AB100-ASA1, s. 1537 17Section 1537. 49.45 (6u) (g) of the statutes is amended to read:
AB100-ASA1,831,2218 49.45 (6u) (g) If a facility that is otherwise eligible for an allocation of funds
19under this section is found by the federal health care financing administration or the
20department to be an institution for mental diseases, as defined under 42 CFR
21435.1009
, the department may not allocate cease distributing to that facility funds
22under this section after the date on which the finding is made.
AB100-ASA1, s. 1538 23Section 1538. 49.45 (6w) (intro.) of the statutes is amended to read:
AB100-ASA1,832,524 49.45 (6w) Hospital operating deficit reduction. (intro.) From the
25appropriation under s. 20.435 (1) (5) (o), for reduction of operating deficits, as defined

1under criteria developed by the department, incurred by a hospital, as defined under
2s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.71 or
3owned and operated by a city or village, the department shall allocate up to
4$3,300,000 in each fiscal year to these hospitals, as determined by the department,
5and shall perform all of the following:
AB100-ASA1, s. 1539 6Section 1539. 49.45 (6w) (d) of the statutes is amended to read:
AB100-ASA1,832,117 49.45 (6w) (d) If the federal department of health and human services approves
8for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
9in a lesser allocation amount than that allocated under this subsection or disallows
10use of the allocation of federal medicaid funds under par. (c), reduce allocations under
11this subsection and distribute on a prorated basis, as determined by the department.
AB100-ASA1, s. 1540 12Section 1540. 49.45 (6x) (a) of the statutes is amended to read:
AB100-ASA1,832,1713 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
1420.435 (1) (5) (b) and (o) the department shall distribute not more than $4,748,000
15in each fiscal year, to provide funds to an essential access city hospital, except that
16the department may not allocate funds to an essential access city hospital to the
17extent that the allocation would exceed any limitation under 42 USC 1396b (i) (3).
AB100-ASA1, s. 1541 18Section 1541. 49.45 (6x) (d) of the statutes is amended to read:
AB100-ASA1,832,2319 49.45 (6x) (d) If the federal department of health and human services approves
20for state expenditure in any state fiscal year amounts under s. 20.435 (1) (5) (o) that
21result in a lesser distribution amount than that distributed under this subsection or
22disallows use of federal medicaid funds under par. (a), the department of health and
23family services shall reduce the distributions under this subsection.
AB100-ASA1, s. 1542 24Section 1542. 49.45 (6y) (a) of the statutes is amended to read:
AB100-ASA1,833,10
149.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
220.435 (1) (5) (b) and (o) the department shall distribute funding in each fiscal year
3to provide supplemental payment to hospitals that enter into a contract under s.
449.02 (2) to provide health care services funded by a relief block grant, as determined
5by the department, for hospital services that are not in excess of the hospitals'
6customary charges for the services, as limited under 42 USC 1396b (i) (3). If no relief
7block grant is awarded under this chapter or if the allocation of funds to such
8hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
9may distribute funds to hospitals that have not entered into a contract under s. 49.02
10(2).
AB100-ASA1, s. 1543 11Section 1543. 49.45 (6z) (a) (intro.) of the statutes is amended to read:
AB100-ASA1,833,2212 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriations
13under s. 20.435 (1) (5) (b) and (o) the department shall distribute funding in each
14fiscal year to supplement payment for services to hospitals that enter into a contract
15under s. 49.02 (2) to provide health care services funded by a relief block grant under
16this chapter, if the department determines that the hospitals serve a
17disproportionate number of low-income patients with special needs. If no medical
18relief block grant under this chapter is awarded or if the allocation of funds to such
19hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
20may distribute funds to hospitals that have not entered into a contract under s. 49.02
21(2). The department may not distribute funds under this subsection to the extent
22that the distribution would do any of the following:
AB100-ASA1, s. 1544 23Section 1544. 49.45 (8) (b) of the statutes is amended to read:
AB100-ASA1,834,324 49.45 (8) (b) Reimbursement under s. 20.435 (1) (5) (b) and (o) for home health
25services provided by a certified home health agency or independent nurse shall be

1made at the home health agency's or nurse's usual and customary fee per patient care
2visit, subject to a maximum allowable fee per patient care visit that is established
3under par. (c).
