Wisconsin Legislature: Medical assistance

Ambulatory surgical center reimbursement rates under MA: DHS to develop plan to increase, JCF approval required [A.Amdt.20 to A.Sub.Amdt.1: Sec. 9120 (4j)] - AB64

Authority of a private person to bring a qui tam claim against another person making a false claim for MA restored; AG authority provisions - AB1021

Badger Health Benefit Authority created and must establish and operate a Wisconsin Health Benefit Exchange in this state - AB445

Badger Health Benefit Authority created and must establish and operate a Wisconsin Health Benefit Exchange in this state - SB359

BadgerCare Plus and BadgerCare Plus Core family income eligibility level changed; DHS to comply with federal requirements and request enhanced federal medical assistance percentage (FMAP) payment; JCF provision - AB721

BadgerCare Plus and BadgerCare Plus Core family income eligibility level changed; DHS to comply with federal requirements and request enhanced federal medical assistance percentage (FMAP) payment; JCF provision - SB606

BadgerCare Plus and childless adults demonstration project: DHS to seek federal waiver or submit amendments to MA program re income eligibility limit and allowing small businesses to purchase coverage - AB449

BadgerCare Plus and childless adults demonstration project: DHS to seek federal waiver or submit amendments to MA program re income eligibility limit and allowing small businesses to purchase coverage - SB363

BadgerCare Plus Core: DHS to submit amendment to Medicaid waiver to provide employment and training services for childless adults [Sec. 927, 928; A.Sub.Amdt.1: further revisions, report to and approval of JCF required, 928b, d, deletes 928] - AB64

BadgerCare Plus Core: DHS to submit amendment to Medicaid waiver to provide employment and training services for childless adults [Sec. 927, 928] - SB30

Birth to Three Program special educator services: shifting payment from MA to DHS [Sec. 384, 929, 930, 932, 979] - AB64

Birth to Three Program special educator services: shifting payment from MA to DHS [Sec. 384, 929, 930, 932, 979] - SB30

Complex rehabilitation technology: DHS to establish rules and polices for MA recipients who are complex needs patients, definition provisions - AB462

Complex rehabilitation technology: DHS to establish rules and polices for MA recipients who are complex needs patients, definition provisions [A.Sub.Amdt.1: Sec. 926p, 931n, 9120 (5h); A.Amdt.20: further revisions] - AB64

Complex rehabilitation technology: DHS to establish rules and polices for MA recipients who are complex needs patients, definition provisions [S.Sub.Amdt.2: further revisions, certain specialized and durable medical equipment specified] - SB381

Compliance with child support determinations and obligations required for MA eligibility [A.Amdt.1: notification requirement added] - Jr8 AB8

Compliance with child support determinations and obligations required for MA eligibility - Jr8 SB8

Dental reimbursement pilot project in MA program: counties added under certain conditions and DHS biennial report required - AB627

Dental reimbursement pilot project in MA program: counties added under certain conditions and DHS biennial report required - SB572

Dental services by facilities serving individuals with disabilities: enhanced MA reimbursement rates, conditions and waiver provisions [A.Sub.Amdt.1: Sec. 928f] - AB64

Developmentally disabled who receive postsecondary education in a setting distinguishable from the health care institution: DHS to request MA waiver [A.Sub.Amdt.1: Sec. 747w] - AB64

DHS Office of Inspector General audit of family planning service reimbursements paid to covered entities under MA; percentage of overpayment recoveries budgeted in the 2019-21 biennium for specified appropriations [A.Sub.Amdt.1: Sec. 379ar, as, 9120 (6p), (6t), 9220 (5p)-(5s), 9420 (4b)] - AB64

Direct primary care agreements between health care provider and patient or employer allowed; DHS to establish direct primary care program for MA recipients; insurance law exemption and report provision - AB798

Direct primary care agreements between health care provider and patient or employer allowed; DHS to establish direct primary care program for MA recipients; insurance law exemption and report provision - SB670

