Amendment ASA1-AB100

AB100-ASA1,815,8 49.26 (1) (h) 1m. c. The individual has failed to request a hearing under s. 49.21 (1) or has failed to show good cause for the absences or nonenrollment under subd. 1m. b. at a hearing under s. 49.21 (1). If the individual is a recipient of aid under s. 49.19, the hearing shall be requested and held under s. 49.21 (1). If the individual is a member of a Wisconsin works group, as defined in s. 49.141 (1) (s), the hearing shall be requested and held under s. 49.152. The department shall determine by rule the criteria for good cause.

AB100-ASA1, s. 1498 Section 1498. 49.26 (2) (b) of the statutes is amended to read:

AB100-ASA1,815,22 49.26 (2) (b) From the appropriation appropriations under s. 20.445 (3) (dg) (dz) and (md), the department shall allocate funds to county departments for the provision of case management services to individuals who are subject to the school attendance requirement under the learnfare program under sub. (1) and their families to improve the school attendance and achievement of those individuals. At least 75% of the funds that the department allocates under this paragraph to provide case management services to individuals who are 13 to 19 17 years of age shall be allocated to a county department of a county with a population of 500,000 or more. A county department is eligible to receive funds under this subsection to provide case management services to individuals who are 13 to 19 17 years of age in a year if 35 or more individuals, 13 to 19 17 years of age, residing in the county were sanctioned under sub. (1) (h) or were subject to the monthly attendance requirement under s. HSS 201.195 (4) (b) 2., Wis. adm. code, in any month during the previous year.

AB100-ASA1, s. 1499 Section 1499. 49.27 (5) (e) 5. of the statutes is amended to read:

AB100-ASA1,816,5 49.27 (5) (e) 5. A person in need of a high school diploma shall be assigned to a course of study meeting the standards established by the secretary of education state superintendent of public instruction for the granting of a declaration of equivalency of high school graduation unless the person demonstrates a basic literacy level or the employability plan for the individual identifies a long-term employment goal that does not require a high school diploma or a declaration of equivalency.

AB100-ASA1, s. 1500 Section 1500. 49.27 (8) of the statutes is repealed.

AB100-ASA1, s. 1501 Section 1501. 49.27 (11) (i) of the statutes is amended to read:

AB100-ASA1,816,9 49.27 (11) (i) Provide transitional child care services under sub. (6), and shelter payments under sub. (7) and transitional medical assistance coverage under sub. (8).

AB100-ASA1, s. 1502 Section 1502. 49.30 (2) of the statutes is amended to read:

AB100-ASA1,816,19 49.30 (2) The state From the appropriation under s. 20.445 (3) (dz), the department shall reimburse a county or applicable tribal governing body or organization for any amount that the county or applicable tribal governing body or organization is required to pay under sub. (1). The state From the appropriation under s. 20.445 (3) (dz), the department shall reimburse a county or applicable tribal governing body or organization for cemetery expenses or for funeral and burial expenses for persons described under sub. (1) that the county or applicable tribal governing body or organization is not required to pay under subs. (1) and (1m) only if the department approves the reimbursement due to unusual circumstances.

AB100-ASA1, s. 1503 Section 1503. 49.32 (8) of the statutes is amended to read:

AB100-ASA1,817,5 49.32 (8) Periodic earnings check by department. The department shall make a periodic check of the amounts earned by recipients of aid to families with dependent children under s. 49.19 and by participants under Wisconsin works under ss. 49.141 to 49.161 through a check of the amounts credited to the recipient's social security number. The department shall make an investigation into any discrepancy between the amounts credited to a social security number and amounts reported as income on the declaration application and take appropriate action under s. 49.95 when warranted. The department shall use the state wage reporting system under 1985 Wisconsin Act 17, section 65 (1), when the system is implemented, to make periodic earnings checks.

