AB100-engrossed, s. 1933 17Section 1933. 49.45 (6w) (intro.) of the statutes is amended to read:
AB100-engrossed,917,2418 49.45 (6w) Hospital operating deficit reduction. (intro.) From the
19appropriation under s. 20.435 (1) (5) (o), for reduction of operating deficits, as defined
20under criteria developed by the department, incurred by a hospital, as defined under
21s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.71 or
22owned and operated by a city or village, the department shall allocate up to
23$3,300,000 in each fiscal year to these hospitals, as determined by the department,
24and shall perform all of the following:
AB100-engrossed, s. 1934 25Section 1934. 49.45 (6w) (d) of the statutes is amended to read:
AB100-engrossed,918,5
149.45 (6w) (d) If the federal department of health and human services approves
2for state expenditure in a fiscal year amounts under s. 20.435 (1) (5) (o) that result
3in a lesser allocation amount than that allocated under this subsection or disallows
4use of the allocation of federal medicaid funds under par. (c), reduce allocations under
5this subsection and distribute on a prorated basis, as determined by the department.
AB100-engrossed, s. 1935 6Section 1935. 49.45 (6x) (a) of the statutes is amended to read:
AB100-engrossed,918,117 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
820.435 (1) (5) (b) and (o) the department shall distribute not more than $4,748,000
9in each fiscal year, to provide funds to an essential access city hospital, except that
10the department may not allocate funds to an essential access city hospital to the
11extent that the allocation would exceed any limitation under 42 USC 1396b (i) (3).
AB100-engrossed, s. 1936 12Section 1936. 49.45 (6x) (d) of the statutes is amended to read:
AB100-engrossed,918,1713 49.45 (6x) (d) If the federal department of health and human services approves
14for state expenditure in any state fiscal year amounts under s. 20.435 (1) (5) (o) that
15result in a lesser distribution amount than that distributed under this subsection or
16disallows use of federal medicaid funds under par. (a), the department of health and
17family services shall reduce the distributions under this subsection.
AB100-engrossed, s. 1937 18Section 1937. 49.45 (6y) (a) of the statutes is amended to read:
AB100-engrossed,919,319 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
2020.435 (1) (5) (b) and (o) the department shall distribute funding in each fiscal year
21to provide supplemental payment to hospitals that enter into a contract under s.
2249.02 (2) to provide health care services funded by a relief block grant, as determined
23by the department, for hospital services that are not in excess of the hospitals'
24customary charges for the services, as limited under 42 USC 1396b (i) (3). If no relief
25block grant is awarded under this chapter or if the allocation of funds to such

1hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
2may distribute funds to hospitals that have not entered into a contract under s. 49.02
3(2).
AB100-engrossed, s. 1938 4Section 1938. 49.45 (6z) (a) (intro.) of the statutes is amended to read:
AB100-engrossed,919,155 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriations
6under s. 20.435 (1) (5) (b) and (o) the department shall distribute funding in each
7fiscal year to supplement payment for services to hospitals that enter into a contract
8under s. 49.02 (2) to provide health care services funded by a relief block grant under
9this chapter, if the department determines that the hospitals serve a
10disproportionate number of low-income patients with special needs. If no medical
11relief block grant under this chapter is awarded or if the allocation of funds to such
12hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
13may distribute funds to hospitals that have not entered into a contract under s. 49.02
14(2). The department may not distribute funds under this subsection to the extent
15that the distribution would do any of the following:
AB100-engrossed, s. 1939 16Section 1939. 49.45 (8) (b) of the statutes is amended to read:
AB100-engrossed,919,2117 49.45 (8) (b) Reimbursement under s. 20.435 (1) (5) (b) and (o) for home health
18services provided by a certified home health agency or independent nurse shall be
19made at the home health agency's or nurse's usual and customary fee per patient care
20visit, subject to a maximum allowable fee per patient care visit that is established
21under par. (c).
