AB150-ASA,913,1918
(b) The county or tribal governing body establishes written criteria to be used
19to determine dependency and reviews these written criteria at least annually.
AB150-ASA,913,2220
(c) The county or tribal governing body submits to the department a plan for
21the provision of services to be funded by the relief block grant. The plan shall include
22all of the following:
AB150-ASA,914,223
1. How the county or tribal governing body will determine eligibility and how
24these eligibility determinations may be appealed. The procedures for determining
1eligibility and for notice, fair hearing and review shall be consistent with rules
2promulgated by the department under sub. (7m).
AB150-ASA,914,43
2. How the county or tribal governing body will determine which health care
4services are needed by a dependent person.
AB150-ASA,914,75
3. The cost containment mechanisms that will be used, including what
6limitations will be placed on the inappropriate use of emergency room care and what
7limitations will be placed on payments to providers contracted for under sub. (2).
AB150-ASA,914,118
4. In the case of a county submitting a plan for a relief block grant under s.
949.027, whether the county will provide services other than health care services and,
10if such services are offered, how the county will determine what services will be
11provided to a dependent person.
AB150-ASA,914,1412
(d) The department has approved the plan under par. (c). The department shall
13approve or disapprove the plan within a reasonable period of time after the plan is
14submitted.
AB150-ASA,914,1816
49.02
(1e) Relief agencies. If a county or tribal governing agency is eligible
17to receive a relief block grant, the county or tribal governing body shall establish or
18designate a relief agency to administer relief under this section.
AB150-ASA,915,320
49.02
(1m) Every county shall furnish general relief to all eligible dependent
21persons within the county and shall establish or designate a general relief agency to
22administer general relief. The general relief agency shall establish written criteria
23to be used to determine dependency
and. Except for counties that make the election
24under s. 49.032 (2) (a), each county shall establish written standards of need to be
25used to determine the type and amount of general relief to be furnished.
The general
1relief agency shall review the standards of need at least annually. The A general
2relief agency may establish work-seeking rules for general relief applicants and
3recipients.
AB150-ASA, s. 2686c
4Section 2686c. 49.02 (1m) of the statutes, as affected by 1995 Wisconsin Act
5.... (this act), is repealed.
AB150-ASA,915,137
49.02
(2) Contracting with private health care providers. A relief agency
8may use a relief block grant to provide health care services directly or, if the
9conditions in this subsection are met, by contracting with private health care
10providers, or by a combination of contracting with private health care providers and
11providing services directly. A relief agency may contract with a private health care
12provider to provide health care services under this subsection only if all of the
13following conditions are met:
AB150-ASA,915,1514
(a) The relief agency enters into a contract with the private health care provider
15to provide specified health care services.
AB150-ASA,915,1916
(b) The contract between the relief agency and the private health care provider
17provides that all records of the health care provider relating to the administration
18and provision of the health care services shall be open to inspection at all reasonable
19hours by authorized representatives of the county and the department.
AB150-ASA,915,2320
(c) The contract between the relief agency and the private health care provider
21provides that any payments under s. 49.45 (6y) and (6z) made to the health care
22provider shall be used to offset the liability of the relief agency for the costs of the
23health care services provided under the contract.
AB150-ASA,915,2524
(d) The contract limits payment for services under the contract to the amount
25payable by medical assistance for care for which a medical assistance rate exists.
AB150-ASA,916,2
1(e) The contract does not provide for payment for hospitalization or care
2provided as uncompensated services required under
42 USC 291c.
AB150-ASA,916,63
(f) The contract prohibits the health care provider from holding an individual
4recipient of health care services funded under this section liable for the difference
5between the costs of the health care services and the amount paid to the health care
6provider by the county for the services.
