AB75-ASA1,602,38 49.343 (1m) Negotiation of rates. Notwithstanding sub. (1) (1g), the
9department, a county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437, a
10group of those county departments, or the department and one or more of those
11county departments, and a residential care center for children and youth or group
12home, as described in sub. (1), may negotiate a per client rate for the services of that
13residential care center for children and youth or group home, and the department,
14a county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437, a group of those
15county departments, or the department and one or more of those county
16departments, and a child welfare agency may negotiate a per client administrative
17rate for the administrative portion of the treatment foster care services of that child
18welfare agency,
if the department, that county department, the county departments
19in that group of county departments, or the department and one or more of those
20county departments, agree to place 75% or more of the residents of that residential
21care center for children and youth or group home or of the treatment foster homes
22operated by that child welfare agency
during the period for which that rate is
23effective. A residential care center for children and youth or group home that
24negotiates a per client rate under this subsection shall charge that rate to all
25purchasers of its services the same rate for the same services and a child welfare

1agency that negotiates a per client administrative rate under this subsection shall
2charge all purchasers of its treatment foster care services the same administrative
3rate for the same treatment foster care services
.
AB75-ASA1, s. 1278g 4Section 1278g. 49.343 (1m) of the statutes, as affected by 2009 Wisconsin Act
5.... (this act), section 1278, is amended to read:
AB75-ASA1,602,256 49.343 (1m) Negotiation of rates. Notwithstanding sub. (1g), the
7department, a county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437, a
8group of those county departments, or the department and one or more of those
9county departments, and a residential care center for children and youth or group
10home may negotiate a per client rate for the services of that residential care center
11for children and youth or group home, and the department, a county department
12under s. 46.215, 46.22, 46.23, 51.42, or 51.437, a group of those county departments,
13or the department and one or more of those county departments, and a child welfare
14agency may negotiate a per client administrative rate for the administrative portion
15of the treatment foster care services of that child welfare agency, if the department,
16that county department, the county departments in that group of county
17departments, or the department and one or more of those county departments, agree
18to place 75% or more of the residents of that residential care center for children and
19youth or group home or of the treatment foster homes operated by that child welfare
20agency during the period for which that rate is effective. A residential care center
21for children and youth or group home that negotiates a per client rate under this
22subsection shall charge all purchasers of its services the same rate for the same
23services and a child welfare agency that negotiates a per client administrative rate
24under this subsection shall charge all purchasers of its treatment foster care services
25the same administrative rate for the same treatment foster care services.
AB75-ASA1, s. 1279
1Section 1279. 49.343 (1m) of the statutes, as affected by 2009 Wisconsin Act
2.... (this act), sections 1278 and 1278g, is repealed.
AB75-ASA1, s. 1280 3Section 1280. 49.343 (2) (title) of the statutes is created to read:
AB75-ASA1,603,44 49.343 (2) (title) Determination of rates.
AB75-ASA1, s. 1281 5Section 1281. 49.343 (2) of the statutes is renumbered 49.343 (2) (a) and
6amended to read:
AB75-ASA1,603,187 49.343 (2) (a) A By October 1, 2010, and annually after that, a residential care
8center for children and youth or a group home, as described in sub. (1) or (1m), shall
9submit to the department the rate it charges and any change in that rate before a
10charge is made to any purchaser
per client rate that it proposes to charge for services
11provided in the next year and a child welfare agency shall submit to the department
12the proposed per client administrative rate that it proposes to charge for foster care
13services provided in the next year
. The department shall provide forms and
14instructions for the submission of rates and changes in proposed rates under this
15subsection paragraph and a residential care center for children and youth or a , group
16home, or child welfare agency that is required to submit a rate or a change in a
17proposed rate under this subsection paragraph shall submit that rate or change in
18a
proposed rate using those forms and instructions.
AB75-ASA1, s. 1282 19Section 1282. 49.343 (2) (a) of the statutes, as affected by 2009 Wisconsin Act
20.... (this act), is repealed and recreated to read:
AB75-ASA1,604,421 49.343 (2) (a) By October 1 annually, a residential care center for children and
22youth or a group home shall submit to the department the per client rate that it
23proposes to charge for services provided in the next year and a child welfare agency
24shall submit to the department the proposed per client administrative rate that it
25proposes to charge for foster care services provided in the next year. The department

1shall provide forms and instructions for the submission of proposed rates under this
2paragraph and a residential care center for children and youth, group home, or child
3welfare agency that is required to submit a proposed rate under this paragraph shall
4submit that proposed rate using those forms and instructions.
