AB100-ASA1, s. 1946m
1Section 1946m. 49.45 (30e) of the statutes is created to read:
AB100-ASA1,838,52 49.45 (30e) Community-based psychosocial service programs. (a) When
3services are reimbursable.
Services under s. 49.46 (2) (b) 6. Lm. provided to an
4individual are reimbursable under the medical assistance program only if all of the
5following conditions are met:
AB100-ASA1,838,86 1. Reimbursement for the services under s. 49.46 (2) (b) 6. Lm. in the manner
7provided under this subsection is permitted pursuant to federal law or pursuant to
8a waiver from the secretary of the federal department of health and human services.
AB100-ASA1,838,119 2. The county in which the individual resides elects to make the services under
10s. 49.46 (2) (b) 6. Lm. available in the county through the medical assistance
11program.
AB100-ASA1,838,1412 3. The individual's psychosocial health needs require more than outpatient
13counseling, but less than the services provided by a community support program
14under s. 51.421.
AB100-ASA1,838,1715 4. The psychosocial services are provided by a community-based psychosocial
16service program certified under rules promulgated by the department under par. (b)
173.
AB100-ASA1,838,1918 (b) Rules. The department shall promulgate rules regarding all of the
19following:
AB100-ASA1,838,2120 1. Standards for determining whether an individual is eligible under par. (a)
213.
AB100-ASA1,838,2322 2. The scope of psychosocial services that may be provided under s. 49.46 (2)
23(b) 6. Lm.
AB100-ASA1,838,2524 3. Requirements for certification of community-based psychosocial service
25programs.
AB100-ASA1,839,7
1(c) Provider reimbursement. A county that elects to make the services under
2s. 49.46 (2) (b) 6. Lm. available shall reimburse a provider of the services for the
3amount of the allowable charges for those services under the medical assistance
4program that is not provided by the federal government. The department shall
5reimburse the provider only for the amount of the allowable charges for those
6services under the medical assistance program that is provided by the federal
7government.
AB100-ASA1, s. 1948m 8Section 1948m. 49.45 (45) of the statutes is created to read:
AB100-ASA1,839,129 49.45 (45) In-home and community mental health and alcohol and other
10drug abuse services.
(a) Services under s. 49.46 (2) (b) 6. fm. provided to an
11individual are reimbursable under the medical assistance program only if all of the
12following conditions are met:
AB100-ASA1,839,1513 1. Reimbursement for the services under s. 49.46 (2) (b) 6. fm. in the manner
14provided under this subsection is permitted pursuant to federal law or pursuant to
15a waiver from the secretary of the federal department of health and human services.
AB100-ASA1,839,1816 2. The county, city, town or village in which the individual resides elects to make
17the services under s. 49.46 (2) (b) 6. fm. available in the county, city, town or village
18through the medical assistance program.
AB100-ASA1,839,2419 (b) A county, city, town or village that elects to make the services under s. 49.46
20(2) (b) 6. fm. available shall reimburse a provider of the services for the amount of
21the allowable charges for those services under the medical assistance program that
22is not provided by the federal government. The department shall reimburse the
23provider only for the amount of the allowable charges for those services under the
24medical assistance program that is provided by the federal government.
AB100-ASA1, s. 1552 25Section 1552. 49.46 (1) (a) 1. of the statutes is amended to read:
AB100-ASA1,840,6
149.46 (1) (a) 1. Any person included in the grant of aid to families with
2dependent children and any person who does not receive such aid solely because of
3the application of s. 49.19 (11) (a) 7. This If a waiver under s. 49.153 (1m) (a) is
4granted and in effect or federal legislation that permits the application of s. 49.153
5is enacted, this
subdivision does not apply beginning on the first day of the 6th month
6beginning after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1553 7Section 1553. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB100-ASA1,840,148 49.46 (1) (a) 1m. Any pregnant woman who meets the resource and income
9limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
10Eligibility continues to the last day of the month in which the 60th day after the last
11day of the pregnancy falls. This If a waiver under s. 49.153 (1m) (a) is granted and
12in effect or federal legislation that permits the application of s. 49.153 is enacted, this

