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:
AB100-engrossed,931,2116 49.496 (5) Use of funds. From the appropriation under s. 20.435 (1) (5) (im),
17the department shall pay the amount of the payments under sub. (4) that is not paid
18from federal funds, shall pay to the federal government the amount of the funds
19recovered under this section equal to the amount of federal funds used to pay the
20benefits recovered under this section and shall spend the remainder of the funds
21recovered under this section for medical assistance benefits under this subchapter
AB100-engrossed, s. 1976 22Section 1976. 49.496 (7) of the statutes is created to read:
AB100-engrossed,932,223 49.496 (7) Instalment payments. If a recovery under sub. (3) does not work an
24undue hardship on the heirs of the estate, and if the heirs wish to satisfy the recovery

1claim without selling a nonliquid asset that is subject to recovery, the department
2may establish a reasonable payment schedule subject to reasonable interest.
AB100-engrossed, s. 1975r 3Section 1975r. 49.498 (3) (b) 1. of the statutes is amended to read:
AB100-engrossed,932,94 49.498 (3) (b) 1. Inform each resident, orally and in writing at the time of
5admission to the nursing facility, of the resident's legal rights during the stay at the
6nursing facility, including a description of the protection of personal funds under sub.
7(8) and a statement that a resident may file a complaint with the department under
8s. 146.40 (4r) (a) concerning neglect, abuse or misappropriation of property or neglect
9or abuse
of a resident.
AB100-engrossed, s. 1979 10Section 1979. 49.498 (16) (g) of the statutes is amended to read:
AB100-engrossed,932,1811 49.498 (16) (g) All forfeitures, penalty assessments and interest, if any, shall
12be paid to the department within 10 days of receipt of notice of assessment or, if the
13forfeiture, penalty assessment and interest, if any, are contested under par. (f),
14within 10 days of receipt of the final decision after exhaustion of administrative
15review, unless the final decision is appealed and the order is stayed by court order
16under sub. (19) (b). The department shall remit all forfeitures paid to the state
17treasurer for deposit in the school fund. The department shall deposit all penalty
18assessments and interest in the appropriation under s. 20.435 (1) (6) (g).
AB100-engrossed, s. 1980 19Section 1980. 49.499 (intro.) of the statutes is amended to read:
AB100-engrossed,932,24 2049.499 Nursing facility resident protection. (intro.) From the
21appropriation under s. 20.435 (1) (6) (g), the department shall contribute to the
22payment of all of the following, as needed by a resident in a nursing facility, as defined
23in s. 49.498 (1) (i), that is in violation of s. 49.498 or of a rule promulgated under s.
2449.498:
AB100-engrossed, s. 1980p 25Section 1980p. 49.665 of the statutes is created to read:
AB100-engrossed,933,1
149.665 Badger care. (1) Definitions. In this section:
AB100-engrossed,933,22 (a) "Custodial parent" has the meaning given in s. 49.141 (1) (b).
AB100-engrossed,933,33 (b) "Dependent child" has the meaning given in s. 49.141 (c).
AB100-engrossed,933,74 (c) "Employer-subsidized health care coverage" means family coverage under
5a group health insurance plan offered by an employer for which the employer pays
6at least 75% of the cost, excluding any deductibles or copayments that may be
7required under the plan.
AB100-engrossed,933,88 (d) "Family" means a custodial parent and his or her dependent children.
AB100-engrossed,933,19 9(2) Waiver. The department of health and family services shall request a
10waiver from the secretary of the federal department of health and human services
11to permit the department of health and family services to implement, beginning not
12later than July 1, 1998, or the effective date of the waiver, whichever is later, a health
13care program under this section. If a waiver that is consistent with all of the
14provisions of this section is granted and in effect, the department of health and family
15services shall implement the program under this section. The department of health
16and family services may not implement the program under this section unless a
17waiver that is consistent with all of the provisions of this section is granted and in
18effect. The department of health and family services shall promulgate all rules
19required under this section no later than 60 days after the receipt of the waiver.
AB100-engrossed,934,4 20(3) Administration. The department shall administer a program to provide the
21health services and benefits described in s. 49.46 (2) to families that meet the
22eligibility requirements specified in sub. (4). The department shall promulgate rules
23setting forth the application procedures and appeal and grievance procedures. The
24department may promulgate rules limiting access to the program under this section
25to defined enrollment periods. The department may also promulgate rules

1establishing a method by which the department may purchase family coverage
2offered by the employer of a member of an eligible family under circumstances in
3which the department determines that purchasing that coverage would not be more
4costly than providing the coverage under this section.
AB100-engrossed,934,6 5(4) Eligibility. (a) A family is eligible for health care coverage under this
6section if the family meets all of the following requirements:
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