Chs. DOC 371-399 - Youth program needs.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114(1)(a), Stats.
Summary of Comments:
No comments were reported.
5.   Crime Victims Rights Board (CR 99-153)
Ch. CVRB 1 - Review of complaints alleging violations of the rights of crime victims.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114(1)(a), Stats.
Summary of Comments:
No comments were reported.
6.   Elections Board (CR 99-137)
Ch. ElBd 7 - Electronic voting.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114(1)(a), Stats.
Summary of Comments:
No comments were reported.
7.   Employe Trust Funds (CR 98-169)
Ch. ETF 10 - Proper reporting of creditable service, earnings and participating employes of instrumentalities of two or more units of government when the joint instrumentality does not qualify as a separate employer for WRS purposes.
Summary of Final Regulatory Flexibility Analysis:
This rule concerns a retirement program open exclusively to qualifying employes of the state, counties (except Milwaukee County) and municipalities which have elected to participate in the Wisconsin Retirement System, as provided in Wis. Stat., s. 40.21. This rule affects only the participating governmental units which additionally create a joint instrumentality which is not sufficiently independent to qualify as an employer in its own right, and the employes of these joint instrumentalities. The Department therefore anticipates that the provisions of this proposed rule will have no direct adverse impact on small businesses.
Summary of Comments:
No comments were reported.
8.   Insurance (CR 99-170)
S. Ins 6.57 (4) - Listing fees for resident agents.
Summary of Final Regulatory Flexibility Analysis:
The Office of the Commissioner of Insurance has determined that this rule will not have a significant economic impact on a substantial number of small businesses and therefore a final regulatory flexibility analysis is not required.
Summary of Comments of Legislative Standing Committees:
The legislative standing committees had no comments on this rule.
9.   Public Service Commission (CR 99-131)
Ch. PSC 111 - Replacement of advance plans with strategic assessments and revision of requirements for certificates of public convenience and necessity.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules would apply to any entity that has or expects to have generation in Wisconsin greater than 5 MW, or that provides electric service to ultimate end users in Wisconsin, including self-providers and any entity providing transmission service in Wisconsin. Based on the Commission's investigation, it is unlikely that any such providers would be a small business as defined in s. 227.114, Stats. The proposed rules are therefore not expected to affect small businesses as defined in s. 227.114, Stats.
Summary of Comments:
No comments were reported.
10. Public Service Commission (CR 99-140)
Ch. PSC 4 - Implementing the Wisconsin environmental policy act.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules are not expected to affect small businesses. The changes in classification of projects will not increase the compliance or reporting requirements for project applicants. In addition, it is unlikely that applicants for Commission approval of these projects would be small businesses.
Summary of Comments:
No comments were reported.
11. Tourism (CR 00-37)
Ch. Tour 1 - Joint effort marketing program.
Summary of Final Regulatory Flexibility Analysis:
The proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114(1)(a), Stats.
Summary of Comments:
No comments were reported.
E x e c u t i v e O r d e r s
The following is a listing of recent Executive Orders issued by the Governor.

  Executive Order 394. Relating to a Proclamation of a State of Emergency.
  Executive Order 395. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff on Memorial Day.
  Executive Order 396. Relating to Issuance of General Obligation Bonds for the Veterans Home Loan Program and Appointment of Hearing Officer.
  Executive Order 397. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for the Late Deputy Sheriff Edward Hoffman of the Marinette County Sheriff's Office.
  Executive Order 398. Relating to a State of Emergency.
Public Notices
Public Notice
Dept. of Health and Family Services
(Medicaid Reimbursement of Hospitals)
The State of Wisconsin reimburses hospitals for medical services provided to low-income persons under the authority of Title XIX of the Federal Social Security Act and Chapter 49.43 to 49.47, Wisconsin Statutes. The Wisconsin Department of Health and Family Services administers this program that is called Medicaid or Medical Assistance (MA). Federal statutes and regulations require state plans, one for outpatient services and one for inpatient services, that provide the methods and standards for paying for hospital outpatient and inpatient services.