AB100-ASA1, s. 1504 Section 1504. 49.32 (9) (a) of the statutes is amended to read:

AB100-ASA1,817,17 49.32 (9) (a) Each county department under s. 46.215, 46.22 or 46.23 administering aid to families with dependent children shall maintain a monthly report at its office showing the names of all persons receiving such aid to families with dependent children together with the amount paid during the preceding month. Each Wisconsin works agency administering Wisconsin works under ss. 49.141 to 49.161 shall maintain a monthly report at its office showing the names and addresses of all persons receiving benefits under s. 49.148 together with the amount paid during the preceding month. Nothing in this paragraph shall be construed to authorize or require the disclosure in the report of any information (names, amounts of aid or otherwise) pertaining to adoptions, or aid furnished for the care of children in foster homes or treatment foster homes under s. 42.261 46.261 or 49.19 (10).

AB100-ASA1, s. 1505 Section 1505. 49.32 (9) (b) of the statutes is amended to read:

AB100-ASA1,818,18 49.32 (9) (b) The report under par. (a) shall be open to public inspection at all times during regular office hours and may be destroyed after the next succeeding report becomes available. Any person except any public officer, seeking permission to inspect such report shall be required to prove his or her identity and to sign a statement setting forth his or her address and the reasons for making the request and indicating that he or she understands the provisions of par. (c) with respect to the use of the information obtained. The use of a fictitious name is a violation of this section. or Wisconsin works agency Within 7 days after the record is inspected, or on the next regularly scheduled communication with that person, whichever is sooner, the county department or Wisconsin works agency shall notify each person whose name and amount of aid was inspected that the record was inspected and of the name and address of the person making such inspection. County departments under ss. 46.215 and, 46.22 and 46.23 administering aid to families with dependent children and Wisconsin works agencies administering Wisconsin works under ss. 49.141 to 49.161 may withhold the right to inspect the name of and amount paid to recipients from private individuals who are not inspecting this information for purposes related to public, educational, organizational, governmental or research purposes until the person whose record is to be inspected is notified by the county department or Wisconsin works agency, but in no case may the county department or Wisconsin works agency withhold this information for more than 5 working days. The county department or Wisconsin works agency shall keep a record of such requests. The record shall indicate the name, address, employer and telephone number of the person making the request. If the person refuses to provide his or her name, address, employer and telephone number, the request to inspect this information may be denied.

AB100-ASA1, s. 1506 Section 1506. 49.32 (10) (a) (intro.) of the statutes is amended to read:

AB100-ASA1,818,25 49.32 (10) (a) (intro.) Each county department under s. 46.215 or, 46.22 or 46.23 may release the current address of a recipient of food stamps or of aid under s. 49.19, and each Wisconsin works agency may release the current address of a participant in Wisconsin works under ss. 49.141 to 49.161 or, if administering the food stamp program, of a food stamp recipient, to a law enforcement officer if the officer meets all of the following conditions:

AB100-ASA1, s. 1507 Section 1507. 49.32 (10) (a) 1. of the statutes is amended to read:

AB100-ASA1,819,3 49.32 (10) (a) 1. The officer provides, in writing, the name and social security number of the recipient or participant.

AB100-ASA1, s. 1508 Section 1508. 49.32 (10) (a) 2. a. of the statutes is amended to read:

AB100-ASA1,819,8 49.32 (10) (a) 2. a. That the recipient or participant is a fugitive felon under 42 USC 602 608 (a) (9), is violating a condition of probation or parole imposed under state or federal law or has information that is necessary for the officer to conduct the official duties of the officer.

AB100-ASA1, s. 1509 Section 1509. 49.32 (10) (a) 2. b. of the statutes is amended to read:

AB100-ASA1,819,11 49.32 (10) (a) 2. b. That the location or apprehension of the felon recipient or participant under subd. 2. a. is within the official duties of the officer.

