9,1356n
Section 1356n. 49.33 (8) (a) of the statutes is amended to read:
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) (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).
9,1357
Section
1357. 49.36 (2) of the statutes is amended to read:
49.36 (2) The department may contract with any county or Wisconsin works agency 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, 1997 stats., or s. 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) (dz).
9,1358
Section
1358. 49.36 (3) (g) of the statutes is repealed.
9,1359
Section
1359. 49.36 (7) of the statutes is amended to read:
49.36 (7) The department shall pay a county or Wisconsin works agency $200 $400 for each person who participates in the program under this section in the region in which the county or Wisconsin works agency administers the program under this section. The county or Wisconsin works agency shall pay any additional costs of the program.
9,1360
Section
1360. 49.37 of the statutes is repealed.
9,1361
Section
1361. 49.43 (8) of the statutes is amended to read:
49.43 (8) "Medical assistance" means any services or items under ss. 49.45 to 49.47 49.472, except s. 49.472 (6), and under ss. 49.49 to 49.497, or any payment or reimbursement made for such services or items.
9,1361v
Section 1361v. 49.45 (2) (a) 3. of the statutes is amended to read:
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, 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. Any person who determines eligibility for medical assistance in a location other than in an office of the department or of a county department of human services or of social services shall be permitted to review and update information on existing records of an individual who is seeking from that person an eligibility determination for medical assistance, even if the individual's case was assigned to a different person as a result of the individual's seeking or receiving other public assistance.
9,1362
Section
1362. 49.45 (2) (a) 4. of the statutes is amended to read:
49.45 (2) (a) 4. To the extent funds are available under s. 20.435 (1) (4) (bm), certify all proper charges and claims for administrative services to the department of administration for payment and the department of administration shall draw its warrant forthwith.
9,1371
Section
1371. 49.45 (2) (a) 17. of the statutes is amended to read:
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 (5) (4) (b) is insufficient to provide the state share of medical assistance.
9,1373v
Section 1373v. 49.45 (3) (a) of the statutes is amended to read:
49.45 (3) (a) Reimbursement shall be made to each county department under ss. 46.215, 46.22 and 46.23 for the administrative services performed in the medical assistance program on the basis of s. 49.33 (8) according to a formula based on workload. For purposes of reimbursement under this paragraph, assessments completed under s. 46.27 (6) (a) are administrative services performed in the medical assistance program.
9,1374
Section
1374. 49.45 (3) (ag) of the statutes is amended to read:
49.45 (3) (ag) Reimbursement shall be made to each entity contracted with under s. 46.271 (2m) 46.281 (1) (d) for assessments completed functional screens performed under s. 46.271 (2m) (a) 2. 46.281 (1) (d).
9,1375
Section
1375. 49.45 (3) (am) 1. of the statutes is amended to read:
49.45 (3) (am) 1. From the appropriation under s. 20.435 (1) (4) (bm), the department shall make incentive payments to counties to encourage counties to identify medical assistance applicants and recipients who have other health care coverage and the providers of the health care coverage and give that information to the department.
9,1376m
Section 1376m. 49.45 (3) (fm) of the statutes is created to read:
49.45 (3) (fm) The department shall seek, on behalf of dentists who are providers, federal reimbursement for the cost of any equipment that the department requires dentists to use to verify medical assistance eligibility electronically. If the department is successful in obtaining federal reimbursement of that expense, the department shall reimburse dentists who are providers for the portion of the cost of the equipment that is reimbursed by the federal government.
9,1381
Section
1381. 49.45 (3) (j) of the statutes is amended to read:
49.45 (3) (j) Reimbursement for administrative contract costs under this section is limited to the funds available under s. 20.435 (1) (4) (bm).
9,1382
Section
1382. 49.45 (5m) (a) of the statutes is renumbered 49.45 (5m) (am) and amended to read:
49.45
(5m) (am) Notwithstanding sub. (3) (e), from the appropriations under s. 20.435
(5) (4) (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,
and to provide supplemental funds to critical access hospitals, except that the department may not distribute funds to a rural hospital
or to a critical access hospital to the extent that the distribution would exceed any limitation under
42 USC 1396b (i) (3).
9,1383
Section
1383. 49.45 (5m) (ag) of the statutes is created to read:
49.45 (5m) (ag) In this subsection, "critical access hospital" has the meaning given in s. 50.33 (1g).
