SB70-AA3,204,319 49.45 (39) (b) 2. `Payment for school medical services administrative costs.' The
20department shall reimburse a school district or a cooperative educational service
21agency specified under subd. 1. and shall reimburse the department of public
22instruction on behalf of the Wisconsin Center for the Blind and Visually Impaired or
23the Wisconsin Educational Services Program for the Deaf and Hard of Hearing for
2490 100 percent of the federal share of allowable administrative costs, using time
25studies, beginning in fiscal year 1999-2000. A school district or a cooperative

1educational service agency may submit, and the department of health services shall
2allow, claims for administrative costs incurred during the period that is up to 24
3months before the date of the claim, if allowable under federal law.”.
SB70-AA3,204,4 4241. Page 374, line 11: after that line insert:
SB70-AA3,204,5 5 Section 252. 49.46 (2) (b) 24. of the statutes is created to read:
SB70-AA3,204,76 49.46 (2) (b) 24. Subject to par. (by), nonmedical services that contribute to the
7determinants of health.
SB70-AA3,253 8Section 253. 49.46 (2) (by) of the statutes is created to read:
SB70-AA3,204,159 49.46 (2) (by) The department shall determine those services under par. (b) 24.
10that contribute to the determinants of health. The department shall seek any
11necessary state plan amendment or request any waiver of federal Medicaid law to
12implement this paragraph. The department is not required to provide the services
13under this paragraph as a benefit under the Medical Assistance program if the
14federal department of health and human services does not provide federal financial
15participation for the services under this paragraph.”.
SB70-AA3,204,16 16242. Page 374, line 11: after that line insert:
SB70-AA3,204,17 17 Section 254. 20.435 (4) (jw) of the statutes is amended to read:
SB70-AA3,205,218 20.435 (4) (jw) BadgerCare Plus and hospital assessment. All moneys received
19from payment of enrollment fees under the program under s. 49.45 (23), all
moneys
20transferred under s. 50.38 (9), all moneys transferred under s. 256.23 (6), all moneys
21transferred from the appropriation account under par. (jz), and 10 percent of all
22moneys received from penalty assessments under s. 49.471 (9) (c), for administration
23of the program under s. 49.45 (23),
to provide a portion of the state share of
24administrative costs for the BadgerCare Plus Medical Assistance program under s.

149.471, and for administration of the hospital assessment under s. 50.38, and for
2administration of the ambulance service provider fee under s. 256.23
.
SB70-AA3,255 3Section 255. 20.435 (4) (xm) of the statutes is created to read:
SB70-AA3,205,84 20.435 (4) (xm) Ambulance service provider trust fund; ambulance payments.
5From the ambulance service provider trust fund, all moneys received from the
6assessment under s. 256.23, except amounts transferred to the appropriation under
7s. 20.435 (4) (jw) as specified in s. 256.23 (6), to make payments to eligible ambulance
8service providers as specified under s. 49.45 (3) (em).
SB70-AA3,256 9Section 256. 49.45 (3) (em) of the statutes is amended to read:
SB70-AA3,205,1710 49.45 (3) (em) The department shall expend moneys collected under s. 256.23
11(2), less amounts transferred under s. 256.23 (6), to supplement reimbursement for
12eligible ambulance service providers, as defined in s. 256.23 (1) (a), for services
13provided under the Medical Assistance program under this subchapter, including
14services reimbursed on a fee-for-service basis and provided under managed care, by
15eligible ambulance service providers. Health plans shall be indemnified and held
16harmless for any errors made by the department or its agents in calculation of any
17supplemental reimbursement made under this paragraph.
SB70-AA3,257 18Section 257. 256.23 (6) of the statutes is created to read:
SB70-AA3,205,2319 256.23 (6) In each fiscal year, the secretary of administration shall transfer
20from the ambulance service provider trust fund under s. 25.776 to the appropriation
21under s. 20.435 (4) (jw) an amount equal to the annual costs of administering the
22ambulance assessment as specified under this section and making supplemental
23reimbursements to ambulance service providers under s. 49.45 (3) (em).”.
SB70-AA3,205,24 24243. Page 374, line 11: after that line insert:
SB70-AA3,206,1
1 Section 258. 20.940 of the statutes is repealed.
SB70-AA3,259 2Section 259. 49.45 (2t) of the statutes is repealed.