13subdivision does not apply beginning on the first day of the 6th month beginning
14after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1554 15Section 1554. 49.46 (1) (a) 4m. of the statutes is created to read:
AB100-ASA1,840,1616 49.46 (1) (a) 4m. Any child for whom a payment is made under s. 49.775.
AB100-ASA1, s. 1555 17Section 1555. 49.46 (1) (a) 6. of the statutes is amended to read:
AB100-ASA1,840,2418 49.46 (1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
19under federal law, to be receiving aid to families with dependent children for the
20purpose of determining eligibility for medical assistance. This If a waiver under s.
2149.153 (1m) (a) is granted and in effect or federal legislation that permits the
22application of s. 49.153 is enacted, this
subdivision does not apply beginning on the
23first day of the 6th month beginning after the date stated in the notice under s. 49.141
24(2) (d)
49.153 (1m) (a).
AB100-ASA1, s. 1556 25Section 1556. 49.46 (1) (a) 9. of the statutes is amended to read:
AB100-ASA1,841,6
149.46 (1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
2family income does not exceed 133% of the poverty line for a family the size of the
3woman's family. This If a waiver under s. 49.153 (1m) (a) is granted and in effect or
4federal legislation that permits the application of s. 49.153 is enacted, this

5subdivision does not apply beginning on the first day of the 6th month beginning
6after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1954b 7Section 1954b. 49.46 (1) (a) 10. of the statutes is repealed.
AB100-ASA1, s. 1557 8Section 1557. 49.46 (1) (a) 11. of the statutes is amended to read:
AB100-ASA1,841,159 49.46 (1) (a) 11. Any child not described under subd. 1. who was born after
10September 30, 1983, who has attained the age of 6 but has not attained the age of 19
11and whose family income does not exceed 100% of the poverty line for a family the
12size of the child's family. This If a waiver under s. 49.153 (1m) (a) is granted and in
13effect or federal legislation that permits the application of s. 49.153 is enacted, this

14subdivision does not apply beginning on the first day of the 6th month beginning
15after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1955b 16Section 1955b. 49.46 (1) (a) 11. of the statutes, as affected by 1995 Wisconsin
17Act .... (this act), is amended to read:
AB100-ASA1,841,2418 49.46 (1) (a) 11. Any child not described under subd. 1. who was born after
19September 30, 1983, who has attained the age of 6 but has not attained the age of 19
20and whose family income does not exceed 100% 200% of the poverty line for a family
21the size of the child's family. If a waiver under s. 49.153 (1m) (a) is granted and in
22effect or federal legislation that permits the application of s. 49.153 is enacted, this
23subdivision does not apply beginning on the first day of the 6th month beginning
24after the date stated in the notice under s. 49.153 (1m) (a).
AB100-ASA1, s. 1558 25Section 1558. 49.46 (1) (a) 12. of the statutes is amended to read:
AB100-ASA1,842,6
149.46 (1) (a) 12. Any child not described under subd. 1. who is under 19 years
2of age and who meets the resource and income limits under s. 49.19 (4). This If a
3waiver under s. 49.153 (1m) (a) is granted and in effect or federal legislation that
4permits the application of s. 49.153 is enacted, this
subdivision does not apply
5beginning on the first day of the 6th month beginning after the date stated in the
6notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1559 7Section 1559. 49.46 (1) (a) 13. of the statutes is amended to read:
AB100-ASA1,842,138 49.46 (1) (a) 13. Any child who is under one year of age, whose mother was
9determined to be eligible under subd. 9. and who lives with his or her mother. This
10If a waiver under s. 49.153 (1m) (a) is granted and in effect or federal legislation that
11permits the application of s. 49.153 is enacted, this
subdivision does not apply
12beginning on the first day of the 6th month beginning after the date stated in the
13notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1957g 14Section 1957g. 49.46 (1) (am) 1. b. of the statutes is repealed.
AB100-ASA1, s. 1560 15Section 1560. 49.46 (1) (am) 3. of the statutes is amended to read:
AB100-ASA1,842,1816 49.46 (1) (am) 3. This If a waiver under s. 49.153 (1m) (a) is granted and in
17effect, this
paragraph does not apply beginning on the first day of the 6th month
18beginning after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1561 19Section 1561. 49.46 (1) (c) (intro.) of the statutes is amended to read:
AB100-ASA1,842,2420 49.46 (1) (c) (intro.) Except as provided under pars. par. (co) and (cs), a family
21that becomes ineligible for aid to families with dependent children under s. 49.19
22because of increased income from employment or increased hours of employment or
23because of the expiration of the time during which the disregards under s. 49.19 (5)
24(a) 4. or 4m. or (am) apply shall receive medical assistance for:
AB100-ASA1, s. 1562 25Section 1562. 49.46 (1) (cb) of the statutes is amended to read:
AB100-ASA1,843,4
149.46 (1) (cb) Paragraph If a waiver under s. 49.153 (1m) (a) is granted and in
2effect or federal legislation that permits the application of s. 49.153 is enacted, par.

3(c) does not apply beginning on the first day of the 6th month beginning after the date
4stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1563 5Section 1563. 49.46 (1) (cg) of the statutes is amended to read:
AB100-ASA1,843,176 49.46 (1) (cg) Except as provided in par. (cs), medical Medical assistance shall
7be provided to a dependent child, a relative with whom the child is living or the
8spouse of the relative, if the spouse meets the requirements of s. 49.19 (1) (c) 2. a. or
9b., for 4 calendar months beginning with the month in which the child, relative or
10spouse is ineligible for aid to families with dependent children because of the
11collection or increased collection of maintenance or support, if the child, relative or
12spouse received aid to families with dependent children in 3 or more of the 6 months
13immediately preceding the month in which that ineligibility begins. This If a waiver
14under s. 49.153 (1m) (a) is granted and in effect or federal legislation that permits
15the application of s. 49.153 is enacted, this
paragraph does not apply beginning on
16the first day of the 6th month beginning after the date stated in the notice under s.
1749.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1564 18Section 1564. 49.46 (1) (co) 1. of the statutes is amended to read:
AB100-ASA1,844,219 49.46 (1) (co) 1. Except as provided under subd. 2. and par. (cs), medical
20assistance shall be provided to a family for 12 consecutive calendar months following
21the month in which the family becomes ineligible for aid to families with dependent
22children because of increased income from employment, because the family no longer
23receives the earned income disregard under s. 49.19 (5) (a) 4. or 4m. or (am) due to
24the expiration of the time limit during which the disregards are applied or because

1of the application of the monthly employment time eligibility limitation under 45
2CFR 233.100
(a) (1) (i).
AB100-ASA1, s. 1565 3Section 1565. 49.46 (1) (co) 4. of the statutes is amended to read:
AB100-ASA1,844,74 49.46 (1) (co) 4. This If a waiver under s. 49.153 (1m) (a) is granted and in effect
5or federal legislation that permits the application of s. 49.153 is enacted, this

6paragraph does not apply beginning on the first day of the 6th month beginning after
7the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1566 8Section 1566. 49.46 (1) (cr) of the statutes is repealed.
AB100-ASA1, s. 1567 9Section 1567. 49.46 (1) (cs) of the statutes is repealed.
AB100-ASA1, s. 1568 10Section 1568. 49.46 (1) (e) 2. of the statutes is amended to read:
AB100-ASA1,844,1611 49.46 (1) (e) 2. Beginning If a waiver under s. 49.153 (1m) (a) is granted and
12in effect or federal legislation that permits the application of s. 49.153 is enacted,
13beginning
on the first day of the 6th month beginning after the date stated in the
14notice under s. 49.141 (2) (d) 49.153 (1m) (a), this paragraph does not apply with
15respect to a person who has income and resources within the limitations of s. 49.19
16whether or not the person requests or receives a grant of aid under that section.
AB100-ASA1, s. 1966m 17Section 1966m. 49.46 (1) (k) 1. of the statutes is repealed.
AB100-ASA1, s. 1966n 18Section 1966n. 49.46 (1) (k) 2. of the statutes is renumbered 49.46 (1) (k).
AB100-ASA1, s. 1569 19Section 1569. 49.46 (2) (a) 4. d. of the statutes is amended to read:
AB100-ASA1,844,2220 49.46 (2) (a) 4. d. Home health services, subject to the limitations limitation
21under s. 49.45 (8) and (8e), or, if a home health agency is unavailable, nursing
22services, subject to the limitations under s. 49.45 (8e).
AB100-ASA1, s. 1967m 23Section 1967m. 49.46 (2) (b) 6. fm. of the statutes is created to read:
AB100-ASA1,845,224 49.46 (2) (b) 6. fm. Subject to the limitations under s. 49.45 (45), mental health
25services and alcohol and other drug abuse services, including services provided by

1a psychiatrist, to an individual who is 21 years of age or older in the individual's home
2or in the community.
AB100-ASA1, s. 1570 3Section 1570. 49.46 (2) (b) 6. j. of the statutes is amended to read:
AB100-ASA1,845,54 49.46 (2) (b) 6. j. Personal care services, subject to the limitations limitation
5under s. 49.45 (8e) and (42).
AB100-ASA1, s. 1968m 6Section 1968m. 49.46 (2) (b) 6. Lm. of the statutes is created to read:
AB100-ASA1,845,97 49.46 (2) (b) 6. Lm. Subject to the limitations under s. 49.45 (30e), psychosocial
8services, including case management services, provided by the staff of a
9community-based psychosocial service program.
AB100-ASA1, s. 1571 10Section 1571. 49.465 (7) of the statutes is amended to read:
AB100-ASA1,845,1411 49.465 (7) This If a waiver under s. 49.153 (1m) (a) is granted and in effect or
12federal legislation that permits the application of s. 49.153 is enacted, this
section
13does not apply beginning on the first day of the 6th month beginning after the date
14stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1572 15Section 1572. 49.47 (1) of the statutes is amended to read:
AB100-ASA1,845,2316 49.47 (1) Purpose. Medical assistance as set forth herein shall be provided to
17persons over 65, if eligible under this section, all disabled children under 18, if
18eligible under this section,
and persons who are blind or disabled , if eligible under
19this section. Unless a waiver under s. 49.153 (1m) (a) is granted and in effect or
20federal legislation that permits the application of s. 49.153 is enacted, medical
21assistance as set forth herein shall also be provided to all children under 18 who are
22eligible under this section and, if a child is dependent pursuant to s. 49.19, the
23relatives enumerated in s. 49.19 with whom the child is living
.
AB100-ASA1, s. 1573 24Section 1573. 49.47 (4) (ag) of the statutes is amended to read:
AB100-ASA1,846,5
149.47 (4) (ag) No If a waiver under s. 49.153 (1m) (a) is granted and in effect
2or federal legislation that permits the application of s. 49.153 is enacted, beginning
3on the first day of the 6th month beginning after the date stated in the notice under
4s. 49.153 (1m) (a), no
individual is eligible for medical assistance in a month that the
5individual is eligible for health care coverage under s. 49.153.
AB100-ASA1, s. 1574 6Section 1574. 49.47 (4) (an) of the statutes is amended to read:
AB100-ASA1,846,107 49.47 (4) (an) Paragraph If a waiver under s. 49.153 (1m) (a) is granted and in
8effect or federal legislation that permits the application of s. 49.153 is enacted, par.

9(am) does not apply beginning on the first day of the 6th month beginning after the
10date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1575 11Section 1575. 49.47 (4) (c) 2. of the statutes is amended to read:
AB100-ASA1,846,2112 49.47 (4) (c) 2. Whenever an applicant has excess income under subd. 1. or par.
13(am), no certification may be issued until the excess income above the applicable
14limits has been obligated or expended for medical care or for any other type of
15remedial care recognized under state law or for personal health insurance premiums
16or both. No If a waiver under s. 49.153 (1m) (a) is granted and in effect or federal
17legislation that permits the application of s. 49.153 is enacted, no
individual is
18eligible for medical assistance under this subdivision in a month in which the
19individual is eligible for health care coverage under s. 49.153 beginning on first day
20of the 6th month beginning after the date stated in the notice under s. 49.153 (1m)
21(a)
.
AB100-ASA1, s. 1576 22Section 1576. 49.496 (5) of the statutes is amended to read:
AB100-ASA1,847,323 49.496 (5) Use of funds. From the appropriation under s. 20.435 (1) (5) (im),
24the department shall pay the amount of the payments under sub. (4) that is not paid
25from federal funds, shall pay to the federal government the amount of the funds

1recovered under this section equal to the amount of federal funds used to pay the
2benefits recovered under this section and shall spend the remainder of the funds
3recovered under this section for medical assistance benefits under this subchapter
AB100-ASA1, s. 1577 4Section 1577. 49.496 (7) of the statutes is created to read:
AB100-ASA1,847,85 49.496 (7) Instalment payments. If a recovery under sub. (3) does not work an
6undue hardship on the heirs of the estate, and if the heirs wish to satisfy the recovery
7claim without selling a nonliquid asset that is subject to recovery, the department
8may establish a reasonable payment schedule subject to reasonable interest.
AB100-ASA1, s. 1578 9Section 1578. 49.498 (16) (g) of the statutes is amended to read:
AB100-ASA1,847,1710 49.498 (16) (g) All forfeitures, penalty assessments and interest, if any, shall
11be paid to the department within 10 days of receipt of notice of assessment or, if the
12forfeiture, penalty assessment and interest, if any, are contested under par. (f),
13within 10 days of receipt of the final decision after exhaustion of administrative
14review, unless the final decision is appealed and the order is stayed by court order
15under sub. (19) (b). The department shall remit all forfeitures paid to the state
16treasurer for deposit in the school fund. The department shall deposit all penalty
17assessments and interest in the appropriation under s. 20.435 (1) (6) (g).
AB100-ASA1, s. 1579 18Section 1579. 49.499 (intro.) of the statutes is amended to read:
AB100-ASA1,847,23 1949.499 Nursing facility resident protection. (intro.) From the
20appropriation under s. 20.435 (1) (6) (g), the department shall contribute to the
21payment of all of the following, as needed by a resident in a nursing facility, as defined
22in s. 49.498 (1) (i), that is in violation of s. 49.498 or of a rule promulgated under s.
2349.498:
AB100-ASA1, s. 1580 24Section 1580. 49.683 (2) of the statutes is amended to read:
AB100-ASA1,848,2
149.683 (2) Approved costs for medical care under sub. (1) shall be paid from the
2appropriation under s. 20.435 (1) (5) (e).
AB100-ASA1, s. 1581 3Section 1581. 49.686 (2) of the statutes is amended to read:
AB100-ASA1,848,74 49.686 (2) Reimbursement. From the appropriation under s. 20.435 (1) (5) (am),
5the department may reimburse or supplement the reimbursement of the cost of AZT,
6the drug pentamidine and any drug approved for reimbursement under sub. (4) (c)
7for an individual who is eligible under sub. (3).
AB100-ASA1, s. 1582 8Section 1582. 49.687 (2) of the statutes is amended to read:
AB100-ASA1,848,169 49.687 (2) The department shall develop and implement a sliding scale of
10patient liability for kidney disease aid under s. 49.68, cystic fibrosis aid under s.
1149.683 and hemophilia treatment under s. 49.685, based on the patient's ability to
12pay for treatment. To ensure that the needs for treatment of patients with lower
13incomes receive priority within the availability of funds under s. 20.435 (1) (5) (e),
14the department shall revise the sliding scale for patient liability by January 1, 1994,
15and shall, every 3 years thereafter by January 1, review and, if necessary, revise the
16sliding scale.
AB100-ASA1, s. 1583 17Section 1583. 49.775 of the statutes is created to read:
AB100-ASA1,848,19 1849.775 Payments for the support of children of supplemental security
19income recipients.
(1) Definitions. In this section:
AB100-ASA1,848,2020 (a) "Custodial parent" has the meaning given in s. 49.141 (1) (b).
Loading...
Loading...