SB55-SSA1-CA1,294,9 20(2) If a Wisconsin works agency employee identifies an individual as a past or
21present victim of domestic abuse or determines that the individual is at risk of
22domestic abuse or if the individual identifies himself or herself as a past or present
23victim of domestic abuse or as an individual who is at risk of further abuse, the
24Wisconsin works agency shall provide the individual with information on

1community-based domestic abuse services, including information on shelters or
2programs for battered individuals, sexual assault provider services, medical
3services, sexual assault nurse examiners services, domestic violence and sexual
4assault hotlines, legal and medical counseling and advocacy, mental health care,
5counseling, and support groups. The Wisconsin works agency shall provide the
6information to the individual orally and in writing in accordance with guidelines
7developed by the department. The Wisconsin works agency shall also provide
8referrals for community-based counseling and supportive service providers to the
9individual if the individual elects to receive the services.".
SB55-SSA1-CA1,294,10 10927. Page 597, line 6: after that line insert:
SB55-SSA1-CA1,294,11 11" Section 1660y. 49.155 (1d) (a) of the statutes is amended to read:
SB55-SSA1-CA1,294,2212 49.155 (1d) (a) The department shall promulgate rules establishing standards
13for the certification of child care providers under s. 48.651. In establishing the
14requirements for certification under this paragraph of a child care provider who
15provides care and supervision for children under one year of age, the department
16shall include a requirement that all providers and all employees and volunteers of
17a provider who provide care and supervision for children receive, before the date on
18which the provider is certified or the employment or volunteer work commences,
19whichever is applicable, training in the most current medically accepted methods of
20preventing sudden infant death syndrome.
In establishing the requirements for
21certification as a Level II certified family day care provider, the department may not
22include a any other requirement for training for providers.".
SB55-SSA1-CA1,294,23 23928. Page 601, line 2: after that line insert:
SB55-SSA1-CA1,294,24 24" Section 1676n. 49.173 (title) of the statutes is amended to read:
SB55-SSA1-CA1,295,1
149.173 (title) Workforce attachment and advancement program.".
SB55-SSA1-CA1,295,2 2929. Page 601, line 5: delete "(br)," and substitute "(br),".
SB55-SSA1-CA1,295,3 3930. Page 602, line 6: delete lines 6 to 22 and substitute:
SB55-SSA1-CA1,295,5 4" Section 1682bc. 49.175 (1) (d) of the statutes is repealed and recreated to
5read:
SB55-SSA1-CA1,295,96 49.175 (1) (d) Community reinvestment. 1. `Contracts for 1997 to 1999'. For
7the payment of community reinvestment funds that are earned as part of contracts
8entered into under s. 49.143 having a term that begins on September 1, 1997, and
9ends on December 31, 1999, $20,849,000 in fiscal year 2001-02.
SB55-SSA1-CA1,295,1310 2. `Contracts for 2000 and 2001.' For the payment of community reinvestment
11funds that are earned as part of contracts entered into under s. 49.143 having a term
12that begins on January 1, 2000, and ends on December 31, 2001, $2,769,900 in fiscal
13year 2001-02 and $5,539,700 in fiscal year 2002-03.
SB55-SSA1-CA1, s. 1682cd 14Section 1682cd. 49.175 (1) (d) 1. of the statutes, as affected by 2001 Wisconsin
15Act .... (this act), is repealed.
SB55-SSA1-CA1, s. 1682ce 16Section 1682ce. 49.175 (1) (d) 2. (title) of the statutes, as affected by 2001
17Wisconsin Act .... (this act), is repealed.
SB55-SSA1-CA1, s. 1682cf 18Section 1682cf. 49.175 (1) (d) 2. of the statutes, as affected by 2001 Wisconsin
19Act .... (this act), is renumbered 49.175 (1) (d).".
SB55-SSA1-CA1,295,20 20931. Page 603, line 6: delete "$24,767,500" and substitute "$24,680,700".