SB70-AA3,260 3Section 260. 256.23 (5) of the statutes is amended to read:
SB70-AA3,206,94 256.23 (5) In accordance with s. 20.940, the The department shall submit to
5the federal department of health and human services a request for any state plan
6amendment, waiver or other approval that is required to implement this section and
7s. 49.45 (3) (em). If federal approval is required, the department may not implement
8the collection of the fee under sub. (2) until it receives approval from the federal
9government to obtain federal matching funds.
SB70-AA3,261 10Section 261. 601.83 (1) (a) of the statutes is amended to read:
SB70-AA3,206,2311 601.83 (1) (a) The commissioner shall administer a state-based reinsurance
12program known as the healthcare stability plan in accordance with the specific terms
13and conditions approved by the federal department of health and human services
14dated July 29, 2018. Before December 31, 2023, the commissioner may not request
15from the federal department of health and human services a modification,
16suspension, withdrawal, or termination of the waiver under 42 USC 18052 under
17which the healthcare stability plan under this subchapter operates unless
18legislation has been enacted specifically directing the modification, suspension,
19withdrawal, or termination. Before December 31, 2023, the commissioner may
20request renewal, without substantive change, of the waiver under 42 USC 18052
21under which the health care stability plan operates in accordance with s. 20.940 (4)
22unless legislation has been enacted that is contrary to such a renewal request. The
23commissioner shall comply with applicable timing in and requirements of s. 20.940.
SB70-AA3,9119 24Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,207,4
1(1v) Childless adults demonstration project reform waiver. The department
2of health services may submit a request to the federal department of health and
3human services to modify or withdraw the waiver granted under s. 49.45 (23) (g),
42021 stats.”.
SB70-AA3,207,5 5244. Page 374, line 11: after that line insert:
SB70-AA3,207,6 6 Section 262. 20.435 (5) (bw) of the statutes is amended to read:
SB70-AA3,207,117 20.435 (5) (bw) Child psychiatry and addiction medicine consultation
8programs Mental health consultation program. Biennially, the amounts in the
9schedule for operating the child psychiatry consultation program under s. 51.442 and
10the addiction medicine consultation program under s. 51.448
mental health
11consultation program under s. 51.443
.
SB70-AA3,263 12Section 263. 20.435 (5) (bx) of the statutes is created to read:
SB70-AA3,207,1513 20.435 (5) (bx) Addiction medicine consultation program. Biennially, the
14amounts in the schedule for operating the addiction medicine consultation program
15under s. 51.448.
SB70-AA3,264 16Section 264. 20.435 (5) (ct) of the statutes is repealed.
SB70-AA3,265 17Section 265. 51.441 of the statutes is repealed.
SB70-AA3,266 18Section 266. 51.442 of the statutes is repealed.
SB70-AA3,267 19Section 267. 51.443 of the statutes is created to read:
SB70-AA3,207,20 2051.443 Mental health consultation program. (1) In this section:
SB70-AA3,207,2321 (a) “Participating clinicians” includes physicians, nurse practitioners,
22physician assistants, and medically appropriate members of the care teams of
23physicians, nurse practitioners, and physician assistants.
SB70-AA3,208,2
1(b) “Program” means the mental health consultation program under this
2section.
SB70-AA3,208,10 3(2) During the fiscal year 2023-24, the department shall contract with the
4organization that provided consultation services through the child psychiatry
5consultation program under s. 51.442, 2021 stats., as of January 1, 2023, to
6administer the mental health consultation program described under this section. In
7subsequent fiscal years, the department shall contract with the organization that
8provided consultation services through the child psychiatry consultation program
9under s. 51.442, 2021 stats., as of January 1, 2023, or another organization to
10administer the mental health consultation program under this section.
SB70-AA3,208,16 11(3) The contracting organization under sub. (2) shall administer a mental
12health consultation program that incorporates a comprehensive set of mental health
13consultation services, which may include perinatal, child, adult, geriatric, pain,
14veteran, and general mental health consultation services, and may contract with any
15other entity to perform any operations and satisfy any requirements under this
16section for the program.