AB75-ASA1, s. 1283 5Section 1283. 49.343 (2) (b) of the statutes is created to read:
AB75-ASA1,604,136 49.343 (2) (b) The department shall review a proposed rate submitted under
7par. (a) and audit the residential care center for children and youth, group home, or
8child welfare agency submitting the proposed rate to determine whether the
9proposed rate is appropriate to the level of services to be provided, the qualifications
10of the residential care center for children and youth, group home, or child welfare
11agency to provide those services, and the reasonable and necessary costs of providing
12those services. In reviewing a proposed rate, the department shall consider all of the
13following factors:
AB75-ASA1,604,1614 1. Changes in the consumer price index for all urban consumers, U.S. city
15average, as determined by the U.S. department of labor, for the 12 months ending
16on June 30 of the year in which the proposed rate is submitted.
AB75-ASA1,604,1917 2. Changes in the allowable costs of the residential care center for children and
18youth, group home, or child welfare agency based on current actual cost data or
19documented projections of costs.
AB75-ASA1,604,2120 3. Changes in program utilization that affect the per client rate or per client
21administrative rate.
AB75-ASA1,604,2222 4. Changes in the department's expectations relating to service delivery.
AB75-ASA1,604,2523 5. Changes in service delivery proposed by the residential care center for
24children and youth, group home, or child welfare agency and agreed to by the
25department.
AB75-ASA1,605,2
16. The loss of any source of revenue that had been used to pay expenses,
2resulting in a lower per client rate or per client administrative rate for services.
AB75-ASA1,605,53 7. Changes in any state or federal laws, rules, or regulations that result in any
4change in the cost of providing services, including any changes in the minimum
5wage, as defined in s. 49.141 (1) (g).
AB75-ASA1,605,66 8. Competitive factors.
AB75-ASA1,605,87 9. The availability of funding to pay for the services to be provided under the
8proposed rate.
AB75-ASA1,605,109 10. Any other factor relevant to the setting of a rate that the department may
10determine by rule promulgated under sub. (4).
AB75-ASA1, s. 1284 11Section 1284. 49.343 (2) (c) of the statutes is created to read:
AB75-ASA1,605,2212 49.343 (2) (c) If the department determines under par. (b) that a proposed rate
13submitted under par. (a) is appropriate, the department shall approve the proposed
14rate. If the department does not approve a proposed rate, the department shall
15negotiate with the residential care center for children and youth, group home, or
16child welfare agency to determine an agreed to rate. If after negotiations a rate is
17not agreed to, the department and residential care center for children and youth,
18group home, or child welfare agency shall engage in mediation under the rate
19resolution procedure promulgated by rule under sub. (4) to arrive at an agreed to
20rate. If after mediation a rate is not agreed to, the residential care center for children
21and youth, group home, or child welfare agency may not provide the service for which
22the rate was proposed.
AB75-ASA1, s. 1285 23Section 1285. 49.343 (3) of the statutes is amended to read:
AB75-ASA1,606,3
149.343 (3) Audit. The department may require an audit of any residential care
2center for children and youth or, group home, as described in sub. (1) or (1m), or child
3welfare agency
for the purpose of collecting federal funds.
AB75-ASA1, s. 1286 4Section 1286. 49.343 (4) of the statutes is created to read:
AB75-ASA1,606,65 49.343 (4) Rules. The department shall promulgate rules to implement this
6section. Those rules shall include rules providing for all of the following:
AB75-ASA1,606,107 (a) Standards for determining whether a proposed rate is appropriate to the
8level of services to be provided, the qualifications of a residential care center for
9children and youth, group home, or child welfare agency to provide those services,
10and the reasonable and necessary costs of providing those services.
AB75-ASA1,606,1111 (b) Factors for the department to consider in reviewing a proposed rate.
AB75-ASA1,606,1412 (c) Procedures for reviewing proposed rates, including rate resolution
13procedures for mediating an agreed to rate when negotiations fail to produce an
14agreed to rate.