9,1384
Section
1384. 49.45 (5m) (b) of the statutes is amended to read:
49.45 (5m) (b) The supplemental funding for rural hospitals under par. (a) (am) shall be based on the utilization, by recipients of medical assistance, of the total inpatient days of a rural hospital in relation to that utilization in other rural hospitals.
9,1384g
Section 1384g. 49.45 (5r) of the statutes is created to read:
49.45 (5r) Supplemental payments for hospitals. From the appropriations under s. 20.435 (4) (b) and (o), the department shall distribute not more than $2,451,000
in each fiscal year, beginning on July 1, 2000, as a supplemental payment to a hospital for which medical assistance revenues were at least 8% of the hospital's total revenues in the
hospital's most recent fiscal year prior to the year of payment. The department shall calculate a qualifying hospital's supplemental payment amount by multiplying the total amount
of medical assistance revenues of all qualifying hospitals in their most recent prior fiscal years by the percentage obtained by dividing the hospital's total medical assistance revenues in the
hospital's most recent prior fiscal year by the total amount of medical assistance revenues for all qualifying hospitals for that period.
9,1385
Section
1385. 49.45 (6b) (intro.) of the statutes is renumbered 49.45 (6b) and amended to read:
49.45 (6b) Centers for the developmentally disabled. From the appropriation under s. 20.435 (2) (gk), the department may reimburse the cost of services provided by the centers for the developmentally disabled. Reimbursement to the centers for the developmentally disabled shall be reduced following each placement made under s. 46.275 which that involves a relocation from a center for the developmentally disabled, as follows: by $184 per day, beginning in fiscal year 1999-2000, and by $190 per day, beginning in fiscal year 2000-01.
9,1386
Section
1386. 49.45 (6b) (a) of the statutes is repealed.
9,1387
Section
1387. 49.45 (6b) (b) of the statutes is repealed.
9,1388
Section
1388. 49.45 (6b) (c) of the statutes is repealed.
9,1389
Section
1389. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:
49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this subsection made under s. 20.435 (1) (p) or (5) (b) (4) (b), (pa) 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 that are necessary and proper for providing patient care and that meet quality and safety standards established under subch. II of ch. 50 and ch. 150. The payment system shall reflect all of the following:
9,1390b
Section 1390b. 49.45 (6m) (ag) 3m. of the statutes is amended to read:
49.45 (6m) (ag) 3m. For state fiscal year 1997-98 1999-2000, rates that shall be set by the department based on information from cost reports for the 1996
1998 fiscal year of the facility and for state fiscal year 1998-99 2000-01, rates that shall be set by the department based on information from cost reports for the 1997 1999 fiscal year of the facility.
9,1391
Section
1391. 49.45 (6m) (ag) 8. of the statutes is repealed.
9,1392
Section
1392. 49.45 (6m) (ar) 1. a. of the statutes is amended to read:
49.45 (6m) (ar) 1. a. The department shall establish standards for payment of allowable direct care costs, for facilities that do not primarily serve the developmentally disabled, that are not less than the median for take into account direct care costs for a sample of all of those facilities in this state and separate standards for payment of allowable direct care costs, for facilities that primarily serve the developmentally disabled, that are not less than the median for take into account direct care costs for a sample of all of those facilities in this state. The standards shall be adjusted by the department for regional labor cost variations.
9,1393
Section
1393. 49.45 (6m) (ar) 1. cm. of the statutes is amended to read:
49.45 (6m) (ar) 1. cm. Notwithstanding the limitations under par. (ag) 8., funding Funding distributed to facilities for the provision of active treatment to residents with a diagnosis of developmental disability shall be distributed in accordance with a method developed by the department which is consistent with a prudent buyer approach to payment for services.
9,1394
Section
1394. 49.45 (6m) (ar) 2. a. of the statutes is amended to read:
49.45 (6m) (ar) 2. a. The department shall establish one or more standards for the payment of support service costs that are not less than the median of take into account support service costs for a sample of all facilities within the state.
9,1395
Section
1395. 49.45 (6m) (ar) 3. a. of the statutes is amended to read:
49.45 (6m) (ar) 3. a. The department shall establish standards, adjusted for heating degree day variations in the state, for payment of fuel and utility costs that are not less than the median of take into account heating fuel and utility costs for a sample of all facilities within the state.