SB55-SSA1-CA1,295,21 21932. Page 603, line 7: delete "$24,780,000" and substitute "$24,693,200".
SB55-SSA1-CA1,295,22 22933. Page 603, line 19: delete lines 19 to 21.
SB55-SSA1-CA1,295,23 23934. Page 604, line 14: delete "$11,145,900" and substitute "$11,395,900".
SB55-SSA1-CA1,295,24 24935. Page 604, line 14: delete "$2,500,000" and substitute "$2,750,000".
SB55-SSA1-CA1,296,2
1936. Page 604, line 19: after "attachment" insert " and advancement
2program
".
SB55-SSA1-CA1,296,3 3937. Page 604, line 21: delete "$5,000,000" and substitute "$7,842,200".
SB55-SSA1-CA1,296,5 4938. Page 605, line 1: delete the material beginning with "under" and ending
5with "49.157," on line 2 and substitute "under s. 49.157,".
SB55-SSA1-CA1,296,8 6939. Page 605, line 2: delete "$1,000,000" and substitute "for individuals who
7are eligible to receive temporary assistance for needy families under 42 USC 601 et.
8seq., $900,000
".
SB55-SSA1-CA1,296,9 9940. Page 607, line 6: delete "$83,200 in each" and substitute "$93,400 in".
SB55-SSA1-CA1,296,10 10941. Page 607, line 7: after "2000-01" insert "2002-03".
SB55-SSA1-CA1,296,11 11942. Page 607, line 14: after that line insert:
SB55-SSA1-CA1,296,12 12" Section 1714d. 49.175 (1) (zo) of the statutes is created to read:
SB55-SSA1-CA1,296,1513 49.175 (1) (zo) After-school care program. For the transfer of moneys to the
14department of public instruction for the after-school care grant program under 2001
15Wisconsin Act .... (this act), section 9140 (6w), $150,000 in fiscal year 2002-03.".
SB55-SSA1-CA1,296,16 16943. Page 609, line 13: delete "(br),".
SB55-SSA1-CA1,296,19 17944. Page 611, line 5: delete the material beginning with ", aid" and ending
18with "49.19" on line 6 and substitute ", aid to families with dependent children under
19s. 49.19
".
SB55-SSA1-CA1,296,20 20945. Page 611, line 6: delete "2029" and substitute "2029 2036".
SB55-SSA1-CA1,296,22 21946. Page 611, line 10: delete "The" and substitute "The If the department of
22health and family services contracts with the department under sub. (5), the
".
SB55-SSA1-CA1,297,2
1947. Page 611, line 11: delete "appropriations" and substitute
2"appropriations appropriation".
SB55-SSA1-CA1,297,5 3948. Page 611, line 11: delete the material beginning with "(dz)" and ending
4with "(nL)" on line 12 and substitute "(dz) and (L) and federal matching funds from
5the appropriations under s. 20.445 (3) (n) and (nL)
(kx)".
SB55-SSA1-CA1,297,8 6949. Page 611, line 14: delete the material beginning with "medical" and
7ending with "2036" on line 18 and substitute "medical assistance under subch. IV or
8the food stamp program under 7 USC 2011 to 2036".
SB55-SSA1-CA1,297,10 9950. Page 615, line 19: after "46.23" insert ", and may contract with tribal
10governing bodies,".
SB55-SSA1-CA1,297,12 11951. Page 615, line 20: after "departments" insert "and tribal governing
12bodies".