AB100-ASA1, s. 1510 Section 1510. 49.33 (2) of the statutes is amended to read:

AB100-ASA1,819,21 49.33 (2) Contracts. County departments under ss. 46.215, 46.22 and 46.23 shall annually enter into a contract with the department detailing the reasonable cost of administering the income maintenance programs and the food stamp program under 7 USC 2011 to 2029 when so appointed by the department. Contracts created under this section control the distribution of payments under s. 20.445 (3) (de) (dz), (md) and (nL) in accordance with the reimbursement method established under sub. (8). The department may reduce its payment to any county under s. 20.445 (3) (de) (dz), (md) and (nL) if federal reimbursement is withheld due to audits, quality control samples or program reviews.

AB100-ASA1, s. 1511 Section 1511. 49.33 (8) (a) of the statutes is amended to read:

AB100-ASA1,820,4 49.33 (8) (a) The department shall reimburse each county for reasonable costs of income maintenance relating to the administration of the programs under this subchapter and subch. IV according to a formula based on workload within the limits of available state and federal funds under s. 20.445 (3) (de), (dz), (md) and (nL) by contract under s. 49.33 (2). The amount of reimbursement calculated under this paragraph and par. (b) is in addition to any reimbursement provided to a county for fraud and error reduction under s. 49.197 (1m) and (4).

AB100-ASA1, s. 1512 Section 1512. 49.33 (9) of the statutes is amended to read:

AB100-ASA1,820,9 49.33 (9) Reimbursement for income maintenance benefits. The department shall reimburse each county from the appropriations under s. 20.445 (3) (d) (dz) and (p) (md) for 100% of the cost of aid to families with dependent children granted under s. 49.19 and for funeral expenses paid for recipients of aid under s. 49.30.

AB100-ASA1, s. 1513 Section 1513. 49.36 (2) of the statutes is amended to read:

AB100-ASA1,820,18 49.36 (2) The department may contract with any county to administer a work experience and job training program for parents who are not custodial parents and who fail to pay child support or to meet their children's needs for support as a result of unemployment or underemployment. The program may provide the kinds of work experience and job training services available from the program under s. 49.193 or 49.147 (3) or (4). The program may also include job search and job orientation activities. The department shall fund the program from the appropriation under s. 20.445 (3) (df) (dz).

AB100-ASA1, s. 1904k Section 1904k. 49.37 (1) (intro.) of the statutes is amended to read:

AB100-ASA1,820,23 49.37 (1) (intro.)  From the appropriation under s. 20.445 (3) (dk), the The department shall allocate funds to new hope project, inc., as provided in s. 49.175 (1) (s), for a demonstration project that will be conducted in 2 areas in the city of Milwaukee, if all of the following conditions are satisfied:

AB100-ASA1, s. 1904L Section 1904L. 49.37 (3) of the statutes is amended to read:

AB100-ASA1,821,4 49.37 (3) The contract under sub. (1) (g) shall require an interim evaluation to be submitted to the department no later than January 1, 1993. New hope project, inc., may not use funds appropriated under s. 20.445 (3) (dk) (dz) to fund the evaluation under sub. (1) (g).

AB100-ASA1, s. 1904m Section 1904m. 49.37 (4) of the statutes is amended to read:

AB100-ASA1,821,6 49.37 (4) This section does not apply after June 30, 1997 1999.

AB100-ASA1, s. 1514 Section 1514. 49.45 (2) (a) 3. of the statutes is amended to read:

AB100-ASA1,821,13 49.45 (2) (a) 3. Determine the eligibility of persons for medical assistance, rehabilitative and social services under ss. 49.46, 49.468 and 49.47 and rules and policies adopted by the department and may designate this function to the county department under s. 46.215 or, 46.22 or 46.23 or , to the extent permitted by federal law or a waiver from federal secretary of health and human services, to a Wisconsin works agency.

AB100-ASA1, s. 1515 Section 1515. 49.45 (2) (a) 5. of the statutes is amended to read:

AB100-ASA1,821,17 49.45 (2) (a) 5. Cooperate with the division for learning support, equity and advocacy in the department of education public instruction to carry out the provisions of Title XIX.