9,1396
Section
1396. 49.45 (6m) (ar) 4. of the statutes is amended to read:
49.45 (6m) (ar) 4. For net property taxes or municipal services, payment shall be made for those costs that range from the amount of the previous calendar year's tax or the amount of municipal service costs for a period specified by the department, subject to a maximum limit as determined by the department.
9,1397
Section
1397. 49.45 (6m) (ar) 5. a. of the statutes is amended to read:
49.45 (6m) (ar) 5. a. The department shall establish one or more standards for the payment of administrative and general costs that are not less than the median of
take into account administrative and general costs for a sample of all facilities within the state.
9,1398
Section
1398. 49.45 (6m) (ar) 6. of the statutes is amended to read:
49.45 (6m) (ar) 6. Capital payment shall be based on a replacement value for a facility. The replacement value shall be determined by a commercial estimator contracted for by the department and paid for by the facility. The replacement value shall be subject to limitations determined by the department, except that the department may not reduce final capital payment of a facility by more than $3.50 per patient day.
9,1399
Section
1399. 49.45 (6m) (av) 1. of the statutes is amended to read:
49.45 (6m) (av) 1. The department shall calculate a payment rate for a facility by applying the criteria set forth under pars. (ag) 1. to 5., and 7. and 8., (am) 1. to 5. and (ar) 1. to 5. to information from cost reports submitted by the facility.
9,1400
Section
1400. 49.45 (6m) (av) 5m. of the statutes is amended to read:
49.45 (6m) (av) 5m. Notwithstanding the limitations under par. (ag) 8., the The rate under subd. 1., 4. or 5. may be adjusted by the department to reflect payments for the provision of active treatment to facility residents with a diagnosis of developmental disability.
9,1401
Section
1401. 49.45 (6m) (bp) (intro.) of the statutes is amended to read:
49.45 (6m) (bp) (intro.) Notwithstanding pars. (ag) 3m., (am) 6. and (ar) 6., the department may establish payment methods based on actual costs for capital payment for a facility to which, after December 31, 1982, any of the following applies:
9,1402
Section
1402. 49.45 (6m) (br) 1. of the statutes is amended to read:
49.45 (6m) (br) 1. Notwithstanding s. 20.410 (3) (cd), 20.435 (5) (4) (bt) or (bu) or (7) (b) or 20.445 (3) (dz), the department shall reduce allocations of funds to counties in the amount of the disallowance from the appropriation account under s. 20.435 (5) (4) (bt) or (bu) or (7) (b), or the department shall direct the department of workforce development to reduce allocations of funds to counties or Wisconsin works agencies in the amount of the disallowance from the appropriation account under s. 20.445 (3) (dz) or direct the department of corrections to reduce allocations of funds to counties in the amount of the disallowance from the appropriation account under s. 20.410 (3) (cd), in accordance with s. 16.544 to the extent applicable.
9,1403
Section
1403. 49.45 (6m) (c) 5. of the statutes is amended to read:
49.45 (6m) (c) 5. Admit only patients assessed or who waive or are exempt from the requirement of assessment under s. 46.27 (6) (a) or, if required under s. 50.035 (4n) or 50.04 (2h), who have been referred to a resource center.
9,1404
Section
1404. 49.45 (6t) (intro.) of the statutes is amended to read:
49.45
(6t) County department and local health department operating deficit reduction. (intro.) From the appropriation under s. 20.435
(5) (4) (o), for reduction of operating deficits, as defined under criteria developed by the department, incurred by a county department under s. 46.215, 46.22, 46.23 or 51.42 or by a local health department, as defined in s. 250.01 (4), for services provided under s. 49.46 (2) (a) 4. d. and (b) 6. f., j., k. and L., 9. and 15., for case management services under s. 49.46 (2) (b) 12. and for mental health day treatment services for minors provided under the authorization under
42 USC 1396d (r) (5), the department shall allocate up to $4,500,000 in each fiscal year to these county departments, or local health departments as determined by the department, and shall perform all of the following:
9,1405
Section
1405. 49.45 (6t) (d) of the statutes is amended to read:
49.45 (6t) (d) If the federal department of health and human services approves for state expenditure in a fiscal year amounts under s. 20.435 (5) (4) (o) that result in a lesser allocation amount than that allocated under this subsection or disallows use of the allocation of federal medicaid funds under par. (c), reduce allocations under this subsection and distribute on a prorated basis, as determined by the department.
9,1406
Section
1406. 49.45 (6u) (intro.) of the statutes is amended to read:
49.45 (6u) Supplemental payments to certain facilities. (intro.) Notwithstanding sub. (6m), from the appropriation under s. 20.435 (5) (4) (o), for reduction of operating deficits, as defined under criteria developed by the department, incurred by a facility, as defined under sub. (6m) (a) 3., that is established under s. 49.70 (1) or that is owned and operated by a city, village or town, the department may not distribute to these facilities more than $38,600,000 in each fiscal year, as determined by the department, except that the department shall also distribute for this same purpose from the appropriation under s. 20.435 (5) (4) (o) any additional federal medical assistance moneys that were not anticipated before enactment of the biennial budget act or other legislation affecting s. 20.435 (5) (4) (o) and that were not used to fund nursing home rate increases under sub. (6m) (ag) 8. The total amount that a county certifies under this subsection may not exceed 100% of otherwise-unreimbursed care. In distributing funds under this subsection, the department shall perform all of the following:
9,1407
Section
1407. 49.45 (6u) (d) of the statutes is amended to read:
49.45 (6u) (d) If the federal department of health and human services approves for state expenditure in a fiscal year amounts under s. 20.435 (5) (4) (o) that result in a lesser allocation amount than that allocated under this subsection, allocate not more than the lesser amount so approved by the federal department of health and human services.
9,1408
Section
1408. 49.45 (6u) (e) of the statutes is amended to read:
49.45 (6u) (e) If the federal department of health and human services approves for state expenditure in a fiscal year amounts under s. 20.435 (5) (4) (o) that result in a lesser allocation amount than that allocated under this subsection, submit a revision of the method developed under par. (b) for approval by the joint committee on finance in that state fiscal year.
9,1409
Section
1409. 49.45 (6v) (b) of the statutes is amended to read:
49.45 (6v) (b) The department shall, each year, submit to the joint committee on finance a report for the previous fiscal year, except for the 1997-98 fiscal year, that provides information on the utilization of beds by recipients of medical assistance in facilities and a discussion and detailed projection of the likely balances, expenditures, encumbrances and carry over of currently appropriated amounts in the appropriation accounts under s. 20.435 (4) (b) and (o).
9,1410
Section
1410. 49.45 (6v) (c) of the statutes is amended to read:
49.45 (6v) (c) If the report specified in par. (b) indicates that utilization of beds by recipients of medical assistance in facilities decreased is less than estimates for that utilization reflected in the intentions of the joint committee on finance, legislature and governor, as expressed by them in the budget determinations, the department shall include a proposal to transfer moneys from the appropriation under s. 20.435 (5) (4) (b) to the appropriation under s. 20.435 (7) (bd) for the purpose of increasing funding for the community options program under s. 46.27. The amount proposed for transfer may not reduce the balance in the appropriation account under s. 20.435 (4) (b) below an amount necessary to ensure that that appropriation account will end the current fiscal year or the current fiscal biennium with a positive balance. The secretary shall transfer the amount identified under the proposal.
9,1411
Section
1411. 49.45 (6w) (intro.) of the statutes is amended to read:
49.45 (6w) Hospital operating deficit reduction. (intro.) From the appropriation under s. 20.435 (5)
(4) (o), for reduction of operating deficits, as defined under criteria developed by the department, incurred by a hospital, as defined under s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.71 or owned and operated by a city or village, the department shall allocate up to $3,300,000 in each fiscal year to these hospitals, as determined by the department, and shall perform all of the following:
9,1412
Section
1412. 49.45 (6w) (d) of the statutes is amended to read:
49.45 (6w) (d) If the federal department of health and human services approves for state expenditure in a fiscal year amounts under s. 20.435 (5) (4) (o) that result in a lesser allocation amount than that allocated under this subsection or disallows use of the allocation of federal medicaid funds under par. (c), reduce allocations under this subsection and distribute on a prorated basis, as determined by the department.
9,1413
Section
1413. 49.45 (6x) (a) of the statutes is amended to read:
49.45
(6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s. 20.435
(5) (4) (b) and (o) the department shall distribute not more than $4,748,000 in each fiscal year, to provide funds to an essential access city hospital, except that the department may not allocate funds to an essential access city hospital to the extent that the allocation would exceed any limitation under
42 USC 1396b (i) (3).
9,1414
Section
1414. 49.45 (6x) (d) of the statutes is amended to read:
