age in a year if 35 or more individuals, 13 to 19 years of age, residing in the county
7were sanctioned under sub. (1) (h) or were subject to the monthly attendance
8requirement under s. HSS 201.195 (4) (b) 2., Wis. adm. code, in any month during the
9previous year.".
AB100-ASA1-AA8,162,18
10717. Page 824, line 18: delete lines 18 to 24 and substitute "implement
11standards
which are reasonable and adequate to meet the costs which must be
12incurred by efficiently and economically operated facilities in order to provide care
13in conformity with this section, with federal regulations authorized under 42 USC
141396a (a) (13) (A), 1396a (a) (30), 1396b (i) (3), 1396L and 1396r (e) and with quality
15and safety standards established under subch. II of ch. 50 and ch. 150. In
16administering this payment system, the department shall allow costs it determines 17that are necessary and proper for providing patient care
and that meet quality and
18safety standards established under subch. II of ch. 50 and ch. 150. The payment".
AB100-ASA1-AA8,162,2421
49.45
(6m) (ag) 2. Standards established by the department
for costs of
22economically and efficiently operated facilities that shall be based upon allowable
23costs incurred by facilities in the state as available from information submitted
24under par. (c) 3. and compiled by the department.".
AB100-ASA1-AA8,163,12
7"6. If subd. 4. b. applies and the nursing home later resumes licensure of a bed
8that was delicensed between the effective date of this subdivision .... [revisor inserts
9date], and the date that is 60 days after the effective date of this subdivision ....
10[revisor inserts date], the department shall calculate the costs per patient day using
11the methodology specified in the state plan that is in place at the time that the
12delicensed beds are resumed.".
AB100-ASA1-AA8,163,2120
49.45
(6v) (a) In this subsection, "facility" has the meaning given in sub. (6m)
21(a) 3.
AB100-ASA1-AA8,164,222
(b) The department shall, by December 1 of each year, submit to the joint
23committee on finance a report that provides information on the utilization of beds by
1recipients of medical assistance in facilities for the immediate prior 2 consecutive
2fiscal years.
AB100-ASA1-AA8,164,73
(c) If the report specified in par. (b) indicates that utilization of beds by
4recipients of medical assistance in facilities decreased during the most recently
5completed fiscal year from the utilization of beds by recipients of medical assistance
6in facilities in the next most recently completed fiscal year, the department shall do
7all of the following:
AB100-ASA1-AA8,164,128
1. Multiply the difference between the number of days of care provided in the
9facilities in each of the immediate prior 2 consecutive fiscal years by the average
10daily costs of care in such facilities. The average daily costs of care shall be calculated
11by dividing the total medical assistance expenditures for care in facilities by the total
12number of days of care provided in facilities in that fiscal year.
AB100-ASA1-AA8,164,1513
2. For new placements under ss. 46.275, 46.277 and 46.278 in the most recently
14completed fiscal year, multiply the number of days of service under ss. 46.275, 46.277
15and 46.278 by the rate paid by the department for those placements.
AB100-ASA1-AA8,164,1716
3. Subtract the product calculated under subd. 2. from the product calculated
17under subd. 1.
AB100-ASA1-AA8,164,1918
4. Multiply the difference in subd. 3. by the amount paid by the department for
19the state's share of the costs of care.
AB100-ASA1-AA8,165,220
(d) If par. (c) applies, the department's report under par. (b) shall include a
21proposal to transfer the amount calculated under par. (c) 4. from the appropriation
22under s. 20.435 (5) (b) to the appropriation under s. 20.435 (7) (bd) for the purpose
23of increasing funding for the community options program under s. 46.27. The
24secretary shall transfer the amount identified under the proposal if within 14
1working days after the submission of the proposal the joint committee on finance
2does not schedule a meeting for the purpose of reviewing the proposed action.
AB100-ASA1-AA8,165,43
(e) The joint committee on finance may approve or modify any proposal
4submitted by the department under this subsection.".
AB100-ASA1-AA8,165,77
49.45
(18) (b) 5. Family planning services
, as defined in s. 253.07 (1) (b).".
AB100-ASA1-AA8,165,14
10"49.46
(1) (a) 1. Any person included in the grant of aid to families with
11dependent children and any person who does not receive such aid solely because of
12the application of s. 49.19 (11) (a) 7.
This subdivision does not apply beginning on
13the first day of the 6th month beginning after the date stated in the notice under s.
1449.141 (2) (d).
AB100-ASA1-AA8,165,2016
49.46
(1) (a) 1m. Any pregnant woman who meets the resource and income
17limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
18Eligibility continues to the last day of the month in which the 60th day after the last
19day of the pregnancy falls.