AB75-ASA1, s. 1287 15Section 1287. 49.345 (14) (a) of the statutes is amended to read:
AB75-ASA1,607,216 49.345 (14) (a) Except as provided in pars. (b) and (c), liability of a person
17specified in sub. (2) or s. 49.32 (1) for care and maintenance of persons under 18 years
18of age in residential, nonmedical facilities such as group homes, foster homes,
19treatment foster homes, subsidized guardianship homes, and residential care
20centers for children and youth is determined in accordance with the cost-based fee
21established under s. 49.32 (1). The department shall bill the liable person up to any
22amount of liability not paid by an insurer under s. 632.89 (2) or (2m) or by other
233rd-party benefits, subject to rules that include formulas governing ability to pay
24established by the department under s. 49.32 (1). Any liability of the person not

1payable by any other person terminates when the person reaches age 18, unless the
2liable person has prevented payment by any act or omission.
AB75-ASA1, s. 1288 3Section 1288. 49.345 (14) (b) of the statutes is amended to read:
AB75-ASA1,607,114 49.345 (14) (b) Except as provided in par. (c), and subject to par. (cm), liability
5of a parent specified in sub. (2) or s. 49.32 (1) for the care and maintenance of the
6parent's minor child who has been placed by a court order under s. 48.355 or 48.357
7in a residential, nonmedical facility such as a group home, foster home, treatment
8foster home,
subsidized guardianship home, or residential care center for children
9and youth shall be determined by the court by using the percentage standard
10established by the department under s. 49.22 (9) and by applying the percentage
11standard in the manner established by the department under par. (g).
AB75-ASA1, s. 1289 12Section 1289. 49.45 (3) (e) 7. of the statutes is amended to read:
AB75-ASA1,608,513 49.45 (3) (e) 7. The daily reimbursement or payment rate to a hospital for
14services provided to medical assistance recipients awaiting admission to a skilled
15nursing home, intermediate care facility, community-based residential facility,
16group home, foster home, treatment foster home or other custodial living
17arrangement may not exceed the maximum reimbursement or payment rate based
18on the average adjusted state skilled nursing facility rate, created under sub. (6m).
19This limited reimbursement or payment rate to a hospital commences on the date the
20department, through its own data or information provided by hospitals, determines
21that continued hospitalization is no longer medically necessary or appropriate
22during a period where when the recipient awaits placement in an alternate custodial
23living arrangement. The department may contract with a peer review organization,
24established under 42 USC 1320c to 1320c-10, to determine that continued
25hospitalization of a recipient is no longer necessary and that admission to an

1alternate custodial living arrangement is more appropriate for the continued care of
2the recipient. In addition, the department may contract with a peer review
3organization to determine the medical necessity or appropriateness of physician
4services or other services provided during the period when a hospital patient awaits
5placement in an alternate custodial living arrangement.
AB75-ASA1, s. 1289m 6Section 1289m. 49.45 (3) (e) 10r. of the statutes is created to read:
AB75-ASA1,608,137 49.45 (3) (e) 10r. All facilities listed in a certificate of approval issued to a
8free-standing pediatric teaching hospital under s. 50.35 are a hospital for purposes
9of reimbursement under this section. Notwithstanding this subdivision, the
10department shall use physician clinic reimbursement rates to reimburse the
11facilities under this section for types of services for which, before July 1, 2009, the
12department reimbursed the facilities using physician clinic reimbursement rates, as
13determined by the department.
AB75-ASA1, s. 1290 14Section 1290. 49.45 (6b) of the statutes is amended to read:
AB75-ASA1,609,215 49.45 (6b) Centers for the developmentally disabled. From the
16appropriation under s. 20.435 (2) (gk), the department may reimburse the cost of
17services provided by the centers for the developmentally disabled. Reimbursement
18to the centers for the developmentally disabled shall be reduced following each
19placement made under s. 46.275 that involves a relocation from a center for the
20developmentally disabled, by $225 per day, beginning in fiscal year 2002-03, and by
21$325 per day, beginning in fiscal year 2004
Beginning in fiscal year 2009-10,
22following each placement made under s. 46.275 that involves a relocation from a
23center for the developmentally disabled, the department shall reduce the
24reimbursement to the center by an amount, as determined by the department for

1each placement, that is equal to the nonfederal share of the costs for the placement
2under s. 46.275
.
