AB100,846,86 49.46 (2) (a) 4. d. Home health services, subject to the limitations limitation
7under s. 49.45 (8) and (8e), or, if a home health agency is unavailable, nursing
8services, subject to the limitations under s. 49.45 (8e).
AB100, s. 1968 9Section 1968. 49.46 (2) (b) 6. j. of the statutes is amended to read:
AB100,846,1110 49.46 (2) (b) 6. j. Personal care services, subject to the limitations limitation
11under s. 49.45 (8e) and (42).
AB100, s. 1969 12Section 1969. 49.465 (7) of the statutes is amended to read:
AB100,846,1613 49.465 (7) This If a waiver under s. 49.153 (1m) (a) is granted and in effect or
14federal legislation that permits the application of s. 49.153 is enacted, this
section
15does not apply beginning on the first day of the 6th month beginning after the date
16stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100, s. 1970 17Section 1970. 49.47 (1) of the statutes is amended to read:
AB100,846,2518 49.47 (1) Purpose. Medical assistance as set forth herein shall be provided to
19persons over 65, if eligible under this section, all disabled children under 18, if
20eligible under this section,
and persons who are blind or disabled , if eligible under
21this section. Unless a waiver under s. 49.153 (1m) (a) is granted and in effect or
22federal legislation that permits the application of s. 49.153 is enacted, medical
23assistance as set forth herein shall also be provided to all children under 18 who are
24eligible under this section and, if a child is dependent pursuant to s. 49.19, the
25relatives enumerated in s. 49.19 with whom the child is living
.
AB100, s. 1971
1Section 1971. 49.47 (4) (ag) of the statutes is amended to read:
AB100,847,62 49.47 (4) (ag) No If a waiver under s. 49.153 (1m) (a) is granted and in effect
3or federal legislation that permits the application of s. 49.153 is enacted, beginning
4on the first day of the 6th month beginning after the date stated in the notice under
5s. 49.153 (1m) (a), no
individual is eligible for medical assistance in a month that the
6individual is eligible for health care coverage under s. 49.153.
AB100, s. 1972 7Section 1972. 49.47 (4) (an) of the statutes is amended to read:
AB100,847,118 49.47 (4) (an) Paragraph If a waiver under s. 49.153 (1m) (a) is granted and in
9effect or federal legislation that permits the application of s. 49.153 is enacted, par.

10(am) does not apply beginning on the first day of the 6th month beginning after the
11date stated in the notice under s. 49.141 (2) (d) 49.153 (1m) (a).
AB100, s. 1973 12Section 1973. 49.47 (4) (c) 2. of the statutes is amended to read:
AB100,847,2213 49.47 (4) (c) 2. Whenever an applicant has excess income under subd. 1. or par.
14(am), no certification may be issued until the excess income above the applicable
15limits has been obligated or expended for medical care or for any other type of
16remedial care recognized under state law or for personal health insurance premiums
17or both. No If a waiver under s. 49.153 (1m) (a) is granted and in effect or federal
18legislation that permits the application of s. 49.153 is enacted, no
individual is
19eligible for medical assistance under this subdivision in a month in which the
20individual is eligible for health care coverage under s. 49.153 beginning on first day
21of the 6th month beginning after the date stated in the notice under s. 49.153 (1m)
22(a)
.
AB100, s. 1974 23Section 1974. 49.48 of the statutes is created to read:
AB100,848,3 2449.48 Denial, nonrenewal and suspension of certification of service
25providers based on certain delinquency in payment.
(1) The department

1shall require each applicant to provide the department with the applicant's social
2security number, if the applicant is an individual, as a condition of issuing or
3renewing a certification under s. 49.45 (2) (a) 11. as an eligible provider of services.
AB100,848,6 4(2) The department may not disclose any information received under sub. (1)
5to any person except to the department of industry, labor and job development for the
6purpose of making certifications required under s. 49.857.