This subdivision does not apply beginning on the first day
20of the 6th month beginning after the date stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,166,3
23"49.46
(1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
24under federal law, to be receiving aid to families with dependent children for the
1purpose of determining eligibility for medical assistance.
This subdivision does not
2apply beginning on the first day of the 6th month beginning after the date stated in
3the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,166,85
49.46
(1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
6family income does not exceed 133% of the poverty line for a family the size of the
7woman's family.
This subdivision does not apply beginning on the first day of the 6th
8month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,166,1410
49.46
(1) (a) 10. Any child not described under subd. 1. who is under 6 years
11of age and whose family income does not exceed 133% of the poverty line for a family
12the size of the child's family.
This subdivision does not apply beginning on the first
13day of the 6th month beginning after the date stated in the notice under s. 49.141 (2)
14(d).
AB100-ASA1-AA8,166,2516
49.46
(1) (a) 11.
Any If a waiver under s. 49.665 is granted and in effect, any 17child not described under subd. 1.
who was born after September 30, 1983, who has
18attained the age of 6 but has not attained the age of 19 and whose family income does
19not exceed 100% of the poverty line for a family the size of the child's family.
This
20subdivision does not apply beginning on the first day of the 6th month beginning
21after the date stated in the notice under s. 49.141 (2) (d) If a waiver under s. 49.665
22is not granted or in effect, any child not described in subd. 1. who was born after
23September 30,1983, who has attained the age of 6 but has not attained the age of 19
24and whose family income does not exceed 100% of the poverty line for a family the
25size of the child's family.
AB100-ASA1-AA8,167,52
49.46
(1) (a) 12. Any child not described under subd. 1. who is under 19 years
3of age and who meets the resource and income limits under s. 49.19 (4).
This
4subdivision does not apply beginning on the first day of the 6th month beginning
5after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,167,107
49.46
(1) (a) 13. Any child who is under one year of age, whose mother was
8determined to be eligible under subd. 9. and who lives with his or her mother.
This
9subdivision does not apply beginning on the first day of the 6th month beginning
10after the date stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,168,318
49.46
(1) (cg)
Except as provided in par. (cs), medical Medical assistance shall
19be provided to a dependent child, a relative with whom the child is living or the
20spouse of the relative, if the spouse meets the requirements of s. 49.19 (1) (c) 2. a. or
21b., for 4 calendar months beginning with the month in which the child, relative or
22spouse is ineligible for aid to families with dependent children because of the
23collection or increased collection of maintenance or support, if the child, relative or
24spouse received aid to families with dependent children in 3 or more of the 6 months
1immediately preceding the month in which that ineligibility begins.
This paragraph
2does not apply beginning on the first day of the 6th month beginning after the date
3stated in the notice under s. 49.141 (2) (d).".
AB100-ASA1-AA8,168,148
49.46
(1) (d) 1. Children who are placed in licensed foster homes or licensed
9treatment foster homes by the department and who would be eligible for payment
10of aid to families with dependent children in foster homes or treatment foster homes
11except that their placement is not made by a county department under s. 46.215,
1246.22 or 46.23 will be considered as recipients of aid to families with dependent
13children.
This subdivision does not apply beginning on the first day of the 6th month
14beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-ASA1-AA8,168,2019
49.46
(2) (a) 4. f.
Family planning services Services and supplies
for family
20planning, as defined in s. 253.07 (1) (a).".
AB100-ASA1-AA8,169,223
49.46
(2) (be) Benefits for an individual eligible under sub. (1) (a) 9. are limited
24to those services under par. (a) or (b) that are related to pregnancy, including
1postpartum
services and family planning services,
as defined in s. 253.07 (1) (b), or
2related to other conditions which may complicate pregnancy.".
AB100-ASA1-AA8,169,129
49.47
(4) (a) (intro.)
Except as provided in par. (ag), any Any individual who
10meets the limitations on income and resources under pars. (b) and (c) and who
11complies with par. (cm) shall be eligible for medical assistance under this section if
12such individual is:
AB100-ASA1-AA8,169,2116
49.47
(4) (c) 2. Whenever an applicant has excess income under subd. 1. or par.
17(am), no certification may be issued until the excess income above the applicable
18limits has been obligated or expended for medical care or for any other type of
19remedial care recognized under state law or for personal health insurance premiums
20or both.
No individual is eligible for medical assistance under this subdivision in a
21month in which the individual is eligible for health care coverage under s. 49.153.".
AB100-ASA1-AA8,170,4
149.47
(6) (a) 7. Beneficiaries eligible under sub. (4) (a) 2. or (am) 1., for services
2under s. 49.46 (2) (a) and (b) that are related to pregnancy, including postpartum
3services and family planning services,
as defined in s. 253.07 (1) (b), or related to
4other conditions which may complicate pregnancy.".