SB55-SSA1-CA1,297,13 13952. Page 621, line 12: after that line insert:
SB55-SSA1-CA1,297,14 14" Section 1750w. 49.45 (2) (a) 24. of the statutes is created to read:
SB55-SSA1-CA1,297,2415 49.45 (2) (a) 24. Promulgate rules that require that the written plan of care for
16persons receiving personal care services under medical assistance be reviewed by a
17registered nurse at least every 60 days. The rules shall provide that the written plan
18of care shall designate intervals for visits to the recipient's home by a registered
19nurse as part of the review of the plan of care. The designated intervals for visits
20shall be based on the individual recipient's needs, and each recipient shall be visited
21in his or her home by a registered nurse at least once in every 12-month period. The
22rules shall also provide that a visit to the recipient is also required if, in the course
23of the nurse's review of the plan of care, there is evidence that a change in the
24recipient's condition has occurred that may warrant a change in the plan of care.".
SB55-SSA1-CA1,298,1
1953. Page 621, line 12: after that line insert:
SB55-SSA1-CA1,298,3 2" Section 1750d. 49.45 (2) (a) 10. of the statutes is renumbered 49.45 (2) (a) 10.
3a. and amended to read:
SB55-SSA1-CA1,298,94 49.45 (2) (a) 10. a. After reasonable notice and opportunity for hearing, recover
5money improperly or erroneously paid, or overpayments to a provider either by
6offsetting or adjusting amounts owed the provider under the program, crediting
7against a provider's future claims for reimbursement for other services or items
8furnished by the provider under the program, or by requiring the provider to make
9direct payment to the department or its fiscal intermediary.
SB55-SSA1-CA1, s. 1750f 10Section 1750f. 49.45 (2) (a) 10. b. of the statutes is created to read:
SB55-SSA1-CA1,298,1511 49.45 (2) (a) 10. b. Establish a deadline for payment of a recovery imposed
12under this subdivision and, if a provider fails to pay all of the amount to be recovered
13by the deadline, require payment, by the provider, of interest on any delinquent
14amount at the rate of 1% per month or fraction of a month from the date of the
15overpayment.
SB55-SSA1-CA1, s. 1750g 16Section 1750g. 49.45 (2) (a) 10. c. of the statutes is created to read:
SB55-SSA1-CA1,298,1717 49.45 (2) (a) 10. c. Promulgate rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750h 18Section 1750h. 49.45 (2) (a) 11. of the statutes is renumbered 49.45 (2) (a) 11.
19a. and amended to read:
SB55-SSA1-CA1,298,2320 49.45 (2) (a) 11. a. Establish criteria for the certification of eligible providers
21of services under Title XIX of the social security act medical assistance and, except
22as provided in par. (b) 6m. and s. 49.48, and subject to par. (b) 7. and 8., certify such
23eligible
providers who meet the criteria.
SB55-SSA1-CA1, s. 1750i 24Section 1750i. 49.45 (2) (a) 11. b. of the statutes is created to read:
SB55-SSA1-CA1,299,1
149.45 (2) (a) 11. b. Promulgate rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750j 2Section 1750j. 49.45 (2) (a) 12. of the statutes is renumbered 49.45 (2) (a) 12.
3a. and amended to read:
SB55-SSA1-CA1,299,184 49.45 (2) (a) 12. a. Decertify or suspend under this subdivision a provider from
5or restrict a provider's participation in the medical assistance program, if after
6giving reasonable notice and opportunity for hearing, the department finds that the
7provider has violated a federal statute or regulation or a state law statute or
8administrative rule and such violations are by law the violation is by statute,
9regulation, or rule grounds for decertification or suspension restriction. The
10department shall suspend the provider pending the hearing under this subdivision
11if the department includes in its decertification notice findings that the provider's
12continued participation in the medical assistance program pending hearing is likely
13to lead to the irretrievable loss of public funds and is unnecessary to provide
14adequate access to services to medical assistance recipients. As soon as practicable
15after the hearing, the department shall issue a written decision
. No payment may
16be made under the medical assistance program with respect to any service or item
17furnished by the provider subsequent to decertification or during the period of
18suspension.