AB100-ASA1, s. 1545 4Section 1545. 49.45 (8e) of the statutes is repealed.
AB100-ASA1, s. 1546 5Section 1546. 49.45 (8m) (intro.) of the statutes is amended to read:
AB100-ASA1,834,106 49.45 (8m) Rates for respiratory care services. (intro.) Notwithstanding the
7limits under subs. (8) and (8e) limit under sub. (8), the rates under sub. (8) and rates
8charged by providers under s. 49.46 (2) (a) 4. d. that are not home health agencies,
9for reimbursement for respiratory care services for ventilator-dependent
10individuals under ss. 49.46 (2) (b) 6. m. and 49.47 (6) (a) 1., shall be as follows:
AB100-ASA1, s. 1941b 11Section 1941b. 49.45 (8m) (a) of the statutes is amended to read:
AB100-ASA1,834,1312 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
13by a licensed registered nurse, $30 $30.60 per hour.
AB100-ASA1, s. 1941c 14Section 1941c. 49.45 (8m) (a) of the statutes, as affected by 1997 Wisconsin
15Act .... (this act), is amended to read:
AB100-ASA1,834,1716 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
17by a licensed registered nurse, $30.60 $31.21 per hour.
AB100-ASA1, s. 1941d 18Section 1941d. 49.45 (8m) (b) of the statutes is amended to read:
AB100-ASA1,834,2019 49.45 (8m) (b) For visits subsequent to an initial visit and for extended visits
20by a licensed practical nurse, $20 $20.40 per hour.
AB100-ASA1, s. 1941e 21Section 1941e. 49.45 (8m) (b) of the statutes, as affected by 1997 Wisconsin
22Act .... (this act), is amended to read:
AB100-ASA1,834,2423 49.45 (8m) (b) For visits subsequent to an initial visit and for extended visits
24by a licensed practical nurse, $20.40 $20.81 per hour.
AB100-ASA1, s. 1547 25Section 1547. 49.45 (8r) of the statutes is amended to read:
AB100-ASA1,835,8
149.45 (8r) Payment for certain obstetric and gynecological care. The rate
2of payment for obstetric and gynecological care provided in primary care health
3professional
shortage areas, as defined in s. 560.184 (1) (c) 560.183 (1) (cm), or
4provided to recipients of medical assistance who reside in primary care health
5professional
shortage areas, that is equal to 125% of the rates paid under this section
6to primary care physicians in primary care health professional shortage areas, shall
7be paid to all certified primary care providers who provide obstetric or gynecological
8care to those recipients.
AB100-ASA1, s. 1942m 9Section 1942m. 49.45 (24g) of the statutes is created to read:
AB100-ASA1,835,2210 49.45 (24g) Managed care for dental services pilot. (a) The department
11shall, in consultation with the Wisconsin Dental Association, develop a pilot project
12for the provision of dental services under a managed care system. The department
13shall request a waiver from the secretary of the federal department of health and
14human services to permit the department to implement the pilot project developed
15under this subsection. If the waiver is granted and in effect, and if the department
16of health and family services determines that the costs of providing dental services
17under s. 49.46 (2) (b) 1. under the pilot project will not exceed the costs of providing
18those dental services in the absence of the pilot project, the department shall
19implement the pilot project in Ashland, Douglas, Bayfield and Iron counties for the
20period beginning no later than January 1, 1998, and ending on June 30, 1999. Only
21those dental services covered under s. 49.46 (2) (b) 1. may be covered under the pilot
22project.
AB100-ASA1,836,223 (b) In developing the pilot project under this subsection, the department shall
24provide that recipients who are subject to the pilot project are required to select a
25dental provider from among those dentists participating in the pilot project. The

1department shall also provide that, if a recipient does not make a selection, a dental
2provider will be assigned to the recipient.
AB100-ASA1,836,43 (c) If the department is able to implement the pilot project under this
4subsection, the department shall contract with a person to do all of the following:
AB100-ASA1,836,65 1. Accept a capitation payment from the department for each recipient who is
6subject to the pilot project.