AB75-ASA1, s. 1291 3Section 1291. 49.45 (6m) (br) 1. of the statutes is amended to read:
AB75-ASA1,609,124 49.45 (6m) (br) 1. Notwithstanding s. 20.410 (3) (cd), 20.435 (4) (bt) or (7) (b)
5or 20.437 (2) (dz), the department shall reduce allocations of funds to counties in the
6amount of the disallowance from the appropriation account under s. 20.435 (4) (bt)
7or
(7) (b), or the department shall direct the department of children and families to
8reduce allocations of funds to counties or Wisconsin Works agencies in the amount
9of the disallowance from the appropriation account under s. 20.437 (2) (dz) or direct
10the department of corrections to reduce allocations of funds to counties in the amount
11of the disallowance from the appropriation account under s. 20.410 (3) (cd), in
12accordance with s. 16.544 to the extent applicable.
AB75-ASA1, s. 1292 13Section 1292. 49.45 (6m) (e) of the statutes is repealed.
AB75-ASA1, s. 1293 14Section 1293. 49.45 (6u) (b) of the statutes is amended to read:
AB75-ASA1,609,2215 49.45 (6u) (b) Notwithstanding the limitation on the amount of disbursements
16under par. (am) (intro.), from the appropriation under s. 20.435 (4) (wm), the
17department shall, using the criteria specified in par. (am) 1. to 7., disburse any
18federal medical assistance funds that are received by the state as matching funds to
19federal financial participation for operating deficits incurred by a facility that is
20operated by a county, city, village, or town and that are in excess of the amount of
21match federal financial participation anticipated and budgeted as revenue in the
22biennial budget act for the fiscal year in which the funds are received.
AB75-ASA1, s. 1294c 23Section 1294c. 49.45 (6y) (a) of the statutes, as affected by 2009 Wisconsin Act
242
, is repealed.
AB75-ASA1, s. 1294d
1Section 1294d. 49.45 (6y) (am) of the statutes, as affected by 2009 Wisconsin
2Act 2
, is repealed.
AB75-ASA1, s. 1294h 3Section 1294h. 49.45 (6y) (b) of the statutes is repealed.
AB75-ASA1, s. 1295 4Section 1295. 49.45 (6z) of the statutes, as affected by 2009 Wisconsin Act 2,
5is repealed.
AB75-ASA1, s. 1296 6Section 1296. 49.45 (8r) of the statutes is amended to read:
AB75-ASA1,610,137 49.45 (8r) Payment for certain obstetric and gynecological care. The rate
8of payment for obstetric and gynecological care provided in primary care shortage
9areas, as defined in s. 560.183 36.60 (1) (cm), or provided to recipients of medical
10assistance who reside in primary care shortage areas, that is equal to 125% of the
11rates paid under this section to primary care physicians in primary care shortage
12areas, shall be paid to all certified primary care providers who provide obstetric or
13gynecological care to those recipients.
AB75-ASA1, s. 1297 14Section 1297. 49.45 (18) (am) of the statutes is renumbered 49.45 (18) (am)
151. and amended to read:
AB75-ASA1,610,1916 49.45 (18) (am) 1. No Except as provided in subd. 2., no person is liable under
17this subsection for services provided through prepayment contracts. This paragraph
18does not apply to a person who is eligible for the benefits under s. 49.46 (2) (a) and
19(b) under s. 49.471.
AB75-ASA1, s. 1298 20Section 1298. 49.45 (18) (am) 2. of the statutes is created to read:
AB75-ASA1,610,2421 49.45 (18) (am) 2. A person who is eligible for the benefits under s. 49.46 (2) (a)
22and (b) under s. 49.471 is liable under this subsection for services provided through
23a prepayment contract in the amounts and according to the procedures specified by
24the department.
AB75-ASA1, s. 1299 25Section 1299. 49.45 (18) (b) 2. of the statutes is amended to read:
AB75-ASA1,611,4
149.45 (18) (b) 2. Any service provided to a person who is less than 18 years old.
2This subdivision does not apply if the person's family income exceeds 100 percent of
3the poverty line and he or she is eligible for the benefits under s. 49.46 (2) (a) and (b)
4under s. 49.471.