State plans are now in effect for the reimbursement of outpatient hospital services and inpatient hospital services. The Department is proposing to make changes to the rate provisions contained in the outpatient hospital services plan, effective July 1, 2000. The updated rates would apply to Medicaid payments for hospital discharges in the state fiscal year beginning July 1, 2000 and ending June 30, 2001.
As required by federal statute and regulations, the proposed payment rates are restricted by the federal Medicare upper limit requirement and target a share of funding to hospitals which serve a disproportionate number of low-income patients.
Outpatient Hospital Services
Proposed changes in the state plan for reimbursement for outpatient hospital services may include:
1. Adjustments to the outpatient hospital rate per visit to reflect a one (1) percent increase in outpatient hospital payments to implement a provision of the 1999-2001 budget act.
2. Establishment of qualifying criteria and a distribution methodology for a supplemental payment to certain hospitals to implement a provision of the 1999-2001 budget act. A hospital must be an acute care hospital located in Wisconsin and have Medicaid allowable charges equal to at least 8% of the hospital's total gross revenue in the most recent fiscal year in order to qualify for the supplement.
3. Revision of the rural hospital adjustment percentages to ensure that payments do not exceed authorized funds. The amount paid for this adjustment would not change. However, this modification would cause a redistribution of the funds among qualifying hospitals.
4. Modification of supplemental payments to essential access city hospitals (EACH) to maintain compliance with federal payment limits. This modification would not change the total amount paid. It would, however, adjust the amount paid through outpatient payments versus inpatient payments.
5. For the indigent care allowance, adjustment of the maximum available funding, modification of the criteria for a hospital to qualify for an allowance, and modification of the methodology for distributing the available funds to qualifying hospitals in order to carry out provisions of the 1999-2001 budget act and to maintain compliance with federal payment limits.
Inpatient Hospital Services
Proposed changes in the state plan for reimbursement for inpatient hospital services may include:
1. For the payment system based on diagnosis-related groups (DRGs), adjustment of DRG weighting factors, modification of the peer group structure for psychiatric DRG weights and the standard DRG base rates and area wage indices.
2. Use of a more current three-year period of hospital claims in the annual recalibration of reimbursement weighting factors for diagnosis related groups (DRGs) in order to enhance administrative efficiency and utilize more recent cost data.
3. Delete provisions that established a length of stay adjustment for hospitals that are institutions for mental disease (IMD). This adjustment applied only for the rate year beginning July 1, 1999.
4. Revision of the rural hospital adjustment percentages to ensure that payments do not exceed authorized funds. The total amount paid for this adjustment would not change. However, this modification would cause a redistribution of the funds among qualifying hospitals.
5. Updating of the disproportionate share adjustment parameters to recognize a more current proportion of services provided by hospitals to Medicaid recipients.
6. Modification of supplemental payments to essential access city hospitals (EACH) to maintain compliance with federal payment limits. This modification would not change the total amount paid. It would, however, adjust the amount paid through inpatient payments versus outpatient payments.
7. For the indigent care allowance, adjustment of the maximum available funding, modification of the criteria for a hospital to qualify for an allowance, and modification of the methodology for distributing the available funds to qualifying hospitals in order to carry out provisions of the 1999-2001 budget act and to maintain compliance with federal payment limits.
8. For the general assistance disproportionate share supplement, adjustment of the maximum available funding, modification of the criteria for a hospital to qualify for the supplement, and modification of the methodology for distributing the available funds to qualifying hospitals in order to carry out provisions of the 1999-2001 budget act and to maintain compliance with federal payment limits.
Payments for these adjustments would maintain compliance with federal payment limits. Implementation of the above changes to the State Plan for inpatient and outpatient services is expected to change the annual expenditures of the Wisconsin Medicaid program by $2.8 million for state fiscal year 2000-2001.
Copies of Proposed Changes and Proposed Payment Rates
Copies of the proposed changes will be sent to every county social services or human service department main office where they will be available for public review. For more information, interested persons may fax or write to:
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Links to Admin. Code and Statutes in this Register are to current versions, which may not be the version that was referred to in the original published document.