Disabled children's long-term support program: county support requirements and DHS duties [Sec. 766, 767; A.Sub.Amdt.1: further revisions, excess state funding for school-based services transferred to MA trust fund, 379b, 543c, 928n, 9420 (3f)] - AB64

Disproportionment share hospital payments increased and create rural critical care access supplement re MA [A.Sub.Amdt.1: Sec. 924p, r] - AB64

Emergency physician services and reimbursement workgroup established by DHS, report required [A.Sub.Amdt.1: Sec. 9120 (5f)] - AB64

Employment services for individuals with developmental disabilities: Centers for Medicare and Medicaid Services urged to reconsider changes to program participation - AJR22

Family Care funding: work with care management organizations and Centers for Medicaid and Medicare Services to increase payments for direct care services, JCF provision [A.Sub.Amdt.1: Sec. 928r] - AB64

Family Care Partnership program: DHS to request MA waiver to expand, JCF approval [A.Sub.Amdt.1: Sec. 9120 (4k)] - AB64

Federal administration urged to reject efforts to cut taxes for millionaires, increase health care costs, decrease access to affordable care, and discriminate against trusted health care providers - AJR30

Hospital assessment fund and critical access hospital assessment fund transfers to MA trust fund modified [A.Sub.Amdt.1: Sec. 379c, d, 971p-v] - AB64

Institutions for mental disease: MA coverage for persons ages 21 to 64, waver required [A.Sub.Amdt.1: Sec. 928t, 931p, 932n, 933n] - AB64

Instructional program for nurse aides: conforming state law to federal law requirements for Medicare and Medicaid - AB432

Instructional program for nurse aides: conforming state law to federal law requirements for Medicare and Medicaid - SB341

Intensive care coordination program: reimburse hospitals and health care systems for certain services to MA recipients, report provision [A.Sub.Amdt.1: Sec. 928g, 2249e, g] - AB64

Intensive care coordination services provided to MA recipients: DHS program to reimburse hospitals and health care systems; pilot programs and federal approval provisions - AB871

Intensive care coordination services provided to MA recipients: DHS program to reimburse hospitals and health care systems; pilot programs and federal approval provisions - SB742

Legislative oversight of requests for federal approval and state agency requirements; DHS to implement the Badger Care Reform waiver re childless adults and submit amendment to state's MA plan, rate change, or certain provider payments to JCF for approval; incorporates into statutes rules on controlled substance screening, testing, and treatment policy for FSET; OCI to administer WIHSP in accordance to DHHS terms and conditions; DCF reallocation or reduction of moneys in TANF schedules requires JCF approval; DWD rules on UI work search and registration waivers codified and DWD authority to establish waivers eliminated; DWD Fast Forward program appropriation split among its specific programs - AB1072

Legislative oversight of requests for federal approval and state agency requirements; DHS to implement the Badger Care Reform waiver re childless adults and submit amendment to state's MA plan, rate change, or certain provider payments to JCF for approval; incorporates into statutes rules on controlled substance screening, testing, and treatment policy for FSET; OCI to administer WIHSP in accordance to DHHS terms and conditions; DCF reallocation or reduction of moneys in TANF schedules requires JCF approval; DWD rules on UI work search and registration waivers codified and DWD authority to establish waivers eliminated; DWD Fast Forward program appropriation split among its specific programs - AB1073

Legislative oversight of requests for federal approval and state agency requirements; DHS to implement the Badger Care Reform waiver re childless adults and submit amendment to state's MA plan, rate change, or certain provider payments to JCF for approval; incorporates into statutes rules on controlled substance screening, testing, and treatment policy for FSET; OCI to administer WIHSP in accordance to DHHS terms and conditions; DCF reallocation or reduction of moneys in TANF schedules requires JCF approval; DWD rules on UI work search and registration waivers codified and DWD authority to establish waivers eliminated; DWD Fast Forward program appropriation split among its specific programs [S.Amdt.2: legislative oversight for federal approval limited to DHS, DWD workforce training appropriation provision] - SB886