AB150-ASA, s. 2687b
7Section 2687b. 49.02 (2r) of the statutes is renumbered 49.015 (1) (am) and
8amended to read:
AB150-ASA,916,149
49.015
(1) (am)
A general relief agency may require the person who is receiving
10general relief to authorize The individual authorizes any program or resource for
11which he or she is determined to be eligible to reimburse the
general relief agency
12for
general relief benefits paid health care services provided to the
person individual 13if the program or resource permits
retroactive reimbursement for the
period that
14general relief benefits were paid services provided.
AB150-ASA, s. 2688b
15Section 2688b. 49.02 (3) of the statutes, as affected by 1995 Wisconsin Act ....
16(this act), is repealed.
AB150-ASA,916,2518
49.02
(3) (a)
A Except in counties that have elected not to provide nonmedical
19benefits under s. 49.032 (2) (a), a general relief agency may plainly print or stamp
20on each check issued as a general relief benefit payment words explaining that the
21check is valid for 60 days beginning on the date of issuance. The general relief agency
22may cancel any check that is not presented for payment within the 60-day period
23indicated on the check and, except as provided in par. (b), the person entitled to the
24check forfeits the right to the benefit payment. Section 49.037 (6) does not apply to
25the cancellation of a check under this paragraph.
AB150-ASA,917,33
49.02
(5) (title)
Liability for health care services.
AB150-ASA,917,107
49.02
(5) (b) A
county relief agency is not liable for
hospitalization or care 8health care services provided
under par. (a) to a dependent person if the hospital
9provides the
care or hospitalization health care services to the person as
10uncompensated services required under
42 USC 291c.
AB150-ASA, s. 2694
11Section
2694. 49.02 (5) (bm) of the statutes, as affected by 1995 Wisconsin Act
12.... (this act), is amended to read:
AB150-ASA,917,1513
49.02
(5) (bm) A relief agency shall limit its liability for health care services
14funded by a relief block grant to the amount payable by medical assistance under
ss.
1549.43 to 49.47 subch. IV for care for which a medical assistance rate exists.
AB150-ASA,918,5
149.02
(6g) (title)
Liability of recipients. No individual who receives
treatment
2or hospitalization under sub. (5) health care services funded by a relief block grant 3may be liable for the difference between the costs of the
treatment or hospitalization 4services charged by the health care provider and the amount paid by the
general 5relief agency.
AB150-ASA,918,87
49.02
(6m) Notwithstanding ss. 49.002 (2) and 49.01 (5m), a general relief
8agency is not required to provide services described in s. 51.42 (3) (ar) 4.
AB150-ASA, s. 2705b
9Section 2705b. 49.02 (6m) of the statutes, as created by 1995 Wisconsin Act
10.... (this act), is repealed.
AB150-ASA,918,1913
49.02
(7) (title)
Notification requirement. Whenever the
authorities charged
14with the administration of this section have department or a relief agency has reason
15to believe that a person receiving relief is engaging in conduct or behavior prohibited
16in ch. 944 or ss. 940.225, 948.02, 948.025 or 948.06 to 948.11
they the department or
17relief agency shall promptly notify the law enforcement officials of the county
18thereof, including facts relating to such person's alleged misconduct or illegal
19behavior.
AB150-ASA,918,2221
49.02
(7m) Rules. The department shall promulgate rules regarding use of
22relief block grants. The rules shall include all of the following:
AB150-ASA,918,2423
(a) Procedures that relief agencies shall follow in making eligibility
24determinations.
AB150-ASA,919,2
1(b) Procedures for appealing eligibility determinations under s. 49.015. These
2procedures shall provide for notice, fair hearing and review.
AB150-ASA,919,43
(c) Procedures that relief agencies shall follow to obtain relief block grants
4under sub. (1).
AB150-ASA,919,55
(d) Standards for a waiver of any eligibility requirement under s. 49.015.
AB150-ASA, s. 2710
6Section
2710. 49.02 (8) of the statutes is renumbered 49.015 (2m) and
7amended to read:
AB150-ASA,919,128
49.015
(2m) (title)
Ineligibility due to medical assistance divestment. Any
9person found ineligible for medical assistance because of the divestment provisions
10under s. 49.453 is ineligible for
medical care under this section relief funded by a
11relief block grant for the same period during which ineligibility exists under s.