AB100-ASA1, s. 1516 Section 1516. 49.45 (2) (a) 17. of the statutes is amended to read:

AB100-ASA1,821,22 49.45 (2) (a) 17. Notify the governor, the joint committee on legislative organization, the joint committee on finance and appropriate standing committees, as determined by the presiding officer of each house, if the appropriation under s. 20.435 (1) (5) (b) is insufficient to provide the state share of medical assistance.

AB100-ASA1, s. 1517 Section 1517. 49.45 (3) (ag) of the statutes is created to read:

AB100-ASA1,821,25 49.45 (3) (ag) Reimbursement shall be made to each entity contracted with under s. 46.271 (2m) for assessments completed under s. 46.271 (2m) (a) 2.

AB100-ASA1, s. 1518 Section 1518. 49.45 (5) of the statutes is renumbered 49.45 (5) (a) and amended to read:

AB100-ASA1,822,8 49.45 (5) (a) Any person whose application for medical assistance is denied or is not acted upon promptly or who believes that the payments made in the person's behalf have not been properly determined or that his or her eligibility has not been properly determined may file an appeal with the department pursuant to s. 49.21 (1) par. (b). Review is unavailable if the decision or failure to act arose more than 45 days before submission of the petition for a hearing.

AB100-ASA1, s. 1519 Section 1519. 49.45 (5) (b) of the statutes is created to read:

AB100-ASA1,822,24 49.45 (5) (b) 1. Upon receipt of a timely petition under par. (a) the department shall give the applicant or recipient reasonable notice and opportunity for a fair hearing. The department may make such additional investigation as it considers necessary. Notice of the hearing shall be given to the applicant or recipient and to the county clerk or, if a Wisconsin works agency is responsible for making the medical assistance determination, the Wisconsin works agency. The county or the Wisconsin works agency may be represented at such hearing. The department shall render its decision as soon as possible after the hearing and shall send a certified copy of its decision to the applicant or recipient, the county clerk and to the county officer or the Wisconsin works agency charged with administration of the medical assistance program. The decision of the department shall have the same effect as an order of the county officer or the Wisconsin works agency charged with the administration of the medical assistance program. The decision shall be final, but may be revoked or modified as altered conditions may require. The department shall deny a petition for a hearing or shall refuse to grant relief if:

AB100-ASA1,822,25 a. The petitioner withdraws the petition in writing.

AB100-ASA1,823,3 b. The sole issue in the petition concerns an automatic payment adjustment or change that affects an entire class of recipients and is the result of a change in state or federal law.

AB100-ASA1,823,6 c. The petitioner abandons the petition. Abandonment occurs if the petitioner fails to appear in person or by representative at a scheduled hearing without good cause, as determined by the department.

AB100-ASA1,823,15 2. If a recipient requests a hearing within the timely notice period specified in 42 CFR 431.231 (c), medical assistance coverage shall not be suspended, reduced or discontinued until a decision is rendered after the hearing but medical assistance payments made pending the hearing decision may be recovered by the department if the contested decision or failure to act is upheld. The department shall promptly notify the county department or, if a Wisconsin works agency is responsible for making the medical assistance determination, the Wisconsin works agency of the county in which the recipient resides that the recipient has requested a hearing. Medical assistance coverage shall be suspended, reduced or discontinued if:

AB100-ASA1,823,17 a. The recipient is contesting a state or federal law or a change in state or federal law and not the determination of the payment made on the recipient's behalf.

AB100-ASA1,823,20 b. The recipient is notified of a change in his or her medical assistance coverage while the hearing decision is pending but the recipient fails to request a hearing on the change.

AB100-ASA1,823,22 3. The recipient shall be promptly informed in writing if medical assistance is to be suspended, reduced or terminated pending the hearing decision.

AB100-ASA1, s. 1520 Section 1520. 49.45 (5m) (a) of the statutes is amended to read:

AB100-ASA1,824,5 49.45 (5m) (a) Notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (1) (5) (b) and (o) the department shall distribute not more than $2,256,000 in each fiscal year, to provide supplemental funds to rural hospitals that, as determined by the department, have high utilization of inpatient services by patients whose care is provided from governmental sources, except that the department may not distribute funds to a rural hospital to the extent that the distribution would exceed any limitation under 42 USC 1396b (i) (3).