Legislative oversight of requests for federal approval and state agency requirements; DHS to implement the Badger Care Reform waiver re childless adults and submit amendment to state's MA plan, rate change, or certain provider payments to JCF for approval; incorporates into statutes rules on controlled substance screening, testing, and treatment policy for FSET; OCI to administer WIHSP in accordance to DHHS terms and conditions; DCF reallocation or reduction of moneys in TANF schedules requires JCF approval; DWD rules on UI work search and registration waivers codified and DWD authority to establish waivers eliminated; DWD Fast Forward program appropriation split among its specific programs - SB887

MA incorrect payment or employer penalty under BadgerCare Plus: recovery provisions revised [Sec. 950-953] - AB64

MA incorrect payment or employer penalty under BadgerCare Plus: recovery provisions revised [Sec. 950-953] - SB30

MA Purchase Plan (MAPP) changes re income eligibility and premium methodology [Sec. 746, 931, 933, 934-949, 9320 (1), 9420 (1)] - AB64

MA Purchase Plan (MAPP) changes re income eligibility and premium methodology [Sec. 746, 931, 933-949, 9320 (1), 9420 (1)] - SB30

MA reimbursement for mental health consultation, conditions and sunset provisions [A.Sub.Amdt.1: Sec. 928h] - AB64

Medicare supplement policies: annual replacement period established - AB1022

Mental health service providers and mental health services provided in schools: administrative rule revisions [Admin.Code DHS 105.22, 105.23, 107.13] - AB542

Nonemergency medical transportation services to MA recipients in certain counties: DHS to modify contract and make alternative arrangements; LAB audit provision - AB1041

Nonemergency medical transportation services to MA recipients in certain counties: DHS to modify contract and make alternative arrangements; LAB audit provision - SB865

Nonpublic family planning provider subject to a federal funding prohibition: DHS required to provide state MA reimbursement, conditions set - AB392

Nonpublic family planning provider subject to a federal funding prohibition: DHS required to provide state MA reimbursement, conditions set - SB269

Nursing home bed assessment: exemption for county-owned institutions for mental disease and certain facilities not certified to participate in Medicaid or Medicare, waiver provision [A.Sub.Amdt.1: Sec. 969n-r] - AB64

Optional incentive program for counties under certain population and tribes that identify fraudulent activity in MA, FoodShare, and W-2 established; FoodShare changes re removing and expunging accounts not accessed after set time period and limiting the number of replacement EBT cards - AB263

Optional incentive program for counties under certain population and tribes that identify fraudulent activity in MA, FoodShare, and W-2 established; FoodShare changes re removing and expunging accounts not accessed after set time period and limiting the number of replacement EBT cards - SB174

Personal care services reimbursement under MA increased; eligibility for BadgerCare Plus and BadgerCare Plus Core expanded; DHS required to apply for Medicaid expansion - AB755

Physical medicine pilot program: DHS to study and implement if authorized by legislature [A.Sub.Amdt.1: Sec. 9120 (4g)] - AB64

Prescription drug assistance for elderly program: waiver of federal Medicaid law required and use of excess GPR and PR moneys - AB55

Prescription drug assistance for elderly program: waiver of federal Medicaid law required and use of excess GPR and PR moneys - SB8

Savings account program in the MA program: DHS to request waiver to establish and implement; exclusions specified - Jr8 AB9

Savings account program in the MA program: DHS to request waiver to establish and implement; exclusions specified - Jr8 SB9

Services that may be covered by MA if prescribed or ordered by a provider acting within the scope of the provider’s practice regulations - AB529

Services that may be covered by MA if prescribed or ordered by a provider acting within the scope of the provider’s practice regulations - SB452

Wisconsin Healthcare Stability Plan (WIHSP) created re state-based reinsurance program for health carriers, federal waiver required; OCI authority - AB885