AB100-ASA1,836,77 2. Enroll dentists to be participating providers under the pilot project.
AB100-ASA1,836,98 3. Coordinate with county departments to provide outreach and education to
9recipients and persons who are eligible to be recipients.
AB100-ASA1,836,1210 4. Pay all allowable charges on a fee-for-service basis to participating dentists
11on behalf of recipients in the pilot counties for dental services received by those
12recipients.
AB100-ASA1, s. 1548 13Section 1548. 49.45 (24m) (intro.) of the statutes is amended to read:
AB100-ASA1,836,1814 49.45 (24m) Home health care and personal care pilot program. (intro.)
15From the appropriations under s. 20.435 (1) (5) (b) and (o), in order to test the
16feasibility of instituting a system of reimbursement for providers of home health care
17and personal care services for medical assistance recipients that is based on
18competitive bidding, the department shall:
AB100-ASA1, s. 1943c 19Section 1943c. 49.45 (24r) of the statutes is created to read:
AB100-ASA1,837,420 49.45 (24r) Family planning demonstration project. No later than January
211, 1998, the department shall request a waiver from the secretary of the federal
22department of health and human services to permit the department to conduct a
23demonstration project to provide family planning services under medical assistance
24to any woman between the ages of 15 and 44 whose family income does not exceed
25185% of the poverty line for a family the size of the woman's family. If the waiver is

1granted, the department shall submit to the chief clerk of each house of the
2legislature, for distribution to the appropriate standing committees under s. 13.172
3(3), proposed legislation to enable the department to implement the demonstration
4project.
AB100-ASA1, s. 1549 5Section 1549. 49.45 (25) (am) 14. of the statutes is created to read:
AB100-ASA1,837,86 49.45 (25) (am) 14. Is a woman who is aged 45 to 64 and who is not a resident
7of a nursing home or otherwise receiving case management services under this
8paragraph.
AB100-ASA1, s. 1550 9Section 1550. 49.45 (25) (b) of the statutes is amended to read:
AB100-ASA1,837,1810 49.45 (25) (b) A county, city, village or , town or, in a county having a population
11of 500,000 or more, the department
may elect to make case management services
12under this subsection available in the county, city, village or town to one or more of
13the categories of beneficiaries under par. (am) through the medical assistance
14program. A county, city, village or, town or, in a county having a population of 500,000
15or more, the department
that elects to make the services available shall reimburse
16a case management provider for the amount of the allowable charges for those
17services under the medical assistance program that is not provided by the federal
18government.
AB100-ASA1, s. 1551 19Section 1551. 49.45 (25) (be) of the statutes is amended to read:
AB100-ASA1,837,2520 49.45 (25) (be) A private nonprofit agency that is a certified case management
21provider may elect to provide case management services to medical assistance
22beneficiaries who have HIV infection, as defined in s. 252.01 (2). The amount of the
23allowable charges for those services under the medical assistance program that is not
24provided by the federal government shall be paid from the appropriation under s.
2520.435 (1) (5) (am).
AB100-ASA1, s. 1946m
1Section 1946m. 49.45 (30e) of the statutes is created to read:
AB100-ASA1,838,52 49.45 (30e) Community-based psychosocial service programs. (a) When
3services are reimbursable.
Services under s. 49.46 (2) (b) 6. Lm. provided to an
4individual are reimbursable under the medical assistance program only if all of the
5following conditions are met:
AB100-ASA1,838,86 1. Reimbursement for the services under s. 49.46 (2) (b) 6. Lm. in the manner
7provided under this subsection is permitted pursuant to federal law or pursuant to
8a waiver from the secretary of the federal department of health and human services.
AB100-ASA1,838,119 2. The county in which the individual resides elects to make the services under
10s. 49.46 (2) (b) 6. Lm. available in the county through the medical assistance
11program.
AB100-ASA1,838,1412 3. The individual's psychosocial health needs require more than outpatient
13counseling, but less than the services provided by a community support program
14under s. 51.421.
AB100-ASA1,838,1715 4. The psychosocial services are provided by a community-based psychosocial
16service program certified under rules promulgated by the department under par. (b)
173.
AB100-ASA1,838,1918 (b) Rules. The department shall promulgate rules regarding all of the
19following:
AB100-ASA1,838,2120 1. Standards for determining whether an individual is eligible under par. (a)
213.
AB100-ASA1,838,2322 2. The scope of psychosocial services that may be provided under s. 49.46 (2)
23(b) 6. Lm.
AB100-ASA1,838,2524 3. Requirements for certification of community-based psychosocial service
25programs.
AB100-ASA1,839,7
1(c) Provider reimbursement. A county that elects to make the services under
2s. 49.46 (2) (b) 6. Lm. available shall reimburse a provider of the services for the
3amount of the allowable charges for those services under the medical assistance
4program that is not provided by the federal government. The department shall
5reimburse the provider only for the amount of the allowable charges for those
6services under the medical assistance program that is provided by the federal
7government.
AB100-ASA1, s. 1948m 8Section 1948m. 49.45 (45) of the statutes is created to read:
AB100-ASA1,839,129 49.45 (45) In-home and community mental health and alcohol and other
10drug abuse services.
(a) Services under s. 49.46 (2) (b) 6. fm. provided to an
11individual are reimbursable under the medical assistance program only if all of the
12following conditions are met:
AB100-ASA1,839,1513 1. Reimbursement for the services under s. 49.46 (2) (b) 6. fm. in the manner
14provided under this subsection is permitted pursuant to federal law or pursuant to
15a waiver from the secretary of the federal department of health and human services.
AB100-ASA1,839,1816 2. The county, city, town or village in which the individual resides elects to make
17the services under s. 49.46 (2) (b) 6. fm. available in the county, city, town or village
18through the medical assistance program.
AB100-ASA1,839,2419 (b) A county, city, town or village that elects to make the services under s. 49.46
20(2) (b) 6. fm. available shall reimburse a provider of the services for the amount of
21the allowable charges for those services under the medical assistance program that
22is not provided by the federal government. The department shall reimburse the
23provider only for the amount of the allowable charges for those services under the
24medical assistance program that is provided by the federal government.
AB100-ASA1, s. 1552 25Section 1552. 49.46 (1) (a) 1. of the statutes is amended to read:
AB100-ASA1,840,6
149.46 (1) (a) 1. Any person included in the grant of aid to families with
2dependent children and any person who does not receive such aid solely because of
3the application of s. 49.19 (11) (a) 7. This If a waiver under s. 49.153 (1m) (a) is
4granted and in effect or federal legislation that permits the application of s. 49.153
5is enacted, this
subdivision does not apply beginning on the first day of the 6th month
6beginning after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1553 7Section 1553. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB100-ASA1,840,148 49.46 (1) (a) 1m. Any pregnant woman who meets the resource and income
9limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
10Eligibility continues to the last day of the month in which the 60th day after the last
11day of the pregnancy falls. This If a waiver under s. 49.153 (1m) (a) is granted and
12in effect or federal legislation that permits the application of s. 49.153 is enacted, this

13subdivision does not apply beginning on the first day of the 6th month beginning
14after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1554 15Section 1554. 49.46 (1) (a) 4m. of the statutes is created to read:
AB100-ASA1,840,1616 49.46 (1) (a) 4m. Any child for whom a payment is made under s. 49.775.
AB100-ASA1, s. 1555 17Section 1555. 49.46 (1) (a) 6. of the statutes is amended to read:
AB100-ASA1,840,2418 49.46 (1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
19under federal law, to be receiving aid to families with dependent children for the
20purpose of determining eligibility for medical assistance. This If a waiver under s.
2149.153 (1m) (a) is granted and in effect or federal legislation that permits the
22application of s. 49.153 is enacted, this
subdivision does not apply beginning on the
23first day of the 6th month beginning after the date stated in the notice under s. 49.141
24(2) (d)
49.153 (1m) (a).