SB55-SSA1-CA1, s. 1750k 19Section 1750k. 49.45 (2) (a) 12. b. of the statutes is created to read:
SB55-SSA1-CA1,299,2020 49.45 (2) (a) 12. b. Promulgate rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750L 21Section 1750L. 49.45 (2) (b) 6m. of the statutes is created to read:
SB55-SSA1-CA1,300,522 49.45 (2) (b) 6m. Limit the number of providers of particular services that may
23be certified under par. (a) 11. or the amount of resources, including employees and
24equipment, that a certified provider may use to provide particular services to medical
25assistance recipients, if the department finds that existing certified providers and

1resources provide services that are adequate in quality and amount to meet the need
2of medical assistance recipients for the particular services; and if the department
3finds that the potential for medical assistance fraud or abuse exists if additional
4providers are certified or additional resources are used by certified providers. The
5department shall promulgate rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750n 6Section 1750n. 49.45 (2) (b) 7. of the statutes is created to read:
SB55-SSA1-CA1,300,187 49.45 (2) (b) 7. Require, as a condition of certification under par. (a) 11., all
8providers of a specific service that is among those enumerated under s. 49.46 (2) or
949.47 (6) (a), as specified in this subdivision, to file with the department a surety bond
10issued by a surety company licensed to do business in this state. Providers subject
11to this subdivision provide those services specified under s. 49.46 (2) or 49.47 (6) (a)
12for which providers have demonstrated significant potential to violate s. 49.49 (1) (a),
13(2) (a) or (b), (3), (3m) (a), (3p), (4) (a), or (4m) (a), to require recovery under par. (a)
1410., or to need additional sanctions under par. (a) 13. The surety bond shall be
15payable to the department in an amount that the department determines is
16reasonable in view of amounts of former recoveries against providers of the specific
17service and the department's costs to pursue those recoveries. The department shall
18promulgate rules to implement this subdivision that specify all of the following:
SB55-SSA1-CA1,300,2219 a. Services under medical assistance for which providers have demonstrated
20significant potential to violate s. 49.49 (1) (a), (2) (a) or (b), (3), (3m) (a), (3p), (4) (a),
21or (4m) (a), to require recovery under par. (a) 10., or to need additional sanctions
22under par. (a) 13.
SB55-SSA1-CA1,300,2323 b. The amount or amounts of the surety bonds.
SB55-SSA1-CA1,301,3
1c. Terms of the surety bond, including amounts, if any, without interest to be
2refunded to the provider upon withdrawal or decertification from the medical
3assistance program.
SB55-SSA1-CA1, s. 1750p 4Section 1750p. 49.45 (2) (b) 8. of the statutes is created to read:
SB55-SSA1-CA1,301,105 49.45 (2) (b) 8. Require a person who takes over the operation, as defined in sub.
6(21) (ag), of a provider, to first obtain certification under par. (a) 11. for the operation
7of the provider, regardless of whether the person is currently certified. The
8department may withhold the certification required under this subdivision until any
9outstanding repayment under sub. (21) is made. The department shall promulgate
10rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750r 11Section 1750r. 49.45 (2) (b) 9. of the statutes is created to read:
SB55-SSA1-CA1,302,712 49.45 (2) (b) 9. After providing reasonable notice and opportunity for a hearing,
13charge an assessment to a provider that repeatedly has been subject to recoveries
14under par. (a) 10. a. because of the provider's failure to follow identical or similar
15billing procedures or to follow other identical or similar program requirements. The
16assessment shall be used to defray in part the costs of audits and investigations by
17the department under sub. (3) (g) and may not exceed $1,000 or 200% of the amount
18of any such repeated recovery made, whichever is greater. The provider shall pay the
19assessment to the department within 10 days after receipt of notice of the assessment
20or the final decision after administrative hearing, whichever is later. The
21department may recover any part of an assessment not timely paid by offsetting the
22assessment against any medical assistance payment owed to the provider and may
23refer any such unpaid assessments not collected in this manner to the attorney
24general, who may proceed with collection under this subdivision. Failure to timely
25pay in any manner an assessment charged under this subdivision, other than an

1assessment that is offset against any medical assistance payment owed to the
2provider, is grounds for decertification under subd. 12. A provider's payment of an
3assessment does not relieve the provider of any other legal liability incurred in
4connection with the recovery for which the assessment is charged, but is not evidence
5of violation of a statute or rule. The department shall credit all assessments received
6under this subdivision to the appropriation account under s. 20.435 (4) (iL). The
7department shall promulgate rules to implement this subdivision.