Wisconsin Healthcare Stability Plan (WIHSP) created re state-based reinsurance program for health carriers, federal waiver required; OCI authority [S.Sub.Amdt.1: further revisions] - SB770

Allied health professional education and training consortia: DHS grants to; matching fund provision - AB224

Allied health professional education and training consortia: DHS grants to; matching fund provision - SB165

Allied health professional education and training grants created [A.Sub.Amdt.1: Sec. 371r, 1657d] - AB64

Graduate medical training in an addiction specialty and development of a training program: existing DHS grant programs to hospitals and rural hospitals expanded to include - Jr7 AB7

Graduate medical training in an addiction specialty and development of a training program: existing DHS grant programs to hospitals and rural hospitals expanded to include - Jr7 SB7

Graduate medical training support grants appropriation [A.Sub.Amdt.1: Sec. 378k, 2265t, 9220 (1m), 9420 (3k)] - AB64

Hospitals and clinics providing training for advanced practice clinicians: grant distribution preferences and requirements; matching fund provision - AB227

Hospitals and clinics providing training for advanced practice clinicians: grant distribution preferences and requirements; matching fund provision - SB161

Medical College of Wisconsin commended for its commitment to the well-being of Wisconsin citizens and wishes success for the Medical College of Wisconsin—Central Wisconsin - AJR55

Medical College of Wisconsin commended for its commitment to the well-being of Wisconsin citizens and wishes success for the Medical College of Wisconsin—Central Wisconsin - SJR56

Examining boards, affiliated credentialing boards, and councils under DSPS: elimination and consolidation in certain cases [Sec. 23, 26, 43-58, 200-202, 761, 835, 925, 926, 969-972, 975, 980, 1506, 1656-1661, 1663, 1665-1671, 1683-1689, 1768, 1786-1791, 1793, 1906-1928, 1930, 1951-2019, 2021-2039, 2041-2083, 2086-2092, 2108-2110, 2112-2149, 2151-2153, 2155, 2157-2162, 2219, 2220, 2239, 2244, 2247, 9139 (13)-(16), 9439 (3); original bill only] - AB64

Examining boards, affiliated credentialing boards, and councils under DSPS: elimination and consolidation in certain cases [Sec. 23, 26, 43-58, 200-202, 761, 835, 925, 926, 969-972, 975, 980, 1506, 1656-1661, 1663, 1665-1671, 1683-1689, 1768, 1786-1791, 1793, 1906-1928, 1930, 1951-2019, 2021-2039, 2041-2083, 2086-2092, 2108-2110, 2112-2149, 2151-2153, 2155, 2157-2162, 2219, 2220, 2239, 2244, 2247, 9139 (13)-(16), 9439 (3)] - SB30

Maintenance of certification for physicians: MEB prohibited from requiring - AB936

Meeting requirements for examining boards, affiliated credentialing boards, and other boards and councils under DSPS revised; MEB exception [Sec. 18-21, 24, 25, 27-30, 41, 59, 62, 65; original bill only] - AB64

Meeting requirements for examining boards, affiliated credentialing boards, and other boards and councils under DSPS revised; MEB exception [Sec. 18-21, 24, 25, 27-30, 41, 59, 62, 65] - SB30

Practice of podiatry: license exception for nonsurgical services provided by physician assistant or advanced practice nurse prescriber under supervision of a podiatrist [A.Sub.Amdt.1: further revisions, physician assistant provisions revised to practicing under supervision of a podiatrist, MEB and administrative rules provisions added [Admin.Code Med 8.01, 8.02, 8.05, 8.07, 8.09, 8.10]] - AB582

Sports medicine physicians licensed in other states and practicing at certain sporting events or facilities: licensure exemption, MEB provision [A.Amdt.1: MEB emergency rule time limit extension] - AB766

Sports medicine physicians licensed in other states and practicing at certain sporting events or facilities: licensure exemption, MEB provision - SB684