SB70-AA3,208,18 17(4) As a condition of providing services through the program, the contracting
18organization under sub. (2) shall do all of the following:
SB70-AA3,209,219 (a) Ensure that all mental health care providers who are providing services
20through the program have the applicable credential from this state; if a psychiatric
21professional, that the provider is eligible for certification or is certified by the
22American Board of Psychiatry and Neurology for adult psychiatry, child and
23adolescent psychiatry, or both; and if a psychologist, that the provider is registered
24in a professional organization, including the American Psychological Association,

1National Register of Health Service Psychologists, Association for Psychological
2Science, or the National Alliance of Professional Psychology Providers.
SB70-AA3,209,43 (b) Maintain the infrastructure necessary to provide the program's services
4statewide.
SB70-AA3,209,65 (c) Operate the program on weekdays during normal business hours of 8 a.m.
6to 5 p.m.
SB70-AA3,209,87 (d) Provide consultation services under the program as promptly as is
8practicable.
SB70-AA3,209,129 (e) Have the capability to provide consultation services by, at a minimum,
10telephone and email. Consultation through the program may be provided by
11teleconference, video conference, voice over Internet protocol, email, pager,
12in-person conference, or any other telecommunication or electronic means.
SB70-AA3,209,1313 (f) Provide all of the following services through the program:
SB70-AA3,209,1514 1. Support for participating clinicians to assist in the management of mental
15health concerns.
SB70-AA3,209,1816 2. Triage-level assessments to determine the most appropriate response to
17each request, including appropriate referrals to any community providers and
18health systems.
SB70-AA3,209,1919 3. When medically appropriate, diagnostics and therapeutic feedback.
SB70-AA3,209,2120 4. Recruitment of other clinicians into the program as participating clinicians
21when possible.
SB70-AA3,209,2222 (g) Report to the department any information requested by the department.
SB70-AA3,210,623 (h) Conduct annual surveys of participating clinicians who use the program to
24assess the quality of care provided, self-perceived levels of confidence in providing
25mental health services, and satisfaction with the consultations and other services

1provided through the program. Immediately after participating clinicians begin
2using the program and again 6 to 12 months later, the contracting organization
3under sub. (2) may conduct assessments of participating clinicians to assess the
4barriers to and benefits of participation in the program to make future improvements
5and to determine the participating clinicians' treatment abilities, confidence, and
6awareness of relevant resources before and after beginning to use the program.
SB70-AA3,210,10 7(5) Services provided under sub. (4) (b) to (h) are eligible for funding from the
8department. The contracting organization under sub. (2) also may provide any of the
9following services under the program that are eligible for funding from the
10department:
SB70-AA3,210,1311 (a) Second opinion diagnostic and medication management evaluations and
12community resource referrals conducted by either a psychiatrist or allied health
13professionals.
SB70-AA3,210,1614 (b) In-person or web-based educational seminars and refresher courses on a
15medically appropriate topic within mental or behavioral health care provided to any
16participating clinician who uses the program.
SB70-AA3,210,1717 (c) Data evaluation and assessment of the program.”.
SB70-AA3,210,18 18245. Page 374, line 11: after that line insert:
SB70-AA3,210,19 19 Section 268. 46.48 (35) of the statutes is created to read:
SB70-AA3,210,2220 46.48 (35) Psychiatric residential treatment facilities. The department may
21distribute not more than $1,790,000 in each fiscal year to support psychiatric
22residential treatment facilities.
SB70-AA3,269 23Section 269. 49.46 (2) (b) 14c. of the statutes is created to read:
SB70-AA3,211,2
149.46 (2) (b) 14c. Subject to par. (bv), services by a psychiatric residential
2treatment facility.
SB70-AA3,270 3Section 270. 49.46 (2) (bv) of the statutes is created to read:
SB70-AA3,211,114 49.46 (2) (bv) The department shall submit to the federal department of health
5and human services any request for a state plan amendment, waiver, or other federal
6approval necessary to provide reimbursement for services by a psychiatric
7residential treatment facility. If the federal department of health and human
8services approves the request or if no federal approval is necessary, the department
9shall provide reimbursement under par. (b) 14c. If the federal department of health
10and human services disapproves the request, the department may not provide
11reimbursement for services under par. (b) 14c.
