AB56,528,104 (s) Kinship care and long-term kinship care assistance. For kinship care and
5long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for
6assessments to determine eligibility for those payments, and for agreements under
7s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the
8kinship care and long-term kinship care programs within the boundaries of the
9reservations of those tribes, $22,012,100 $26,847,200 in fiscal year 2017-18 2019-20
10and $22,741,200 $28,448,100 in fiscal year 2018-19 2020-21.
AB56,528,1911 (t) Safety and out-of-home placement services. For services provided to ensure
12the safety of children who the department or a county determines may remain at
13home if appropriate services are provided, and for services provided to families with
14children placed in out-of-home care, $6,282,500 $9,300,900 in fiscal year 2017-18
152019-20 and $7,314,300 $10,191,900 in fiscal year 2018-19 2020-21. To receive
16funding under this paragraph, a county shall match a percentage of the amount
17received that is equal to the percentage the county is required to match for a
18distribution under s. 48.563 (2) as specified by the schedule established by the
19department under s. 48.569 (1) (d).
AB56,528,2220 (u) Prevention services. For services to prevent child abuse or neglect,
21$5,289,600 in each fiscal year $6,302,100 in fiscal year 2019-20 and $7,464,600 in
22fiscal year 2020-21
.
AB56,529,323 (w) Wisconsin Community Services grants. For a grant to Wisconsin
24Community Services for the community building workshop facilitator training to
25provide services that are targeted to individuals in the city of Milwaukee who are

1eligible for funds under the federal Temporary Assistance for Needy Families block
2grant program under 42 USC 601 et seq., $400,000 in each fiscal year , and for a grant
3to the We Got This program in the city of Milwaukee, $25,000 in each fiscal year
.
AB56,529,64 (y) Offender reentry demonstration project. For the offender reentry
5demonstration project under s. 49.37 (1), $187,500 in fiscal year 2017-18 and
6$250,000 in fiscal year 2018-19
$825,000 in each fiscal year.
AB56,529,247 (z) Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin
8Chapter of the Boys and Girls Clubs of America to fund programs that improve social,
9academic, and employment skills of youth who are eligible to receive temporary
10assistance for needy families under 42 USC 601 et seq., focusing on study habits,
11intensive tutoring in math and English, and exposure to career options and role
12models, $1,275,000 $2,675,000 in each fiscal year. Grants provided under this
13paragraph may not be used by the grant recipient to replace funding for programs
14that are being funded, when the grant proceeds are received, with moneys other than
15those from the appropriations specified in sub. (1) (intro.). The total amount of the
16grants includes funds for the Green Bay Boys and Girls Clubs for the BE GREAT:
17Graduate program in the amount of matching funds that the program provides, up
18to $75,000 $1,400,000 in each fiscal year, to be used only for activities for which
19federal Temporary Assistance for Needy Families block grant moneys may be used.
20The total amount of the grants also includes funds to be equally distributed among
21the Milwaukee, Oshkosh, and Appleton Boys and Girls Clubs for the BE GREAT:
22Graduate program in the amount of matching funds that the program provides, up
23to $100,000 in each fiscal year, to be used only for activities for which federal
24Temporary Assistance for Needy Families block grant moneys may be used.
AB56,530,4
1(zh) Earned income tax credit supplement. For the transfer of moneys from the
2appropriation account under s. 20.437 (2) (md) to the appropriation account under
3s. 20.835 (2) (kf) for the earned income tax credit, $69,700,000 in each fiscal year
4$85,700,000 in fiscal year 2019-20 and $86,700,000 in fiscal year 2020-21.
AB56,645 5Section 645. 49.175 (2) (a) of the statutes is amended to read:
AB56,530,176 49.175 (2) (a) The department may not reallocate funds that are allocated
7under a paragraph under sub. (1) for any purpose specified in a paragraph under sub.
8(1) unless the department first notifies the joint committee on finance in writing of
9the proposed reallocation. If the cochairpersons of the committee do not notify the
10department within 14 working days after the date of the department's notification
11that the committee has scheduled a meeting to review the proposed reallocation, the
12department may make the proposed reallocation. If, within 14 working days after
13the date of the department's notification, the cochairpersons of the committee notify
14the department that the committee has scheduled a meeting to review the proposed
15reallocation, the department may make the proposed reallocation only upon
16approval of the committee
if the secretary of administration approves the
17reallocation
.
AB56,646 18Section 646. 49.175 (2) (c) of the statutes is amended to read:
AB56,531,819 49.175 (2) (c) If the amounts of federal block grant moneys that are required
20to be credited to the appropriation accounts under s. 20.437 (2) (mc) and (md) are less
21than the amounts appropriated under s. 20.437 (2) (mc) and (md), the department
22shall submit a plan to the joint committee on finance secretary of administration for
23reducing the amounts of moneys allocated under sub. (1). If the cochairpersons of
24the committee do not notify the department within 14 working days after the date
25the department submits the plan that the committee has scheduled a meeting to

1review the proposed reduction plan,
If the secretary of administration approves the
2plan, the amounts of moneys required to be allocated under sub. (1) may be reduced
3as proposed by the department and
the department shall allocate the moneys as
4specified in the plan. If, within 14 working days after the date the department
5submits the plan, the cochairpersons of the committee notify the department that the
6committee has scheduled a meeting to review the proposed reduction plan, the
7department may allocate the moneys as specified in the plan only upon approval of
8the committee.
AB56,647 9Section 647 . 49.175 (3) of the statutes is repealed.
AB56,648 10Section 648. 49.257 of the statutes is created to read:
AB56,531,12 1149.257 Milwaukee child care grant program. (1) In this section, “child
12care provider” has the meaning given in s. 49.155 (1) (ag).
AB56,531,21 13(2) From the allocation under s. 49.175 (1) (p), the department may award
14grants to child care providers to support access to high-quality child care for families
15that reside in a geographic area with high-poverty levels, as identified by the
16department, in the city of Milwaukee. A grant under this section may be used for
17start-up costs, ongoing operational costs, including subsidy payments for eligible
18families, and quality improvement activities. A child care provider that is awarded
19a grant under this subsection shall contribute matching funds equal to 25 percent
20of the amount awarded. The matching contribution may be in the form of money or
21in-kind goods or services.
AB56,531,24 22(3) From the allocation under s. 49.175 (1) (qm), the department may award
23grants to any of the following to improve overall child care quality in the geographic
24area identified under sub. (2):
AB56,531,2525 (a) Child care providers and employees of child care providers.
AB56,532,2
1(b) Educational institutions for the purpose of educating employees of child
2care providers.
AB56,649 3Section 649. 49.36 (3) (a) of the statutes is amended to read:
AB56,532,64 49.36 (3) (a) Except as provided in par. (f) and subject to sub. (3m), a person
5ordered to register under s. 767.55 (2) (am) shall participate in a work experience
6program if services are available.
AB56,650 7Section 650. 49.36 (3m) of the statutes is repealed.
AB56,651 8Section 651. 49.45 (2) (a) 23. of the statutes is amended to read:
AB56,532,129 49.45 (2) (a) 23. Promulgate rules that define “supportive services", “personal
10services" and “nursing services" provided in a certified residential care apartment
11complex, as defined under s. 50.01 (6d), for purposes of reimbursement under ss.
1246.27 (11) (c) 7. and
s. 46.277 (5) (e).
AB56,652 13Section 652. 49.45 (2p) of the statutes is repealed.
AB56,653 14Section 653. 49.45 (2t) of the statutes is repealed.
AB56,654 15Section 654. 49.45 (3) (a) of the statutes is amended to read:
AB56,532,2016 49.45 (3) (a) Reimbursement shall be made to each county department under
17ss. 46.215, 46.22, and 46.23 for any administrative services performed in the Medical
18Assistance program on the basis of s. 49.78 (8). For purposes of reimbursement
19under this paragraph, assessments completed under s. 46.27 (6) (a) are
20administrative services performed in the Medical Assistance program.
AB56,655 21Section 655. 49.45 (3) (e) 11. of the statutes is amended to read:
AB56,533,822 49.45 (3) (e) 11. The department shall use a portion of the moneys collected
23under s. 50.38 (2) (a) to pay for services provided by eligible hospitals, as defined in
24s. 50.38 (1), other than critical access hospitals, under the Medical Assistance
25Program under this subchapter, including services reimbursed on a fee-for-service

1basis and services provided under a managed care system. For state fiscal year
22008-09, total payments required under this subdivision, including both the federal
3and state share of Medical Assistance, shall equal the amount collected under s.
