LRB-1230/P1
TJD:cmh:jf
2015 - 2016 LEGISLATURE
DOA:......Dombrowski, BB0431 - Medical Assistance coverage of residential substance abuse treatment provider in certain facilities
For 2015-2017 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Mental illness and developmental disabilities
The bill adds substance abuse treatment services provided by a medically monitored treatment service or a transitional residential treatment service to other mental health and substance abuse treatment services paid for currently under the Medical Assistance program.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section 1. 49.46 (2) (b) 14m. of the statutes is created to read:
49.46 (2) (b) 14m. Subject to par. (bt), substance abuse treatment services provided by a medically monitored treatment service or a transitional residential treatment service.
Section 2. 49.46 (2) (bt) of the statutes is created to read:
49.46 (2) (bt) 1. For the purposes of par. (b) 14m., a "medically monitored treatment service" is a 24-hour, community-based service providing observation, monitoring, and treatment by a multidisciplinary team under supervision of a physician, with a minimum of 12 hours of counseling provided per week for each patient.
2. For the purposes of par. (b) 14m., a "transitional residential treatment service" is a clinically supervised, peer-supported, therapeutic environment with clinical involvement providing substance abuse treatment in the form of counseling for 3 to 11 hours provided per week for each patient.
3. If approval by the federal department of health and human services of a state plan amendment or waiver request is necessary for federal reimbursement of the services under par. (b) 14m., the department is not required to pay for services described in par. (b) 14m. if the department does not receive the necessary approval.
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