AB100-engrossed, s. 1940 22Section 1940. 49.45 (8e) of the statutes is repealed.
AB100-engrossed, s. 1941 23Section 1941. 49.45 (8m) (intro.) of the statutes is amended to read:
AB100-engrossed,920,324 49.45 (8m) Rates for respiratory care services. (intro.) Notwithstanding the
25limits under subs. (8) and (8e) limit under sub. (8), the rates under sub. (8) and rates

1charged by providers under s. 49.46 (2) (a) 4. d. that are not home health agencies,
2for reimbursement for respiratory care services for ventilator-dependent
3individuals under ss. 49.46 (2) (b) 6. m. and 49.47 (6) (a) 1., shall be as follows:
AB100-engrossed, s. 1941b 4Section 1941b. 49.45 (8m) (a) of the statutes is amended to read:
AB100-engrossed,920,65 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
6by a licensed registered nurse, $30 $30.60 per hour.
AB100-engrossed, s. 1941c 7Section 1941c. 49.45 (8m) (a) of the statutes, as affected by 1997 Wisconsin
8Act .... (this act), is amended to read:
AB100-engrossed,920,109 49.45 (8m) (a) For visits subsequent to an initial visit and for extended visits
10by a licensed registered nurse, $30.60 $31.21 per hour.
AB100-engrossed, s. 1941d 11Section 1941d. 49.45 (8m) (b) of the statutes is amended to read:
AB100-engrossed,920,1312 49.45 (8m) (b) For visits subsequent to an initial visit and for extended visits
13by a licensed practical nurse, $20 $20.40 per hour.
AB100-engrossed, s. 1941e 14Section 1941e. 49.45 (8m) (b) of the statutes, as affected by 1997 Wisconsin
15Act .... (this act), is amended to read:
AB100-engrossed,920,1716 49.45 (8m) (b) For visits subsequent to an initial visit and for extended visits
17by a licensed practical nurse, $20.40 $20.81 per hour.
AB100-engrossed, s. 1942 18Section 1942. 49.45 (8r) of the statutes is amended to read:
AB100-engrossed,921,219 49.45 (8r) Payment for certain obstetric and gynecological care. The rate
20of payment for obstetric and gynecological care provided in primary care health
21professional
shortage areas, as defined in s. 560.184 (1) (c) 560.183 (1) (cm), or
22provided to recipients of medical assistance who reside in primary care health
23professional
shortage areas, that is equal to 125% of the rates paid under this section
24to primary care physicians in primary care health professional shortage areas, shall

1be paid to all certified primary care providers who provide obstetric or gynecological
2care to those recipients.
AB100-engrossed, s. 1942e 3Section 1942e. 49.45 (18) (b) 5. of the statutes is amended to read:
AB100-engrossed,921,44 49.45 (18) (b) 5. Family planning services, as defined in s. 253.07 (1) (b).
AB100-engrossed, s. 1942m 5Section 1942m. 49.45 (24g) of the statutes is created to read:
AB100-engrossed,921,186 49.45 (24g) Managed care for dental services pilot. (a) The department
7shall, in consultation with the Wisconsin Dental Association, develop a pilot project
8for the provision of dental services under a managed care system. The department
9shall request a waiver from the secretary of the federal department of health and
10human services to permit the department to implement the pilot project developed
11under this subsection. If the waiver is granted and in effect, and if the department
12of health and family services determines that the costs of providing dental services
13under s. 49.46 (2) (b) 1. under the pilot project will not exceed the costs of providing
14those dental services in the absence of the pilot project, the department shall
15implement the pilot project in Ashland, Douglas, Bayfield and Iron counties for the
16period beginning no later than January 1, 1998, and ending on June 30, 1999. Only
17those dental services covered under s. 49.46 (2) (b) 1. may be covered under the pilot
18project.
AB100-engrossed,921,2319 (b) In developing the pilot project under this subsection, the department shall
20provide that recipients who are subject to the pilot project are required to select a
21dental provider from among those dentists participating in the pilot project. The
22department shall also provide that, if a recipient does not make a selection, a dental
23provider will be assigned to the recipient.