AB100,848,14 7(3) The department shall deny an application for the issuance or renewal of a
8certification specified in sub. (1), shall suspend a certification specified in sub. (1) or
9may, under a memorandum of understanding under s. 49.857 (2), restrict a
10certification specified in sub. (1) if the department of industry, labor and job
11development certifies under s. 49.857 that the applicant for or holder of the
12certificate is delinquent in the payment of court-ordered payments of child or family
13support, maintenance, birth expenses, medical expenses or other expenses related
14to the support of a child or former spouse.
AB100, s. 1975 15Section 1975. 49.496 (5) of the statutes is amended to read:
AB100,848,2116 49.496 (5) Use of funds. From the appropriation under s. 20.435 (1) (5) (im),
17the department shall pay the amount of the payments under sub. (4) that is not paid
18from federal funds, shall pay to the federal government the amount of the funds
19recovered under this section equal to the amount of federal funds used to pay the
20benefits recovered under this section and shall spend the remainder of the funds
21recovered under this section for medical assistance benefits under this subchapter
AB100, s. 1976 22Section 1976. 49.496 (7) of the statutes is created to read:
AB100,849,223 49.496 (7) Instalment payments. If a recovery under sub. (3) does not work an
24undue hardship on the heirs of the estate, and if the heirs wish to satisfy the recovery

1claim without selling a nonliquid asset that is subject to recovery, the department
2may establish a reasonable payment schedule subject to reasonable interest.
AB100, s. 1977 3Section 1977. 49.497 (1) of the statutes is amended to read:
AB100,849,174 49.497 (1) The department may recover any payment made incorrectly for
5benefits specified under s. 49.46, 49.468 or 49.47 if the incorrect payment results
6from any misstatement or omission of fact by a person supplying information in an
7application for benefits under s. 49.46, 49.468 or 49.47. The department may also
8recover if a medical assistance recipient or any other person responsible for giving
9information on the recipient's behalf fails to report the receipt of income or assets in
10an amount that would have affected the recipient's eligibility for benefits. The
11department's right of recovery is against any medical assistance recipient to whom
12or on whose behalf the incorrect payment was made. The extent of recovery is limited
13to the amount of the benefits incorrectly granted. The county department under s.
1446.215 or, 46.22 or 46.23, the governing body of a federally recognized American
15Indian tribe administering medical assistance, or a Wisconsin works agency
16administering medical assistance
shall begin recovery actions on behalf of the
17department according to rules promulgated by the department.
AB100, s. 1978 18Section 1978. 49.497 (2) of the statutes is amended to read:
AB100,849,2219 49.497 (2) A county or, governing body of a federally recognized American
20Indian tribe or Wisconsin works agency may retain 15% of benefits distributed under
21s. 49.46, 49.468 or 49.47 that are recovered under sub. (1) due to the efforts of an
22employe or officer of the county or, tribe or Wisconsin works agency.
AB100, s. 1979 23Section 1979. 49.498 (16) (g) of the statutes is amended to read:
AB100,850,624 49.498 (16) (g) All forfeitures, penalty assessments and interest, if any, shall
25be paid to the department within 10 days of receipt of notice of assessment or, if the

1forfeiture, penalty assessment and interest, if any, are contested under par. (f),
2within 10 days of receipt of the final decision after exhaustion of administrative
3review, unless the final decision is appealed and the order is stayed by court order
4under sub. (19) (b). The department shall remit all forfeitures paid to the state
5treasurer for deposit in the school fund. The department shall deposit all penalty
6assessments and interest in the appropriation under s. 20.435 (1) (6) (g).
AB100, s. 1980 7Section 1980. 49.499 (intro.) of the statutes is amended to read:
AB100,850,12 849.499 Nursing facility resident protection. (intro.) From the
9appropriation under s. 20.435 (1) (6) (g), the department shall contribute to the
10payment of all of the following, as needed by a resident in a nursing facility, as defined
11in s. 49.498 (1) (i), that is in violation of s. 49.498 or of a rule promulgated under s.