450.38 (2) (a) for fiscal year 2008-09 divided by 57.75 percent. For each state fiscal
5year after state fiscal year 2008-09, total payments required under this subdivision,
6including both the federal and state share of Medical Assistance, shall equal the
7amount collected under s. 50.38 (2) (a) for the fiscal year divided by 61.68 53.69
8percent.
AB56,656 9Section 656 . 49.45 (3) (e) 12. of the statutes is amended to read:
AB56,533,1710 49.45 (3) (e) 12. The department shall use a portion of the moneys collected
11under s. 50.38 (2) (b) to pay for services provided by critical access hospitals under
12the Medical Assistance Program under this subchapter, including services
13reimbursed on a fee-for-service basis and services provided under a managed care
14system. For each state fiscal year, total payments required under this subdivision,
15including both the federal and state share of Medical Assistance, shall equal the
16amount collected under s. 50.38 (2) (b) for the fiscal year divided by 61.68 53.69
17percent.
AB56,657 18Section 657. 49.45 (3m) (a) (intro.) of the statutes is amended to read:
AB56,533,2519 49.45 (3m) (a) (intro.) Subject to par. (c) and notwithstanding sub. (3) (e), from
20the appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
21shall pay to hospitals that serve a disproportionate share of low-income patients an
22amount equal to the sum of $27,500,000 $56,500,000, as the state share of payments,
23and the matching federal share of payments. The department may make a payment
24to a hospital under this subsection under the calculation method described in par. (b)
25if the hospital meets all of the following criteria:
AB56,658
1Section 658. 49.45 (3m) (b) 3. a. of the statutes is amended to read:
AB56,534,52 49.45 (3m) (b) 3. a. No single hospital receives more than $4,600,000
3$9,200,000, except that a hospital that is a free-standing pediatric teaching hospital
4located in Wisconsin that has a percentage calculated under subd. 1. a. greater than
550 percent may receive up to $12,000,000 each fiscal year
.
AB56,659 6Section 659. 49.45 (3p) (a) of the statutes is amended to read:
AB56,534,207 49.45 (3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the
8appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
9shall pay to hospitals that would are not eligible for payments under sub. (3m) but
10that
meet the criteria under sub. (3m) (a) except that the hospitals do not provide
11obstetric services
1. and 2. and that, in the most recent year for which information
12is available, charged at least 6 percent of overall charges for services to the Medical
13Assistance program for services provided to Medical Assistance recipients
an
14amount equal to the sum of $250,000 $500,000, as the state share of payments, and
15the matching federal share of payments. The department may make a payment to
16a hospital under this subsection under a calculation method determined by the
17department that provides a fee-for-service supplemental payment that increases as
18the hospital's percentage of inpatient days for Medical Assistance recipients at the
19hospital
the total amount of the hospital's overall charges for services that are
20charges to the Medical Assistance program
increases.
AB56,660 21Section 660. 49.45 (5) (a) of the statutes is amended to read:
AB56,535,222 49.45 (5) (a) Any person whose application for medical assistance is denied or
23is not acted upon promptly or who believes that the payments made in the person's
24behalf have not been properly determined or that his or her eligibility has not been
25properly determined may file an appeal with the department pursuant to par. (b).

1Review is unavailable if the decision or failure to act arose more than 45 days before
2submission of the petition for a hearing, except as provided in par. (ag) or (ar).
AB56,661 3Section 661. 49.45 (5) (ag) of the statutes is created to read:
AB56,535,94 49.45 (5) (ag) A person shall request a hearing within 90 days of the date of
5receipt of a notice from a care management organization or managed care
6organization upholding its adverse benefit determination relating to any of the
7following or within 90 days of the date the care management organization or
8managed care organization failed to act on the contested matter within the time
9specified by the department:
AB56,535,1210 1. Denial or limited authorization of a requested services, including a
11determination based on the type or level of service, requirement for medical
12necessity, appropriateness, setting, or effectiveness of a covered benefit.
AB56,535,1513 2. Reduction, suspension, or termination of a previously authorized service,
14unless the service was only authorized for a limited amount or duration and that
15amount or duration has been completed.
AB56,535,1616 3. Denial, in whole or in part, of payment for a service.