AB75-ASA1, s. 1301 5Section 1301. 49.45 (23) (b) of the statutes is amended to read:
AB75-ASA1,611,136 49.45 (23) (b) If the waiver is granted and in effect, the department may
7promulgate rules defining the health care benefit plan, including more specific
8eligibility requirements and cost-sharing requirements. Cost sharing may include
9an annual enrollment fee, which may not exceed $75 per year.
Notwithstanding s.
10227.24 (3), the plan details under this subsection may be promulgated as an
11emergency rule under s. 227.24 without a finding of emergency. If the waiver is
12granted and in effect, the demonstration project under this subsection shall begin on
13January 1, 2009, or on the effective date of the waiver, whichever is later.
AB75-ASA1, s. 1301e 14Section 1301e. 49.45 (24g) of the statutes is created to read:
AB75-ASA1,611,1715 49.45 (24g) Physician practice payment pilot. (a) The department shall
16develop a proposal to increase medical assistance reimbursement to providers to
17which at least one of the following applies:
AB75-ASA1,611,1918 1. The provider is recognized by the National Committee on Quality Assurance
19as a Patient-Centered Medical Home.
AB75-ASA1,611,2120 2. The secretary determines that the provider performs well with respect to all
21of the following aspects of care:
AB75-ASA1,611,2222 a. Adoption of written standards for patient access and patient communication.
AB75-ASA1,611,2423 b. Use of data to show that standards for patient access and patient
24communication are satisfied.
AB75-ASA1,611,2525 c. Use of paper or electronic charting tools to organize clinical information.
AB75-ASA1,612,2
1d. Use of data to identify diagnoses and conditions among the provider's
2patients that have a lasting detrimental effect on health.
AB75-ASA1,612,43 e. Adoption and implementation of guidelines that are based on evidence for
4treatment and management of at least 3 chronic conditions.
AB75-ASA1,612,55 f. Active support of patient self-management.
AB75-ASA1,612,76 g. Systematic tracking of patient test results and systematic identification of
7abnormal patient test results.
AB75-ASA1,612,88 h. Systematic tracking of referrals using a paper or electronic system.
AB75-ASA1,612,119 i. Measuring the quality of the performance of the physician practice and of
10individual physicians within the practice, including with respect to provision of
11clinical services, patient outcomes, and patient safety.
AB75-ASA1,612,1312 j. Reporting to members of the physician practice and to other persons on the
13quality of the performance of the physician practice and of individual physicians.
AB75-ASA1,612,2114 (c) The department's proposal under par. (a) shall specify increases in
15reimbursement rates for providers that satisfy the conditions under par. (a) 1. or 2.,
16and shall provide for payment of a monthly per-patient care coordination fee to those
17providers. The department shall set the increases in reimbursement rates and the
18monthly per-patient care coordination fee so that together they provide sufficient
19incentive for providers to satisfy a condition under par. (a) 1. or 2. The proposal shall
20specify effective dates for the increases in reimbursement rates and the monthly
21per-patient care coordination fee that are no sooner than July 1, 2011.
AB75-ASA1,613,1322 (d) By the date that is 60 days after the effective date of this paragraph .... [LRB
23inserts date], the department shall submit the proposal under par. (a) to the joint
24committee on finance. If the cochairpersons of the committee do not notify the
25department within 14 working days after the date of the department's submittal that

1the committee has scheduled a meeting for the purpose of reviewing the proposal, the
2department shall, subject to approval by the U.S. department of health and human
3services of any required waiver of federal law relating to medical assistance and any
4required amendment to the state plan for medical assistance under 42 USC 1396a,
5implement the proposal beginning January 1, 2010. If, within 14 working days after
6the date of the department's submittal, the cochairpersons of the committee notify
7the department that the committee has scheduled a meeting for the purpose of
8reviewing the proposal, the department may implement the proposal only upon
9approval of the committee. If the committee reviews the proposal and approves it,
10the department shall, subject to approval by the U.S. department of health and
11human services of any required waiver of federal law relating to medical assistance
12and any required amendment to the state plan for medical assistance under 42 USC
131396a
, implement the proposal beginning January 1, 2010.
AB75-ASA1,614,214 (e) By the first day of the 39th month beginning after the effective date of this
15paragraph .... [LRB inserts date], the department shall, if it was required under par.
16(d) to increase reimbursement to providers that satisfy a condition under par. (a) 1.