AB100-ASA1, s. 1556 25Section 1556. 49.46 (1) (a) 9. of the statutes is amended to read:
AB100-ASA1,841,6
149.46 (1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
2family income does not exceed 133% of the poverty line for a family the size of the
3woman's family. This If a waiver under s. 49.153 (1m) (a) is granted and in effect or
4federal legislation that permits the application of s. 49.153 is enacted, this

5subdivision does not apply beginning on the first day of the 6th month beginning
6after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1954b 7Section 1954b. 49.46 (1) (a) 10. of the statutes is repealed.
AB100-ASA1, s. 1557 8Section 1557. 49.46 (1) (a) 11. of the statutes is amended to read:
AB100-ASA1,841,159 49.46 (1) (a) 11. Any child not described under subd. 1. who was born after
10September 30, 1983, who has attained the age of 6 but has not attained the age of 19
11and whose family income does not exceed 100% of the poverty line for a family the
12size of the child's family. This If a waiver under s. 49.153 (1m) (a) is granted and in
13effect or federal legislation that permits the application of s. 49.153 is enacted, this

14subdivision does not apply beginning on the first day of the 6th month beginning
15after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1955b 16Section 1955b. 49.46 (1) (a) 11. of the statutes, as affected by 1995 Wisconsin
17Act .... (this act), is amended to read:
AB100-ASA1,841,2418 49.46 (1) (a) 11. Any child not described under subd. 1. who was born after
19September 30, 1983, who has attained the age of 6 but has not attained the age of 19
20and whose family income does not exceed 100% 200% of the poverty line for a family
21the size of the child's family. If a waiver under s. 49.153 (1m) (a) is granted and in
22effect or federal legislation that permits the application of s. 49.153 is enacted, this
23subdivision does not apply beginning on the first day of the 6th month beginning
24after the date stated in the notice under s. 49.153 (1m) (a).
AB100-ASA1, s. 1558 25Section 1558. 49.46 (1) (a) 12. of the statutes is amended to read:
AB100-ASA1,842,6
149.46 (1) (a) 12. Any child not described under subd. 1. who is under 19 years
2of age and who meets the resource and income limits under s. 49.19 (4). This If a
3waiver under s. 49.153 (1m) (a) is granted and in effect or federal legislation that
4permits the application of s. 49.153 is enacted, this
subdivision does not apply
5beginning on the first day of the 6th month beginning after the date stated in the
6notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1559 7Section 1559. 49.46 (1) (a) 13. of the statutes is amended to read:
AB100-ASA1,842,138 49.46 (1) (a) 13. Any child who is under one year of age, whose mother was
9determined to be eligible under subd. 9. and who lives with his or her mother. This
10If a waiver under s. 49.153 (1m) (a) is granted and in effect or federal legislation that
11permits the application of s. 49.153 is enacted, this
subdivision does not apply
12beginning on the first day of the 6th month beginning after the date stated in the
13notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1957g 14Section 1957g. 49.46 (1) (am) 1. b. of the statutes is repealed.
AB100-ASA1, s. 1560 15Section 1560. 49.46 (1) (am) 3. of the statutes is amended to read:
AB100-ASA1,842,1816 49.46 (1) (am) 3. This If a waiver under s. 49.153 (1m) (a) is granted and in
17effect, this
paragraph does not apply beginning on the first day of the 6th month
18beginning after the date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100-ASA1, s. 1561 19Section 1561. 49.46 (1) (c) (intro.) of the statutes is amended to read:
AB100-ASA1,842,2420 49.46 (1) (c) (intro.) Except as provided under pars. par. (co) and (cs), a family
21that becomes ineligible for aid to families with dependent children under s. 49.19
22because of increased income from employment or increased hours of employment or
23because of the expiration of the time during which the disregards under s. 49.19 (5)
24(a) 4. or 4m. or (am) apply shall receive medical assistance for:
AB100-ASA1, s. 1562 25Section 1562. 49.46 (1) (cb) of the statutes is amended to read:
AB100-ASA1,843,4
149.46 (1) (cb) Paragraph If a waiver under s. 49.153 (1m) (a) is granted and in
2effect or federal legislation that permits the application of s. 49.153 is enacted, par.

3(c) does not apply beginning on the first day of the 6th month beginning after the date
4stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
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