SB55-SSA1-CA1, s. 1750t 8Section 1750t. 49.45 (3) (g) of the statutes is renumbered 49.45 (3) (g) 1. and
9amended to read:
SB55-SSA1-CA1,303,610 49.45 (3) (g) 1. The secretary may appoint authorize personnel to audit or
11investigate and report to the department on any matter involving violations or
12complaints alleging violations of laws statutes, regulations, or rules applicable to
13Title XIX of the federal social security act or the medical assistance program and to
14perform such investigations or audits as are required to verify the actual provision
15of services or items available under the medical assistance program and the
16appropriateness and accuracy of claims for reimbursement submitted by providers
17participating in the program. Department employees appointed authorized by the
18secretary under this paragraph shall be issued, and shall possess at all times during
19which
while they are performing their investigatory or audit functions under this
20section, identification, signed by the secretary which, that specifically designates the
21bearer as possessing the authorization to conduct medical assistance investigations
22or audits. Pursuant to Under the request of a designated person and upon
23presentation of that the person's authorization, providers and medical assistance
24recipients shall accord such the person access to any provider personnel, records,
25books, recipient medical records, or documents or other information needed. Under

1the written request of a designated person and upon presentation of the person's
2authorization, providers and recipients shall accord the person access to any needed
3patient health care records of a recipient.
Authorized employees shall have authority
4to
may hold hearings, administer oaths, take testimony, and perform all other duties
5necessary to bring such the matter before the department for final adjudication and
6determination.
SB55-SSA1-CA1, s. 1750td 7Section 1750td. 49.45 (3) (g) 2. of the statutes is created to read:
SB55-SSA1-CA1,303,98 49.45 (3) (g) 2. The department shall promulgate rules to implement this
9paragraph.
SB55-SSA1-CA1, s. 1750v 10Section 1750v. 49.45 (3) (h) 1. of the statutes is repealed.
SB55-SSA1-CA1, s. 1750vm 11Section 1750vm. 49.45 (3) (h) 1n. of the statutes is created to read:
SB55-SSA1-CA1,303,1312 49.45 (3) (h) 1n. The department shall promulgate rules to implement this
13paragraph.
SB55-SSA1-CA1, s. 1750x 14Section 1750x. 49.45 (3) (h) 2. of the statutes is repealed.
SB55-SSA1-CA1, s. 1750z 15Section 1750z. 49.45 (3) (h) 3. of the statutes is renumbered 49.45 (3) (h) 1m.
16and amended to read:
SB55-SSA1-CA1,304,217 49.45 (3) (h) 1m. The failure or refusal of a person to purge himself or herself
18of contempt found under s. 885.12 and perform the act as required by law shall
19constitute
provider to accord department auditors or investigators access as required
20under par. (g) to any provider personnel, records, books, patient health care records
21of medical assistance recipients, or documents or other information requested
22constitutes
grounds for decertification or suspension of that person the provider from
23participation in the medical assistance program and no. No payment may be made
24for services rendered by that person subsequent to the provider following

1decertification or, during the period of suspension, or during any period of provider
2failure or refusal to accord access as required under par. (g)
.".
SB55-SSA1-CA1,304,3 3954. Page 622, line 8: delete ", or (w)" and substitute ", (w), or (wm)".
SB55-SSA1-CA1,304,4 4955. Page 622, line 14: delete lines 14 to 21.
SB55-SSA1-CA1,304,5 5956. Page 624, line 21: delete "and (w)" and substitute ", (w), and (wm)".