1249.453.
AB150-ASA, s. 2712b
14Section 2712b. 49.02 (10) (a) of the statutes is renumbered 49.02 (5) (bm) and
15amended to read:
AB150-ASA,919,2016
49.02
(5) (bm)
Except as provided under par. (b), a county A relief agency shall
17limit its liability for
medical or dental care furnished as general relief, including
18emergency care provided under sub. (5), health care services funded by a relief block
19grant to the amount payable by medical assistance under ss. 49.43 to 49.47 for care
20for which a medical assistance rate exists.
AB150-ASA,920,3
149.02
(11) (title)
Department of transportation records. A
general relief
2agency may use vehicle registration information from the department of
3transportation in determining eligibility for
general relief.
AB150-ASA,920,8
649.025 Relief block grants to counties with a population of 500,000 or
7more; medical relief. (1) Applicability. This section applies only to a county
8having a population of 500,000 or more.
AB150-ASA,920,12
9(2) Amount of relief block grant. (a) If a county is eligible to receive a relief
10block grant in a year, the department shall pay to the county, in accordance with s.
1149.031, from the appropriation under s. 20.435 (1) (bt), an amount for that year
12determined as follows:
AB150-ASA,920,1313
1. The department shall determine the lesser of the following:
AB150-ASA,920,1414
a. For 1996, $17,600,000, and for each year thereafter, $16,600,000.
AB150-ASA,920,1615
b. For any year, 45% of the total amount expended by the county in that year
16as relief for health care services provided to dependent persons.
AB150-ASA,920,2017
2. The department shall subtract from the amount determined under subd. 1.
18amounts paid to hospitals in that county under s. 49.45 (6y) and (6z) in that year.
19If the amount determined under this subdivision is less than zero, the amount of the
20relief block grant is $0.
AB150-ASA,920,2421
(b) In calculating the total amount expended by the county under par. (a), the
22department may exclude any amount expended as a result of a waiver determined
23to be inappropriate under rules promulgated by the department under s. 49.02 (7m)
24(d).
AB150-ASA,921,3
1(3) Use of relief block grant funds. A county may use moneys received as
2a relief block grant only for the purpose of providing health care services to
3dependent persons.
AB150-ASA,921,7
549.027 Relief block grants to counties having a population of less than
6500,000; medical and nonmedical relief. (1) A
pplicability. This section applies
7only to a county having a population of less than 500,000.
AB150-ASA,921,11
8(2) Amount of relief block grant. (a) If a county is eligible to receive a relief
9block grant in a year, the department shall pay to the county, in accordance with s.
1049.031, from the appropriation under s. 20.435 (1) (bu), an amount for that year
11determined as follows:
AB150-ASA,921,1212
1. The department shall calculate an amount as follows:
AB150-ASA,921,1413
a. The department shall determine the total amount that the county was
14reimbursed under s. 49.035, 1993 stats., for general relief costs incurred in 1994.
AB150-ASA,921,1715
b. The department shall determine the total amount of general relief
16reimbursements that were paid under s. 49.035, 1993 stats., for costs incurred in
171994, to all counties that are eligible receive a relief block grant under this section.
AB150-ASA,921,1918
c. The department shall divide the amount determined under subd. 1. a. by the
19amount determined under subd. 1. b.
AB150-ASA,921,2120
d. The department shall multiply the amount determined under subd. 1. c. by
21the amount appropriated under s. 20.435 (1) (bu) for relief block grants for that year.
AB150-ASA,921,2222
2. The department shall calculate the sum of the following:
AB150-ASA,921,2423
a. For any year, 50% of the total costs incurred by the county for health care
24services provided to dependent persons as relief in that year.
AB150-ASA,922,3
1b. For any year, 40% of the total costs incurred by the county for cash benefits,
2and for services other than health care services, provided to dependent persons as
3relief in that year.