1249.498:
AB100, s. 1981 13Section 1981. 49.683 (2) of the statutes is amended to read:
AB100,850,1514 49.683 (2) Approved costs for medical care under sub. (1) shall be paid from the
15appropriation under s. 20.435 (1) (5) (e).
AB100, s. 1982 16Section 1982. 49.686 (2) of the statutes is amended to read:
AB100,850,2017 49.686 (2) Reimbursement. From the appropriation under s. 20.435 (1) (5) (am),
18the department may reimburse or supplement the reimbursement of the cost of AZT,
19the drug pentamidine and any drug approved for reimbursement under sub. (4) (c)
20for an individual who is eligible under sub. (3).
AB100, s. 1983 21Section 1983. 49.687 (2) of the statutes is amended to read:
AB100,851,422 49.687 (2) The department shall develop and implement a sliding scale of
23patient liability for kidney disease aid under s. 49.68, cystic fibrosis aid under s.
2449.683 and hemophilia treatment under s. 49.685, based on the patient's ability to
25pay for treatment. To ensure that the needs for treatment of patients with lower

1incomes receive priority within the availability of funds under s. 20.435 (1) (5) (e),
2the department shall revise the sliding scale for patient liability by January 1, 1994,
3and shall, every 3 years thereafter by January 1, review and, if necessary, revise the
4sliding scale.
AB100, s. 1984 5Section 1984. 49.775 of the statutes is created to read:
AB100,851,7 649.775 Payments for children of supplemental security income
7recipients.
(1) Definitions. In this section:
AB100,851,88 (a) "Custodial parent" has the meaning given in s. 49.141 (1) (b).
AB100,851,99 (b) "Dependent child" has the meaning given in s. 49.141 (1) (c).
AB100,851,13 10(2) Supplemental payments. Subject to sub. (3), from the appropriations under
11s. 20.435 (7) (ed) and (ky), the department shall make a monthly payment of $77 to
12a custodial parent for each dependent child of the custodial parent if all of the
13following conditions are met:
AB100,851,1514 (a) The custodial parent is a recipient of supplemental security income under
1542 USC 1381 to 1383c or of state supplemental payments under s. 49.77, or both.
AB100,851,1816 (b) If the dependent child has 2 custodial parents, each custodial parent
17receives supplemental security income under 42 USC 1381 to 1383c or state
18supplemental payments under s. 49.77, or both.
AB100,851,2219 (c) The dependent child of the custodian parent meets the eligibility criteria
20under the aid to families with dependent children program under s. 49.19 (1) to (19)
21or would meet the eligibility criteria under s. 49.19 but for the application of s. 49.19
22(20).
AB100,851,2423 (d) The dependent child does not receive supplemental security income under
2442 USC 1381 to 1383d.
AB100,851,2525 (e) The custodial parent meets any of the following conditions:
AB100,852,3
11. The custodial parent is ineligible for aid under s. 49.19 solely because he or
2she receives supplemental security income under 42 USC 1381 to 1383c or state
3supplemental payments under s. 49.77.
AB100,852,64 2. The custodial parent is ineligible for a Wisconsin works employment
5position, as defined under s. 49.141 (1) (r), solely because of the application of s.
649.145 (2) (i).
AB100,852,9 7(3) Two-parent families. In the case of a dependent child who has 2 custodial
8parents, the department may not make more than one $77 payment per month for
9that dependent child.
AB100, s. 1985 10Section 1985. 49.852 of the statutes is created to read:
AB100,852,20 1149.852 Delinquent support payments; pension plans. (1) The
12department of industry, labor and job development may direct the department of
13employe trust funds, the retirement system of any 1st class city, any retirement
14system established under chapter 201, laws of 1937, or the administrator of any
15other pension plan to withhold the amount certified under s. 49.855 (1) from any
16lump sum payment from a pension plan that may be paid a delinquent support
17obligor, except that the department of industry, labor and job development may not
18direct that an amount be withheld under this subsection unless it has met the notice
19requirements under sub. (2) and unless its certification has either not been appealed
20or is no longer under appeal.