AB100-ASA1, s. 1913m Section 1913m. 49.45 (6b) (intro.) of the statutes is amended to read:

AB100-ASA1,824,12 49.45 (6b) (title) Centers Center for the developmentally disabled. (intro.) From the appropriation under s. 20.435 (2) (gk), the department may reimburse the cost of services provided by the centers a center for the developmentally disabled. Reimbursement to the centers a center for the developmentally disabled shall be reduced following each placement made under s. 46.275 which involves a relocation from a center for the developmentally disabled, as follows:

AB100-ASA1, s. 1913r Section 1913r. 49.45 (6b) (a) of the statutes is amended to read:

AB100-ASA1,824,16 49.45 (6b) (a) Beginning in fiscal year 1995-96 1997-98, for relocations from the central Wisconsin a center for the developmentally disabled, by $205 per day, if that center is located in Dane County.

AB100-ASA1, s. 1914m Section 1914m. 49.45 (6b) (b) of the statutes is amended to read:

AB100-ASA1,824,20 49.45 (6b) (b) Beginning in fiscal year 1995-96 1997-98, for relocations from the northern Wisconsin a center for the developmentally disabled, by $199 $174 per day, if that center is located in Chippewa County.

AB100-ASA1, s. 1915m Section 1915m. 49.45 (6b) (c) of the statutes is amended to read:

AB100-ASA1,824,24 49.45 (6b) (c) Beginning in fiscal year 1995-96 1997-98, for relocations from the southern Wisconsin a center for the developmentally disabled, by $149 $174 per day, if that center is located in Racine County.

AB100-ASA1, s. 1521 Section 1521. 49.45 (6c) (c) (intro.) of the statutes is amended to read:

AB100-ASA1,825,6 49.45 (6c) (c) Resident review. (intro.) Except as provided in par. (e), by April 1, 1990, and at least annually thereafter, the department or an entity to which the department has delegated authority shall review every resident of a facility or institution for mental diseases who has a developmental disability or mental illness and who has experienced a significant change in his or her physical or mental condition to determine if any of the following applies:

AB100-ASA1, s. 1522 Section 1522. 49.45 (6m) (a) 3. of the statutes is amended to read:

AB100-ASA1,825,10 49.45 (6m) (a) 3. "Facility" means a nursing home as defined under s. 50.01 (3) or a community-based residential facility that is licensed under s. 50.03 and that is certified by the department as a provider of medical assistance.

AB100-ASA1, s. 1523 Section 1523. 49.45 (6m) (a) 5. of the statutes is created to read:

AB100-ASA1,825,12 49.45 (6m) (a) 5. "Nursing home" has the meaning given under s. 50.01 (3).

AB100-ASA1, s. 1524 Section 1524. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:

AB100-ASA1,825,25 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this subsection made under s. 20.435 (1) (b), (o) or (p) or (5) (b) or (o) shall, except as provided in pars. (bg), (bm) and (br), be determined according to a prospective payment system updated annually by the department. The payment system shall implement standards which are reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care in conformity with this section, with federal regulations authorized under 42 USC 1396a (a) (13) (A), 1396a (a) (30), 1396b (i) (3), 1396L and 1396r (e) and with quality and safety standards established under subch. II of ch. 50 and ch. 150. In administering this payment system, the department shall allow costs it determines are necessary and proper for providing patient care. The payment system shall reflect all of the following:

AB100-ASA1, s. 1525 Section 1525. 49.45 (6m) (ag) 3m. of the statutes is amended to read:

AB100-ASA1,826,6 49.45 (6m) (ag) 3m. For state fiscal year 1995-96 1997-98, rates that shall be set by the department based on information from cost reports for the 1994 1996 fiscal year of the facility and for state fiscal year 1996-97 1998-99, rates that shall be set by the department based on information from cost reports for the 1995 1997 fiscal year of the facility.