SB55-SSA1-CA1,304,6 6957. Page 627, line 2: after that line insert:
SB55-SSA1-CA1,304,7 7" Section 1778d. 49.45 (6v) (b) of the statutes is amended to read:
SB55-SSA1-CA1,304,158 49.45 (6v) (b) The Beginning on October 1, 2003, and annually thereafter, the
9department shall, each year, submit to the joint committee on finance a report for the
10previous fiscal year, except for the 1997-98 fiscal year,
that provides information on
11the utilization of beds by recipients of medical assistance in facilities and a
12discussion and detailed projection of the likely balances, expenditures,
13encumbrances and carry over of currently appropriated amounts in the
14appropriation accounts under s. 20.435 (4) (b) and (o)
for the immediately prior 2
15consecutive fiscal years
.
SB55-SSA1-CA1, s. 1778h 16Section 1778h. 49.45 (6v) (c) of the statutes is amended to read:
SB55-SSA1-CA1,305,1217 49.45 (6v) (c) If the report specified in par. (b) indicates that utilization of beds
18by recipients of medical assistance in facilities is less than estimates for that
19utilization reflected in the intentions of the joint committee on finance, legislature
20and governor, as expressed by them in the budget determinations, the department
21shall include a proposal to transfer moneys from the appropriation under s. 20.435
22(4) (b) to the appropriation under s. 20.435 (7) (bd) for the purpose of increasing
23funding for the community options program under s. 46.27. The amount proposed
24for transfer may not reduce the balance in the appropriation account under s. 20.435

1(4) (b) below an amount necessary to ensure that that appropriation account will end
2the current fiscal year or the current fiscal biennium with a positive balance. The
3secretary shall transfer the amount identified under the proposal
decreased during
4the most recently completed fiscal year from the utilization of beds by recipients of
5medical assistance in facilities in the next most recently completed fiscal year, the
6department shall multiply the difference between the number of days of care
7provided to the recipients in the facilities in each of those prior 2 consecutive fiscal
8years by the average daily costs of care in the facilities for the most recently
9completed fiscal year. The average daily costs of care shall be calculated by dividing
10the total of medical assistance expenditures for care in facilities for the most recently
11completed fiscal year by the total number of days of care provided in facilities in that
12fiscal year
.
SB55-SSA1-CA1, s. 1778p 13Section 1778p. 49.45 (6v) (d) of the statutes is created to read:
SB55-SSA1-CA1,306,414 49.45 (6v) (d) If par. (c) applies and if the amount calculated under par. (c) is
15positive, the department's report under par. (b) shall include a proposal to transfer
16an amount equal to the portion of the amount calculated under par. (c) that is the
17state share of medical assistance expenditures from the appropriation account under
18s. 20.435 (4) (b) to the appropriation account under s. 20.435 (7) (bd) for the purpose
19of increasing funding for the long-term support community options program under
20s. 46.27. If the cochairpersons of the joint committee on finance do not notify the
21secretary within 14 working days after the date on which the department submits
22the proposal that the committee has scheduled a meeting for the purpose of
23reviewing the proposal, the secretary shall transfer the amount identified under the
24proposal. If, within 14 working days after the date on which the department submits
25the proposal, the cochairpersons of the joint committee on finance notify the

1secretary that the committee has scheduled a meeting for the purpose of reviewing
2the proposal, the secretary may transfer moneys from the appropriation account
3under s. 20.435 (4) (b) to the appropriation account under s. 20.435 (7) (bd) only as
4approved by the committee.
SB55-SSA1-CA1, s. 1778r 5Section 1778r. 49.45 (6v) (e) of the statutes is created to read:
SB55-SSA1-CA1,306,86 49.45 (6v) (e) Of the amount required to be transferred by the secretary under
7par. (d), 40% shall be expended for services as specified under s. 46.27 (7) and 60%
8shall be expended for services as specified under s. 46.27 (11).".
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