LRB-1343/P2
TJD:kjf:jm
2015 - 2016 LEGISLATURE
DOA:......Dombrowski, BB0465 - Dental reimbursement pilot project
For 2015-2017 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
health and human services
Medical Assistance
Currently, DHS administers the Medical Assistance (MA) program, which is a joint federal and state program that provides health services to individuals who have limited resources. This bill requires DHS to increase the MA reimbursement rate in Brown, Polk, and Racine counties to providers of pediatric dental care and adult emergency dental services, if DHS receives any necessary federal approval for the increased rate.
For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section
1. 49.45 (24k) of the statutes is created to read:
49.45 (24k) Dental reimbursement pilot project. (a) Subject to approval of the federal department of health and human services under par. (b), the department, as a pilot project, shall distribute moneys in each fiscal year to increase the reimbursement rate under Medical Assistance for pediatric dental care and adult emergency dental services, as defined by the department, that are provided in Brown, Polk, and Racine counties.
(b) The department shall request any waiver from and submit any amendments to the state Medical Assistance plan to the federal department of health and human services necessary for the reimbursement rate increase pilot project under par. (a). If any necessary waiver request or state plan amendment request is approved, the department shall implement par. (a) beginning on the effective date of the waiver or plan amendment.
Section 9318.
Initial applicability; Health Services.
(1) The treatment of section 49.45 (24k) (a) of the statutes first applies to claims by dental services providers for services that are provided on the effective date of the waiver or plan amendment described in section 49.45 (24k) (b) of the statutes.
(End)