AB100-ASA1, s. 1526 Section 1526. 49.45 (6m) (ag) 8. of the statutes is amended to read:

AB100-ASA1,826,25 49.45 (6m) (ag) 8. Calculation of total payments and supplementary payments to facilities that permits an aggregate increase in funds allocated under s. 20.435 (1) (5) (b) and (o) for nursing home care provided medical assistance recipients, including an increase resulting in adjustment of facility base rates and percentage increases over facility base rates, over that paid for services provided in state fiscal year 1994-95 1996-97 of no more than 4.25% 5.4% or $45,908,500, whichever is less, during state fiscal year 1995-96 and 1997-98; and calculation of total payments and supplementary payments to facilities that permits an aggregate increase in funds allocated under s. 20.435 (5) (b) and (o) for nursing home care provided medical assistance recipients, including a percentage increase over facility base rates, over that paid for services provided in state fiscal year 1995-96 1997-98 of no more than 3.5% or $25,077,700, whichever is less, during state fiscal year 1996-97, excluding 1998-99. Calculation of total payments and supplementary payments under this subdivision excludes increases in total payments attributable to increases in recipient utilization of facility care, payments for the provision of active treatment to facility residents with developmental disability or chronic mental illness and payments for preadmission screening of facility applicants and annual reviews of facility residents required under 42 USC 1396r (e).

AB100-ASA1, s. 1527 Section 1527. 49.45 (6m) (ap) of the statutes is created to read:

AB100-ASA1,827,6 49.45 (6m) (ap) If the bed occupancy of a nursing home is below the minimum patient day occupancy standards that are established by the department under par. (ar) (intro.), the department may approve a request by the nursing home to delicense any of the nursing home's licensed beds. If the department approves the nursing home's request, all of the following apply:

AB100-ASA1,827,8 1. The department shall delicense the number of beds in accordance with the nursing home's request.

AB100-ASA1,827,11 2. The department may not include the number of beds of the nursing home that the department delicenses under this paragraph in determining the costs per patient day under the minimum patient day occupancy standards under par. (ar).

AB100-ASA1,827,13 3. The nursing home may not use or sell a bed that is delicensed under this paragraph.

AB100-ASA1,827,21 4. a. Every 12 months following the delicensure of a bed under this paragraph, for which a nursing home has not resumed licensure under subd. 5., the department shall reduce the licensed bed capacity of the nursing home by 10% of all of the nursing home's beds that remain delicensed under this paragraph or by 25% of one bed, whichever is greater. The department shall reduce the statewide maximum number of licensed nursing home beds under s. 150.31 (1) (intro.) by the number or portion of a number of beds by which the nursing home's licensed bed capacity is reduced under this subdivision.

AB100-ASA1,827,24 b. Subdivision 4. a. does not apply during the period of any contract entered into by a nursing home prior to January 1, 1996, if the contract requires the nursing home to maintain its current licensed bed capacity.

AB100-ASA1,828,8 5. A nursing home retains the right to resume licensure of a bed of the nursing home that was delicensed under this paragraph unless the licensed bed capacity of the nursing home has been reduced by that bed under subd. 4. The nursing home may not resume licensure of a fraction of a bed. The nursing home may resume licensure 18 months after the nursing home notifies the department in writing that the nursing home intends to resume the licensure. If a nursing home resumes licensure of a bed under this subdivision, subd. 2 does not apply with respect to that bed.

AB100-ASA1,828,15 6. Subdivision 2. does not apply with respect to a nursing home described under subd. 4. b. that resumes licensure of a bed that was delicensed during the period that subd. 4. b. applied. The department shall recoup from the nursing home payments made to the nursing home during the period that subd. 4. b. applied to the extent that those payments exceed the amount the department would have paid during that same period had the nursing home not delicensed the beds the licensure of which was resumed.

AB100-ASA1, s. 1528 Section 1528. 49.45 (6m) (ar) 1. a. of the statutes is amended to read: