AB100-engrossed,921,2319 (b) In developing the pilot project under this subsection, the department shall
20provide that recipients who are subject to the pilot project are required to select a
21dental provider from among those dentists participating in the pilot project. The
22department shall also provide that, if a recipient does not make a selection, a dental
23provider will be assigned to the recipient.
AB100-engrossed,921,2524 (c) If the department is able to implement the pilot project under this
25subsection, the department shall contract with a person to do all of the following:
AB100-engrossed,922,2
11. Accept a capitation payment from the department for each recipient who is
2subject to the pilot project.
AB100-engrossed,922,33 2. Enroll dentists to be participating providers under the pilot project.
AB100-engrossed,922,54 3. Coordinate with county departments to provide outreach and education to
5recipients and persons who are eligible to be recipients.
AB100-engrossed,922,86 4. Pay all allowable charges on a fee-for-service basis to participating dentists
7on behalf of recipients in the pilot counties for dental services received by those
8recipients.
AB100-engrossed, s. 1943 9Section 1943. 49.45 (24m) (intro.) of the statutes is amended to read:
AB100-engrossed,922,1410 49.45 (24m) Home health care and personal care pilot program. (intro.)
11From the appropriations under s. 20.435 (1) (5) (b) and (o), in order to test the
12feasibility of instituting a system of reimbursement for providers of home health care
13and personal care services for medical assistance recipients that is based on
14competitive bidding, the department shall:
AB100-engrossed, s. 1943c 15Section 1943c. 49.45 (24r) of the statutes is created to read:
AB100-engrossed,922,2516 49.45 (24r) Family planning demonstration project. No later than January
171, 1998, the department shall request a waiver from the secretary of the federal
18department of health and human services to permit the department to conduct a
19demonstration project to provide family planning services, as defined in s. 253.07 (1)
20(b), under medical assistance to any woman between the ages of 15 and 44 whose
21family income does not exceed 185% of the poverty line for a family the size of the
22woman's family. If the waiver is granted, the department shall submit to the chief
23clerk of each house of the legislature, for distribution to the appropriate standing
24committees under s. 13.172 (3), proposed legislation to enable the department to
25implement the demonstration project.
AB100-engrossed, s. 1944
1Section 1944. 49.45 (25) (am) 14. of the statutes is created to read:
AB100-engrossed,923,42 49.45 (25) (am) 14. Is a woman who is aged 45 to 64 and who is not a resident
3of a nursing home or otherwise receiving case management services under this
4paragraph.
AB100-engrossed, s. 1945 5Section 1945. 49.45 (25) (b) of the statutes is amended to read:
AB100-engrossed,923,146 49.45 (25) (b) A county, city, village or , town or, in a county having a population
7of 500,000 or more, the department
may elect to make case management services
8under this subsection available in the county, city, village or town to one or more of
9the categories of beneficiaries under par. (am) through the medical assistance
10program. A county, city, village or, town or, in a county having a population of 500,000
11or more, the department
that elects to make the services available shall reimburse
12a case management provider for the amount of the allowable charges for those
13services under the medical assistance program that is not provided by the federal
14government.
AB100-engrossed, s. 1946 15Section 1946. 49.45 (25) (be) of the statutes is amended to read:
AB100-engrossed,923,2116 49.45 (25) (be) A private nonprofit agency that is a certified case management
17provider may elect to provide case management services to medical assistance
18beneficiaries who have HIV infection, as defined in s. 252.01 (2). The amount of the
19allowable charges for those services under the medical assistance program that is not
20provided by the federal government shall be paid from the appropriation under s.
2120.435 (1) (5) (am).
AB100-engrossed, s. 1946m 22Section 1946m. 49.45 (30e) of the statutes is created to read:
AB100-engrossed,924,223 49.45 (30e) Community-based psychosocial service programs. (a) When
24services are reimbursable.
Services under s. 49.46 (2) (b) 6. Lm. provided to an

1individual are reimbursable under the medical assistance program only if all of the
2following conditions are met:
AB100-engrossed,924,53 1. Reimbursement for the services under s. 49.46 (2) (b) 6. Lm. in the manner
4provided under this subsection is permitted pursuant to federal law or pursuant to
5a waiver from the secretary of the federal department of health and human services.
AB100-engrossed,924,86 2. The county in which the individual resides elects to make the services under
7s. 49.46 (2) (b) 6. Lm. available in the county through the medical assistance
8program.
AB100-engrossed,924,119 3. The individual's psychosocial health needs require more than outpatient
10counseling, but less than the services provided by a community support program
11under s. 51.421.
AB100-engrossed,924,1412 4. The psychosocial services are provided by a community-based psychosocial
13service program certified under rules promulgated by the department under par. (b)
143.
AB100-engrossed,924,1615 (b) Rules. The department shall promulgate rules regarding all of the
16following:
AB100-engrossed,924,1817 1. Standards for determining whether an individual is eligible under par. (a)
183.
AB100-engrossed,924,2019 2. The scope of psychosocial services that may be provided under s. 49.46 (2)
20(b) 6. Lm.
AB100-engrossed,924,2221 3. Requirements for certification of community-based psychosocial service
22programs.
AB100-engrossed,925,423 (c) Provider reimbursement. A county that elects to make the services under
24s. 49.46 (2) (b) 6. Lm. available shall reimburse a provider of the services for the
25amount of the allowable charges for those services under the medical assistance

1program that is not provided by the federal government. The department shall
2reimburse the provider only for the amount of the allowable charges for those
3services under the medical assistance program that is provided by the federal
4government.
AB100-engrossed, s. 1948m 5Section 1948m. 49.45 (45) of the statutes is created to read:
AB100-engrossed,925,96 49.45 (45) In-home and community mental health and alcohol and other
7drug abuse services.
(a) Services under s. 49.46 (2) (b) 6. fm. provided to an
8individual are reimbursable under the medical assistance program only if all of the
9following conditions are met:
AB100-engrossed,925,1210 1. Reimbursement for the services under s. 49.46 (2) (b) 6. fm. in the manner
11provided under this subsection is permitted pursuant to federal law or pursuant to
12a waiver from the secretary of the federal department of health and human services.
AB100-engrossed,925,1513 2. The county, city, town or village in which the individual resides elects to make
14the services under s. 49.46 (2) (b) 6. fm. available in the county, city, town or village
15through the medical assistance program.
AB100-engrossed,925,2116 (b) A county, city, town or village that elects to make the services under s. 49.46
17(2) (b) 6. fm. available shall reimburse a provider of the services for the amount of
18the allowable charges for those services under the medical assistance program that
19is not provided by the federal government. The department shall reimburse the
20provider only for the amount of the allowable charges for those services under the
21medical assistance program that is provided by the federal government.
AB100-engrossed, s. 1949 22Section 1949. 49.46 (1) (a) 1. of the statutes is amended to read:
AB100-engrossed,926,223 49.46 (1) (a) 1. Any person included in the grant of aid to families with
24dependent children and any person who does not receive such aid solely because of
25the application of s. 49.19 (11) (a) 7. This subdivision does not apply beginning on

1the first day of the 6th month beginning after the date stated in the notice under s.
249.141 (2) (d).
AB100-engrossed, s. 1950b 3Section 1950b. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB100-engrossed,926,84 49.46 (1) (a) 1m. Any pregnant woman who meets the resource and income
5limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
6Eligibility continues to the last day of the month in which the 60th day after the last
7day of the pregnancy falls. This subdivision does not apply beginning on the first day
8of the 6th month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1951 9Section 1951. 49.46 (1) (a) 4m. of the statutes is created to read:
AB100-engrossed,926,1010 49.46 (1) (a) 4m. Any child for whom a payment is made under s. 49.775.
AB100-engrossed, s. 1952 11Section 1952. 49.46 (1) (a) 6. of the statutes is amended to read:
AB100-engrossed,926,1612 49.46 (1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
13under federal law, to be receiving aid to families with dependent children for the
14purpose of determining eligibility for medical assistance. This subdivision does not
15apply beginning on the first day of the 6th month beginning after the date stated in
16the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1953b 17Section 1953b. 49.46 (1) (a) 9. of the statutes is amended to read:
AB100-engrossed,926,2118 49.46 (1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
19family income does not exceed 133% of the poverty line for a family the size of the
20woman's family. This subdivision does not apply beginning on the first day of the 6th
21month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1954d 22Section 1954d. 49.46 (1) (a) 10. of the statutes is amended to read:
AB100-engrossed,927,223 49.46 (1) (a) 10. Any child not described under subd. 1. who is under 6 years
24of age and whose family income does not exceed 133% of the poverty line for a family
25the size of the child's family. This subdivision does not apply beginning on the first

1day of the 6th month beginning after the date stated in the notice under s. 49.141 (2)
2(d).
AB100-engrossed, s. 1955d 3Section 1955d. 49.46 (1) (a) 11. of the statutes is amended to read:
AB100-engrossed,927,134 49.46 (1) (a) 11. Any If a waiver under s. 49.665 is granted and in effect, any
5child not described under subd. 1. who was born after September 30, 1983, who has
6attained the age of 6 but has not attained the age of 19 and whose family income does
7not exceed 100% of the poverty line for a family the size of the child's family. This
8subdivision does not apply beginning on the first day of the 6th month beginning
9after the date stated in the notice under s. 49.141 (2) (d)
If a waiver under s. 49.665
10is not granted or in effect, any child not described in subd. 1. who was born after
11September 30,1983, who has attained the age of 6 but has not attained the age of 19
12and whose family income does not exceed 100% of the poverty line for a family the
13size of the child's family
.
AB100-engrossed, s. 1956b 14Section 1956b. 49.46 (1) (a) 12. of the statutes is amended to read:
AB100-engrossed,927,1815 49.46 (1) (a) 12. Any child not described under subd. 1. who is under 19 years
16of age and who meets the resource and income limits under s. 49.19 (4). This
17subdivision does not apply beginning on the first day of the 6th month beginning
18after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1957b 19Section 1957b. 49.46 (1) (a) 13. of the statutes is amended to read:
AB100-engrossed,927,2320 49.46 (1) (a) 13. Any child who is under one year of age, whose mother was
21determined to be eligible under subd. 9. and who lives with his or her mother. This
22subdivision does not apply beginning on the first day of the 6th month beginning
23after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1958c 24Section 1958c. 49.46 (1) (am) 3. of the statutes is repealed.
AB100-engrossed, s. 1959 25Section 1959. 49.46 (1) (c) (intro.) of the statutes is amended to read:
AB100-engrossed,928,5
149.46 (1) (c) (intro.) Except as provided under pars. par. (co) and (cs), a family
2that becomes ineligible for aid to families with dependent children under s. 49.19
3because of increased income from employment or increased hours of employment or
4because of the expiration of the time during which the disregards under s. 49.19 (5)
5(a) 4. or 4m. or (am) apply shall receive medical assistance for:
AB100-engrossed, s. 1960b 6Section 1960b. 49.46 (1) (cb) of the statutes is repealed.
AB100-engrossed, s. 1961b 7Section 1961b. 49.46 (1) (cg) of the statutes is amended to read:
AB100-engrossed,928,178 49.46 (1) (cg) Except as provided in par. (cs), medical Medical assistance shall
9be provided to a dependent child, a relative with whom the child is living or the
10spouse of the relative, if the spouse meets the requirements of s. 49.19 (1) (c) 2. a. or
11b., for 4 calendar months beginning with the month in which the child, relative or
12spouse is ineligible for aid to families with dependent children because of the
13collection or increased collection of maintenance or support, if the child, relative or
14spouse received aid to families with dependent children in 3 or more of the 6 months
15immediately preceding the month in which that ineligibility begins. This paragraph
16does not apply beginning on the first day of the 6th month beginning after the date
17stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1962 18Section 1962. 49.46 (1) (co) 1. of the statutes is amended to read:
AB100-engrossed,929,219 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-engrossed, s. 1963b 3Section 1963b. 49.46 (1) (co) 4. of the statutes is repealed.
AB100-engrossed, s. 1964 4Section 1964. 49.46 (1) (cr) of the statutes is repealed.
AB100-engrossed, s. 1965 5Section 1965. 49.46 (1) (cs) of the statutes is repealed.
AB100-engrossed, s. 1965m 6Section 1965m. 49.46 (1) (d) 1. of the statutes is amended to read:
AB100-engrossed,929,137 49.46 (1) (d) 1. Children who are placed in licensed foster homes or licensed
8treatment foster homes by the department and who would be eligible for payment
9of aid to families with dependent children in foster homes or treatment foster homes
10except that their placement is not made by a county department under s. 46.215,
1146.22 or 46.23 will be considered as recipients of aid to families with dependent
12children. This subdivision does not apply beginning on the first day of the 6th month
13beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1965p 14Section 1965p. 49.46 (1) (e) 1. of the statutes is renumbered 49.46 (1) (e).
AB100-engrossed, s. 1966b 15Section 1966b. 49.46 (1) (e) 2. of the statutes is repealed.
AB100-engrossed, s. 1967 16Section 1967. 49.46 (2) (a) 4. d. of the statutes is amended to read:
AB100-engrossed,929,1917 49.46 (2) (a) 4. d. Home health services, subject to the limitations limitation
18under s. 49.45 (8) and (8e), or, if a home health agency is unavailable, nursing
19services, subject to the limitations under s. 49.45 (8e).
AB100-engrossed, s. 1967d 20Section 1967d. 49.46 (2) (a) 4. f. of the statutes is amended to read:
AB100-engrossed,929,2221 49.46 (2) (a) 4. f. Family planning services Services and supplies for family
22planning, as defined in s. 253.07 (1) (a)
.
AB100-engrossed, s. 1967m 23Section 1967m. 49.46 (2) (b) 6. fm. of the statutes is created to read:
AB100-engrossed,930,224 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-engrossed, s. 1968 3Section 1968. 49.46 (2) (b) 6. j. of the statutes is amended to read:
AB100-engrossed,930,54 49.46 (2) (b) 6. j. Personal care services, subject to the limitations limitation
5under s. 49.45 (8e) and (42).
AB100-engrossed, s. 1968m 6Section 1968m. 49.46 (2) (b) 6. Lm. of the statutes is created to read:
AB100-engrossed,930,97 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-engrossed, s. 1968s 10Section 1968s. 49.46 (2) (be) of the statutes is amended to read:
AB100-engrossed,930,1411 49.46 (2) (be) Benefits for an individual eligible under sub. (1) (a) 9. are limited
12to those services under par. (a) or (b) that are related to pregnancy, including
13postpartum services and family planning services, as defined in s. 253.07 (1) (b), or
14related to other conditions which may complicate pregnancy.
AB100-engrossed, s. 1969b 15Section 1969b. 49.465 (7) of the statutes is repealed.
AB100-engrossed, s. 1970 16Section 1970. 49.47 (1) of the statutes is amended to read:
AB100-engrossed,930,2017 49.47 (1) Purpose. Medical assistance as set forth herein shall be provided to
18persons over 65, if eligible under this section, all disabled children under 18, if
19eligible under this section,
and persons who are blind or disabled , if eligible under
20this section.
AB100-engrossed, s. 1970m 21Section 1970m. 49.47 (4) (a) (intro.) of the statutes is amended to read:
AB100-engrossed,930,2522 49.47 (4) (a) (intro.) Except as provided in par. (ag), any Any individual who
23meets the limitations on income and resources under pars. (b) and (c) and who
24complies with par. (cm) shall be eligible for medical assistance under this section if
25such individual is:
AB100-engrossed, s. 1971b
1Section 1971b. 49.47 (4) (ag) of the statutes is repealed.
AB100-engrossed, s. 1972b 2Section 1972b. 49.47 (4) (an) of the statutes is repealed.
AB100-engrossed, s. 1973b 3Section 1973b. 49.47 (4) (c) 2. of the statutes is amended to read:
AB100-engrossed,931,94 49.47 (4) (c) 2. Whenever an applicant has excess income under subd. 1. or par.
5(am), no certification may be issued until the excess income above the applicable
6limits has been obligated or expended for medical care or for any other type of
7remedial care recognized under state law or for personal health insurance premiums
8or both. No individual is eligible for medical assistance under this subdivision in a
9month in which the individual is eligible for health care coverage under s. 49.153.
AB100-engrossed, s. 1973t 10Section 1973t. 49.47 (6) (a) 7. of the statutes is amended to read:
AB100-engrossed,931,1411 49.47 (6) (a) 7. Beneficiaries eligible under sub. (4) (a) 2. or (am) 1., for services
12under s. 49.46 (2) (a) and (b) that are related to pregnancy, including postpartum
13services and family planning services, as defined in s. 253.07 (1) (b), or related to
14other conditions which may complicate pregnancy.
AB100-engrossed, s. 1975 15Section 1975. 49.496 (5) of the statutes is amended to read:
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