AB56,535,1717 4. Failure to provide services in a timely manner.
AB56,535,2018 5. Failure of a care management organization or managed care organization
19to act within the time frames provided in 42 CFR 438.408 (b) (1) and (2) regarding
20the standard resolution of grievances and appeals.
AB56,535,2321 6. Denial of an enrollee's request to dispute financial liability, including
22copayments, premiums, deductibles, coinsurance, other cost sharing, and other
23member financial liabilities.
AB56,536,3
17. Denial of an enrollee, who is a resident of a rural area with only one care
2management organization or managed care organization, to obtain services outside
3the organization's network of contracted providers.
AB56,662 4Section 662. 49.45 (5) (ar) of the statutes is created to read:
AB56,536,65 49.45 (5) (ar) If a federal regulation specifies a different time limit to request
6a hearing than par. (a) or (ag), the time limit in the federal regulation shall apply.
AB56,663 7Section 663. 49.45 (5) (b) 1. (intro.) of the statutes is amended to read:
AB56,536,218 49.45 (5) (b) 1. (intro.) Upon receipt of a timely petition under par. (a) the
9department shall give the applicant or recipient reasonable notice and opportunity
10for a fair hearing. The department may make such additional investigation as it
11considers necessary. Notice of the hearing shall be given to the applicant or recipient
12and, if a county department under s. 46.215, 46.22, or 46.23 is responsible for making
13the medical assistance determination, to the county clerk of the county. The county
14may be represented at such hearing. The department shall render its decision as
15soon as possible after the hearing and shall send a certified copy of its decision to the
16applicant or recipient, to the county clerk, and to any county officer charged with
17administration of the Medical Assistance program. The decision of the department
18shall have the same effect as an order of a county officer charged with the
19administration of the Medical Assistance program. The decision shall be final, but
20may be revoked or modified as altered conditions may require. The department shall
21deny a petition for a hearing or shall refuse to grant relief if:
AB56,664 22Section 664. 49.45 (5) (b) 1. d. of the statutes is created to read:
AB56,537,223 49.45 (5) (b) 1. d. The issue is an adverse benefit determination described in
24par. (ag) 1. to 7. made by a care management organization or managed care

1organization and the person requesting the hearing has not exhausted the internal
2appeal procedure with the organization.
AB56,665 3Section 665. 49.45 (6m) (c) 5. of the statutes is amended to read:
AB56,537,64 49.45 (6m) (c) 5. Admit only patients assessed or who waive or are exempt from
5the requirement of assessment under s. 46.27 (6) (a) or,
if required under s. 50.035
6(4n) or 50.04 (2h), who have been referred to a resource center.
AB56,666 7Section 666. 49.45 (6m) (L) of the statutes is amended to read:
AB56,537,138 49.45 (6m) (L) For purposes of ss. 46.27 (11) (c) 7. and s. 46.277 (5) (e), the
9department shall, by July 1 annually, determine the statewide medical assistance
10daily cost of nursing home care and submit the determination to the department of
11administration for review. The department of administration shall approve the
12determination before payment may be made under s. 46.27 (11) (c) 7. or 46.277 (5)
13(e).
AB56,667 14Section 667. 49.45 (6xm) of the statutes is created to read:
AB56,537,1815 49.45 (6xm) Pediatric inpatient supplement. (a) From the appropriations
16under s. 20.435 (4) (b), (o), and (w), the department shall, using a method determined
17by the department, distribute a total sum of $2,000,000 each state fiscal year to
18hospitals that meet all of the following criteria:
AB56,537,1919 1. The hospital is an acute care hospital located in this state.
AB56,537,2420 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
21care pediatric units and intensive care pediatric units totaled more than 12,000 days,
22not including neonatal intensive care units. For purposes of this subsection, the
23hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
24preceding the beginning of the state fiscal year.
AB56,538,5
1(b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
2(o), and (w), the department may, using a method determined by the department,
3distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals
4that are free-standing pediatric teaching hospitals located in Wisconsin that have
5a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.
AB56,668 6Section 668. 49.45 (19) (title) of the statutes is amended to read:
AB56,538,87 49.45 (19) (title) Assigning Establishing paternity and assigning medical
8support rights.
