DHS 105.02 (5) PARTICIPATION IN SURVEYS. Nursing home and hospital providersProviders shall participate in surveys conducted for research and MA policy purposes by the department or its designated contractors. Participation involves accurate completion of the survey questionnaire and return of the completed survey form to the department or to the designated contractor within the specified time period.
SECTION 25. DHS 105.16 (6) (a) (intro.) is amended to read:
DHS 105.16 (6) (a) A certified home health agency may be certified to provide respiratory care services under s. DHS 107.113 if registered nurses, licensed practical nurses and respiratory therapists employed by or under contract to the agency and providing these services are certified under ch. Med 20 and: SECTION 26. DHS 105.19 (1) (b) is amended to read:
DHS 105.19 (1) (b) For MA certification to perform respiratory care services as a provider in independent practice, the provider shall be certified pursuant to ch. Med 20 and shall be a nurse described in par. (a) or a respiratory therapist. Any person providing or supervising respiratory care who is not credentialed by the national board on respiratory care shall know how to perform the services under s. DHS 107.113 (1) and shall have the skills necessary to perform those services. Skills required to perform services listed in s. DHS 107.113 (1) (e) to (f) are required on a case−by−case basis, as appropriate. In no case may a person provide respiratory care before that person has demonstrated competence in all areas under s. DHS 107.113 (1) (a) to (d). A registered nurse who fulfills these requirements shall coordinate the recipient’s care. SECTION 27. DHS 105.22 (1) (b) is amended to read:
DHS 105.22 (1) (b) A psychologist licensed under ch. 455, Stats., who is listed or eligible to be listed in the national register of health service providers in psychology; SECTION 28. DHS 105.22 (1) (bn) to (br) are created to read:
DHS 105.22 (1) (bn) A marriage and family therapist licensed under s. 457.10, Stats., including holding a valid training or temporary license; DHS 105.22 (1) (bo) A professional counselor licensed under s. 457.12, Stats., including holding a valid training or temporary license; DHS 105.22 (1) (bp) An advanced practice social worker certified under s. 457.08 (2), Stats.; DHS 105.22 (1) (bq) An independent social worker certified under s. 457.08 (3), Stats.; DHS 105.22 (1) (br) A clinical social worker licensed under s. 457.08 (4), Stats.; SECTION 29. DHS 105.22 (3) is amended to read:
DHS 105.22 (3) REIMBURSEMENT FOR OUTPATIENT PSYCHOTHERAPY SERVICES. Reimbursement shall be made to any certified outpatient mental health clinic meeting the requirement under sub. (1) (c) for services rendered by any provider who meets the applicable requirements under ch. DHS 35 and working for that clinic, except that a provider certified under sub. (1) (a), (b), or (bm) may be reimbursed directlypsychotherapy provider whose practice, as described by individual licensure or clinic certification regulations, allows for the delivery of psychotherapy without clinical supervision. For outpatient psychotherapy services delivered by certified providers who are required, under individual licensure or clinic certification regulations, to practice under a clinical supervisor, reimbursement shall be made to the supervising provider. The supervising provider must be MA certified. SECTION 30. DHS 105.23 (1) (c) is amended to read:
DHS 105.23 (1) TYPES OF PROVIDERS. For MA certification, an outpatient alcohol and other drug abuse (AODA) treatment provider shall be:
(a) An outpatient facility operated by a board and certified under s. DHS 75.13; (b) An outpatient facility or hospital outpatient AODA facility certified under s. DHS 75.13; or SECTION 31. DHS 106.06 (27) is repealed.
SECTION 32. DHS 107.03 (12) is amended to read:
SECTION 33. DHS 107.06 (4) (e) is repealed.
SECTION 34. DHS 107.09 (4) (v) is repealed.
SECTION 35. DHS 107.112 (2) (a) and (4) (e) are amended to read:
DHS 107.112 (2) (a) Prior authorization is required for personal care services in excess of 25050 hours per calendar year.
DHS 107.112 (4) (e) Personal care services provided in excess of 25050 hours per calendar year without prior authorization;
SECTION 36. DHS 107.13 (2) (d) 1. is amended to read:
DHS 107.13 (2) (d) Non−covered services. All of the following services are not covered services:
1. Collateral interviews with persons not stipulated in par. (c) 1., and consultations, except as provided in s. 49.45 (29y), Stats., and s. DHS 107.06 (4) (d). SECTION 37. DHS 107.24 (2) (c) 1. and 4. to 6. are amended to read:
DHS 107.24 (2) (c) 1. Occupational therapy assistive or adaptive equipment. This is medical equipment used in a recipient’s home to assist a disabled person to adapt to the environment or achieve independence in performing daily personal functions. Examples are adaptive hygiene equipment, adaptive positioning equipment and adaptive eating utensils.
DHS 107.24 (2) (c) 4. Other home health care durable medical equipment. This is medical equipment used in a recipient’s home to increase the independence of a disabled person or modify certain disabling conditions. Examples are patient lifts, hospital beds and traction equipment.
DHS 107.24 (2) (c) 5. Oxygen therapy equipment. This is medical equipment used in a recipient’s home for the administration of oxygen or medical formulas or to assist with respiratory functions. Examples are a nebulizer, a respirator and a liquid oxygen system.
DHS 107.24 (2) (c) 6. Physical therapy splinting or adaptive equipment. This is medical equipment used in a recipient’s home to assist a disabled person to achieve independence in performing daily activities. Examples are splints and positioning equipment.
SECTION 38. DHS 107.30 (3) (b) and (Note) are repealed.
SECTION 39. DHS 109.03 (12) is amended to read:
DHS 109.03 (12) “Program payment rate” means the rate of payment made for the identical drug specified under s. 49.46 (2) (b) 6. h., Stats., plus 5%, plus a dispensing fee that is equal to the dispensing fee permitted to be charged for prescription drugs for which coverage is provided under s. 49.46 (2) (b) 6. h., Stats. SECTION 40. DHS 152.02 (25) is repealed.
SECTION 41. DHS 250.03 (1) is repealed.
SECTION 42. DHS 250.03 (15) is created to read:
DHS 250.03 (15) “Wisconsin Works” means the assistance program under ss. 49.141 to 49.161, Stats. SECTION 43. DHS 250.06 (1) (a) is amended to read:
DHS 250.06 (1) (a) Waiver of the prohibition against receiving AFDC Wisconsin Works or SSI may be granted in cases of unusual misfortune or hardship as determined by the tribal governing body.
SECTION 44. DHS 251.03 (13) is repealed.
SECTION 45. Effective date. This rule shall take effect on the first day of the month following publication in the Wisconsin administrative register, as provided in § 227.22 (2), Stats.