AB100,852,24 21(2) The department of industry, labor and job development shall send a notice
22to the last-known address of the person from whom the department intends to
23recover the amount certified under s. 49.855 (1). The notice shall do all of the
24following:
AB100,853,5
1(a) Inform the person that the department of employe trust funds, the
2retirement system of any 1st class city, any retirement system established under
3chapter 201, laws of 1937, or the administrator of any other pension plan, whichever
4is appropriate, shall withhold the amount certified under s. 49.855 (1) from any lump
5sum payment from a pension plan that may be paid the person.
AB100,853,86 (b) Inform the person that he or she may, within 20 days after the date of the
7notice, by motion, request a court hearing on the issue of whether the person owes
8the amount certified under s. 49.855 (1).
AB100,853,119 (c) Request that the person inform the department of industry, labor and job
10development or the appropriate county child support agency under s. 59.53 (5) if a
11bankruptcy stay is in effect with respect to the person.
AB100,854,2 12(3) If a person has requested a hearing pursuant to sub. (2) (b), the hearing
13shall be conducted before the circuit court that rendered the initial order to pay
14support. Within 10 days after receiving a request for a hearing, the court shall set
15the matter for hearing. The family court commissioner may conduct the hearing.
16If the court determines that the person owes the amount certified under s. 49.855 (1),
17the department of industry, labor and job development may direct the department
18of employe trust funds, the retirement system of any 1st class city, any retirement
19system established under chapter 201, laws of 1937, or the administrator of any
20other pension plan, whichever is appropriate, to withhold the amount from any lump
21sum payment from a pension plan that may be paid the person. If the court
22determines that the person does not owe the amount certified under s. 49.855 (1), the
23department of industry, labor and job development may not direct the department
24of employe trust funds, the retirement system of any 1st class city, any retirement
25system established under chapter 201, laws of 1937, or the administrator of any

1other pension plan, whichever is appropriate, to withhold the amount from any lump
2sum payment from a pension plan that may be paid the person.
AB100,854,8 3(4) (a) If the department of industry, labor and job development directs the
4department of employe trust funds, the retirement system of any 1st class city, any
5retirement system established under chapter 201, laws of 1937, or the administrator
6of any other pension plan to withhold the amount certified under s. 49.855 (1), this
7directive shall shall constitute a lien, equal to the amount certified, on any lump sum
8payment from a pension plan that may be paid the person.
AB100,854,249 (b) If the department of industry, labor and job development directs the
10department of employe trust funds, the retirement system of any 1st class city, any
11retirement system established under chapter 201, laws of 1937, or the administrator
12of any other pension plan to withhold the amount certified under s. 49.855 (1), the
13department of employe trust funds, the retirement system of any 1st class city, any
14retirement system established under chapter 201, laws of 1937, or the administrator
15of any other pension plan, after verifying the amount certified under s. 49.885 (1),
16shall deduct from any lump sum payment that may be paid the person the amount
17that is certified, less any amount specified under par. (d). If the amount certified
18under s. 49.855 (1), less any amount specified under par. (d), exceeds the lump sum
19payment, the department of employe trust funds, the retirement system of any 1st
20class city, any retirement system established under chapter 201, laws of 1937, or the
21administrator of any other pension plan shall deduct the entire lump sum payment,
22less any withholdings otherwise required by law. The amount deducted under this
23paragraph shall be remitted to the department of industry, labor and job
24development.
AB100,855,6
1(c) A directive to the department of employe trust funds, the retirement system
2of any 1st class city, any retirement system established under chapter 201, laws of
31937
, or the administrator of any other pension plan to withhold the amount certified
4under s. 49.855 (1) under this section does not prohibit the department of industry,
5labor and job development from attempting to recover the amount through other
6legal means.
AB100,855,117 (d) The department of industry, labor and job development shall promptly
8notify the department of employe trust funds, the retirement system of any 1st class
9city, any retirement system established under chapter 201, laws of 1937, or the
10administrator of any other pension plan upon recovery of any amount previously
11certified under s. 49.855 (1).
AB100, s. 1986 12Section 1986. 49.853 of the statutes is created to read:
AB100,855,14 1349.853 Financial record matching program. (1) Definitions. In this
14section:
AB100,855,1715 (a) "Account" means a demand deposit account, checking or negotiable
16withdrawal order account, savings account, time deposit account or money market
17mutual fund account.
AB100,855,1918 (am) "County child support agency" means the county child support agency
19under s. 59.53 (5).
AB100,855,2120 (b) "Department" means the department of industry, labor and job
21development.
AB100,855,2222 (c) "Financial institution" means all of the following:
AB100,855,23231. A depository institution, as defined in 12 USC 1813 (c).
AB100,855,25242. An institution-affiliated party, as defined in 12 USC 1813 (u), of a depository
25institution under subd. 1.
AB100,856,1
13. A federal credit union or state credit union, as defined in 12 USC 1752.
AB100,856,324. An institution-affiliated party, as defined in 12 USC 1786 (r), of a credit
3union under subd. 3.
AB100,856,54 5. A benefit association, insurance company, safe deposit company, money
5market mutual fund or similar entity authorized to do business in this state.
AB100,856,66 (d) "Obligor" has the meaning given in s. 49.854 (1) (d).
AB100,856,77 (e) "Support" has the meaning given in s. 49.854 (1) (f).
AB100,856,13 8(2) Financial record matching program and agreements. The department
9shall operate a financial record matching program under this section, consisting of
10the components described in subs. (3) to (5). The department shall promulgate rules
11specifying procedures under which the department shall enter into agreements with
12financial institutions doing business in this state to operate the financial record
13matching program under this section.
AB100,856,24 14(3) Provision of information regarding delinquent payments and amounts.
15The department shall provide to a financial institution with which it has an
16agreement under sub. (2) information regarding all certifications of delinquent
17support that the department provides to the department of revenue under s. 49.855.
18The information shall be provided at least once each calendar quarter and shall
19include the amount of support owed, as well as the obligor's name, address of record
20and social security number or other taxpayer identification number. The
21information shall be provided to the financial institution in the manner specified by
22rule or by agreement. To the extent feasible, the information required under this
23subsection shall be provided to the financial institution by an automated data
24exchange.
AB100,857,10
1(4) Required matching. Each financial institution receiving information under
2sub. (3) shall take actions necessary to determine whether any obligor maintains an
3account at the financial institution. If the financial institution determines that an
4obligor has an account at the financial institution, the financial institution shall
5provide the department with a notice providing the obligor's account information,
6including the account number and the balance of the account at the time that the
7record match is made. The notice under this subsection shall be provided in the
8manner, and shall contain the information, specified by rule or agreement. To the
9extent feasible, the notice required under this subsection shall be provided to the
10department by an automated data exchange.
AB100,857,15 11(5) Delegation. The department may delegate any powers and duties given
12to the department under this section to county child support agencies. The
13department may require financial institutions to provide county child support
14agencies with any notices that are required under this section to be provided to the
15department.
AB100, s. 1987 16Section 1987. 49.854 of the statutes is created to read:
AB100,857,18 1749.854 Liens against property for delinquent support payments. (1)
18Definitions. In this section:
AB100,857,2019 (a) "Department" means the department of industry, labor and job
20development.
AB100,857,2221 (b) "County child support agency" means the county child support agency under
22s. 59.53 (5).
AB100,857,2323 (c) "Levy" means all powers of distraint and seizure.
AB100,857,2424 (d) "Obligor" means a person who is obligated to pay court-ordered support.
AB100,858,3
1(e) "Property" includes real and personal property, tangible and intangible
2property and rights to property, but is limited to property and rights to property
3existing at the time of levy.
AB100,858,44 (f) "Support" means any of the following:
AB100,858,55 1. Child or family support.
AB100,858,66 2. Maintenance.
AB100,858,77 3. Medical expenses of a child.
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