AB56,669 9Section 669 . 49.45 (19) (a) of the statutes is amended to read:
AB56,538,1610 49.45 (19) (a) As Except as provided in par. (c), as a condition of eligibility for
11medical assistance, a person shall, notwithstanding other provisions of the statutes,
12be deemed to have assigned to the state, by applying for or receiving medical
13assistance, any rights to medical support or other payment of medical expenses from
14any other person, including rights to unpaid amounts accrued at the time of
15application for medical assistance as well as any rights to support accruing during
16the time for which medical assistance is paid.
AB56,670 17Section 670. 49.45 (19) (am) of the statutes is created to read:
AB56,538,2518 49.45 (19) (am) As a condition of eligibility for medical assistance, a person
19shall cooperate in good faith with efforts directed at establishing the paternity of a
20nonmarital child and obtaining support payments or any other payments or property
21to which the person and the dependent child or children may have rights. This
22cooperation shall be in accordance with federal law and regulations applying to
23paternity establishment and collection of support payments and may not be required
24if the person has good cause for refusing to cooperate, as determined by the
25department in accordance with federal law and regulations.
AB56,671
1Section 671. 49.45 (19) (c) of the statutes is amended to read:
AB56,539,62 49.45 (19) (c) If the mother of a child was enrolled in a health maintenance
3organization or other prepaid health care plan under medical assistance at the time
4of the child's birth,
The state may not seek recovery of birth expenses that may be
5recovered by the state under this subsection are the birth expenses incurred by the
6health maintenance organization or other prepaid health care plan
.
AB56,672 7Section 672 . 49.45 (23) of the statutes, as affected by 2019 Wisconsin Act ....
8(this act), is repealed.
AB56,673 9Section 673 . 49.45 (23) (g) of the statutes is repealed.
AB56,674 10Section 674 . 49.45 (23b) of the statutes is repealed.
AB56,675 11Section 675. 49.45 (24k) of the statutes is repealed.
AB56,676 12Section 676. 49.45 (24L) of the statutes is created to read:
AB56,539,1613 49.45 (24L) Critical access reimbursement payments to dental providers. (a)
14Based on the criteria in pars. (b) and (c), the department shall increase
15reimbursements to dental providers that meet quality of care standards, as
16established by the department.
AB56,539,1817 (b) In order to be eligible for enhanced reimbursement under this subsection,
18the provider must meet one of the following qualifications:
AB56,539,2119 1. For a nonprofit or public provider, 50 percent or more of the individuals
20served by the provider are individuals who are without dental insurance or are
21enrolled in the Medical Assistance program.
AB56,539,2322 2. For a for-profit provider, 5 percent or more of the individuals served by the
23provider are enrolled in the Medical Assistance program.
AB56,540,924 (c) For dental services rendered on or after January 1, 2020, by a qualified
25nonprofit critical access dental provider, the department shall increase

1reimbursement by 50 percent above the reimbursement rate that would otherwise
2be paid to that provider. For dental services rendered on or after January 1, 2020,
3by a qualified for-profit critical access dental provider, the department shall increase
4reimbursement by 30 percent above the reimbursement rate that would otherwise
5be paid to that provider. For dental providers rendering services to individuals in
6managed care under the Medical Assistance program, for services rendered on or
7after January 1, 2020, the department shall increase reimbursement to pay an
8additional amount on the basis of the rate that would have been paid to the dental
9provider had the individual not been enrolled in managed care.
AB56,540,1210 (d) If a provider has more than one service location, the thresholds described
11under par. (b) apply to each location, and payment for each service location would be
12determined separately.
AB56,677 13Section 677. 49.45 (29w) (b) 1. b. of the statutes is amended to read:
AB56,540,2314 49.45 (29w) (b) 1. b. “Telehealth" is means a service provided from a remote
15location using a combination of interactive video, audio, and externally acquired
16images through a networking environment between an individual or a provider at
17an originating site and a provider at a remote location with the service being of
18sufficient audio and visual fidelity and clarity as to be functionally equivalent to
19face-to-face contact; or, in circumstances determined by the department, an
20asynchronous transmission of digital clinical information through a secure
21electronic communications system from one provider to another provider
.
22“Telehealth" does not include telephone conversations or Internet-based
23communications between providers or between providers and individuals.
AB56,678 24Section 678. 49.45 (29y) (d) of the statutes is repealed.
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