17or 2., submit a report to the joint committee on finance on whether the increased
18reimbursement results in net cost reductions for the Medical Assistance program
19under this subchapter and a recommendation as to whether to continue the
20increased reimbursement. If the cochairpersons of the committee do not notify the
21department within 14 working days after the date of the department's submittal that
22the committee has scheduled a meeting for the purpose of reviewing the report and
23recommendation, the department may implement its recommendation. If, within 14
24working days after the date of the department's submittal, the cochairpersons of the
25committee notify the department that the committee has scheduled a meeting for the

1purpose of reviewing the report and recommendation, the department may
2discontinue the increased reimbursement only upon the approval of the committee.
AB75-ASA1, s. 1302 3Section 1302. 49.45 (24r) of the statutes is renumbered 49.45 (24r) (a) and
4amended to read:
AB75-ASA1,614,115 49.45 (24r) (a) The department shall request a implement any waiver from
6granted by the secretary of the federal department of health and human services to
7permit the department to conduct a demonstration project to provide family
8planning, as defined in s. 253.07 (1) (a), under medical assistance to any woman
9between the ages of 15 and 44 whose family income does not exceed 200% of the
10poverty line for a family the size of the woman's family. The department shall
11implement any waiver granted.
AB75-ASA1, s. 1303 12Section 1303. 49.45 (24r) (b) of the statutes is created to read:
AB75-ASA1,614,1713 49.45 (24r) (b) The department may request an amended waiver from the
14secretary to permit the department to conduct a demonstration project to provide
15family planning to any man between the ages of 15 and 44 whose family income does
16not exceed 200 percent of the poverty line for a family the size of the man's family.
17If the amended waiver is granted, the department may implement the waiver.
AB75-ASA1, s. 1304 18Section 1304. 49.45 (25) (be) of the statutes is amended to read:
AB75-ASA1,614,2419 49.45 (25) (be) A private nonprofit agency that is a certified case management
20provider may elect to provide case management services to medical assistance
21beneficiaries who have HIV infection, as defined in s. 252.01 (2). The amount of the
22allowable charges for those services under the medical assistance program that is not
23provided by the federal government shall be paid from the appropriation account
24under s. 20.435 (5) (1) (am).
AB75-ASA1, s. 1305 25Section 1305. 49.45 (25) (bg) of the statutes is amended to read:
AB75-ASA1,615,8
149.45 (25) (bg) An independent living center, as defined in s. 46.96 (1) (ah), that
2is a certified case management provider and satisfies the criteria in s. 46.96 (3m) (a)
31. to 3. and (am)
may elect to provide case management services to one or more of the
4categories of medical assistance beneficiaries specified under par. (am). The amount
5of allowable charges for the services under the medical assistance program that is
6not provided by the federal government shall be paid from nonfederal, public funds
7received by the independent living center from a county, city, village or town or from
8funds distributed as a grant under s. 46.96.
AB75-ASA1, s. 1305r 9Section 1305r. 49.45 (30f) of the statutes is created to read:
AB75-ASA1,615,2310 49.45 (30f) Psychotherapy and alcohol and other drug abuse services. The
11department shall include licensed mental health professionals, as defined in s.
12632.89 (1) (dm), and licensed psychologists, as defined in s. 455.01 (4), as providers
13of psychotherapy and of alcohol and other drug abuse services. Except for services
14provided under sub. (30e), the department may not require that licensed mental
15health professionals or licensed psychologists be supervised; may not require that
16clinical psychotherapy or alcohol and other drug abuse services be provided under
17a certified program; and, notwithstanding subs. (9) and (9m), may not require that
18a physician or other health care provider first prescribe psychotherapy or alcohol and
19other drug abuse services to be provided by a licensed mental health professional or
20licensed psychologist before the professional or psychologist may provide the
21services to the recipient. This subsection does not affect the department's powers
22under ch. 50 or 51 to establish requirements for facilities that are licensed, certified,
23or operated by the department.
AB75-ASA1, s. 1306 24Section 1306. 49.45 (30g) of the statutes is created to read:
AB75-ASA1,616,4
149.45 (30g) Community recovery services. (a) When services are reimbursable.
2Community recovery services under s. 49.46 (2) (b) 6. Lo. provided to an individual
3are reimbursable under the Medical Assistance program only if all of the following
4conditions are met:
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