SB70-AA3,271 12Section 271. 51.044 of the statutes is created to read:
SB70-AA3,211,18 1351.044 Psychiatric residential treatment facilities. (1) Definition. In
14this section, “psychiatric residential treatment facility” is a non-hospital facility
15that provides inpatient comprehensive mental health treatment services to
16individuals under the age of 21 who, due to mental illness, substance use, or severe
17emotional disturbance, need treatment that can most effectively be provided in a
18residential treatment facility.
SB70-AA3,211,22 19(2) Certification required; exemption. (a) No person may operate a
20psychiatric residential treatment facility without a certification from the
21department. The department may limit the number of certifications it grants to
22operate a psychiatric residential treatment facility.
SB70-AA3,211,2423 (b) A psychiatric residential treatment facility that has a certification from the
24department under this section is not subject to facility regulation under ch. 48.
SB70-AA3,211,25 25(3) Rules. The department may promulgate rules to implement this section.
SB70-AA3,9119
1Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,212,142 (1) Emergency rules on psychiatric residential treatment facilities. The
3department of health services may promulgate emergency rules under s. 227.24
4implementing certification of psychiatric residential treatment facilities under s.
551.044, including development of a new provider type and a reimbursement model
6for psychiatric residential treatment facilities under the Medical Assistance
7program under subch. IV of ch. 49. Notwithstanding s. 227.24 (1) (a) and (3), the
8department of health services is not required to provide evidence that promulgating
9a rule under this subsection as an emergency rule is necessary for the preservation
10of the public peace, health, safety, or welfare and is not required to provide a finding
11of emergency for a rule promulgated under this subsection. Notwithstanding s.
12227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in
13effect until July 1, 2025, or the date on which permanent rules take effect, whichever
14is sooner.”.
SB70-AA3,212,15 15246. Page 374, line 11: after that line insert:
SB70-AA3,212,16 16 Section 272. 46.48 (22) of the statutes is created to read:
SB70-AA3,212,2017 46.48 (22) Health care provider innovation grants. The department may
18distribute not more than $14,550,000 in each fiscal year as grants to health care
19providers and long-term care providers to implement best practices and innovative
20solutions to increase worker recruitment and retention.”.
SB70-AA3,212,21 21247. Page 374, line 11: after that line insert:
SB70-AA3,212,22 22 Section 9119. Nonstatutory provisions; Health Services.
SB70-AA3,212,2323 (4u) Complex patient pilot program.
SB70-AA3,212,2424 (a) In this subsection, “department” means the department of health services.
SB70-AA3,213,5
1(b) The department shall form an advisory group to assist with development
2and implementation of a complex patient pilot program. The secretary of health
3services, or his or her designee, shall be the chair of the advisory group. Members
4of the advisory group under this paragraph shall have clinical, financial, or
5administrative expertise in government programs, acute care, or post-acute care.
SB70-AA3,213,86 (c) The department shall use its request-for-proposal procedure to select
7partnership groups to be designated as participating sites for the complex patient
8pilot program under this subsection.
SB70-AA3,213,149 (d) The advisory group formed under this subsection shall develop a request
10for proposal for the complex patient pilot program that includes eligibility
11requirements. For purposes of the pilot program under this subsection, only
12partnerships of hospitals and post-acute facilities are eligible to submit proposals.
13An eligible partnership shall include at least one hospital and at least one post-acute
14facility, but may include more than one hospital or post-acute facility.
SB70-AA3,213,1715 (e) Each partnership group that applies to the department to be designated as
16a site for the complex patient pilot program shall specifically address all of the
17following issues:
SB70-AA3,213,1818 1. The number of beds that would be set aside in the post-acute facility.
SB70-AA3,213,2019 2. The goals of the partnership during the pilot program and after the pilot
20program.
SB70-AA3,213,2121 3. The types of complex patients for whom care would be provided.
SB70-AA3,213,2322 4. Expertise to successfully implement the proposal, including a discussion of
23at least all of the following issues:
SB70-AA3,213,2424 a. Experience of the partners working together.
SB70-AA3,213,2525 b. Plan for staffing the unit.
SB70-AA3,214,1
1c. Ability to electronically exchange health information.
SB70-AA3,214,22 d. Clinical expertise.
SB70-AA3,214,33 e. Hospital and post-acute facility survey history over the past 3 years.
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