AB100-engrossed,921,2524 (c) If the department is able to implement the pilot project under this
25subsection, the department shall contract with a person to do all of the following:
AB100-engrossed,922,2
11. Accept a capitation payment from the department for each recipient who is
2subject to the pilot project.
AB100-engrossed,922,33 2. Enroll dentists to be participating providers under the pilot project.
AB100-engrossed,922,54 3. Coordinate with county departments to provide outreach and education to
5recipients and persons who are eligible to be recipients.
AB100-engrossed,922,86 4. Pay all allowable charges on a fee-for-service basis to participating dentists
7on behalf of recipients in the pilot counties for dental services received by those
8recipients.
AB100-engrossed, s. 1943 9Section 1943. 49.45 (24m) (intro.) of the statutes is amended to read:
AB100-engrossed,922,1410 49.45 (24m) Home health care and personal care pilot program. (intro.)
11From the appropriations under s. 20.435 (1) (5) (b) and (o), in order to test the
12feasibility of instituting a system of reimbursement for providers of home health care
13and personal care services for medical assistance recipients that is based on
14competitive bidding, the department shall:
AB100-engrossed, s. 1943c 15Section 1943c. 49.45 (24r) of the statutes is created to read:
AB100-engrossed,922,2516 49.45 (24r) Family planning demonstration project. No later than January
171, 1998, the department shall request a waiver from the secretary of the federal
18department of health and human services to permit the department to conduct a
19demonstration project to provide family planning services, as defined in s. 253.07 (1)
20(b), under medical assistance to any woman between the ages of 15 and 44 whose
21family income does not exceed 185% of the poverty line for a family the size of the
22woman's family. If the waiver is granted, the department shall submit to the chief
23clerk of each house of the legislature, for distribution to the appropriate standing
24committees under s. 13.172 (3), proposed legislation to enable the department to
25implement the demonstration project.
AB100-engrossed, s. 1944
1Section 1944. 49.45 (25) (am) 14. of the statutes is created to read:
AB100-engrossed,923,42 49.45 (25) (am) 14. Is a woman who is aged 45 to 64 and who is not a resident
3of a nursing home or otherwise receiving case management services under this
4paragraph.
AB100-engrossed, s. 1945 5Section 1945. 49.45 (25) (b) of the statutes is amended to read:
AB100-engrossed,923,146 49.45 (25) (b) A county, city, village or , town or, in a county having a population
7of 500,000 or more, the department
may elect to make case management services
8under this subsection available in the county, city, village or town to one or more of
9the categories of beneficiaries under par. (am) through the medical assistance
10program. A county, city, village or, town or, in a county having a population of 500,000
11or more, the department
that elects to make the services available shall reimburse
12a case management provider for the amount of the allowable charges for those
13services under the medical assistance program that is not provided by the federal
14government.
AB100-engrossed, s. 1946 15Section 1946. 49.45 (25) (be) of the statutes is amended to read:
AB100-engrossed,923,2116 49.45 (25) (be) A private nonprofit agency that is a certified case management
17provider may elect to provide case management services to medical assistance
18beneficiaries who have HIV infection, as defined in s. 252.01 (2). The amount of the
19allowable charges for those services under the medical assistance program that is not
20provided by the federal government shall be paid from the appropriation under s.
2120.435 (1) (5) (am).
AB100-engrossed, s. 1946m 22Section 1946m. 49.45 (30e) of the statutes is created to read:
AB100-engrossed,924,223 49.45 (30e) Community-based psychosocial service programs. (a) When
24services are reimbursable.
Services under s. 49.46 (2) (b) 6. Lm. provided to an

1individual are reimbursable under the medical assistance program only if all of the
2following conditions are met:
AB100-engrossed,924,53 1. Reimbursement for the services under s. 49.46 (2) (b) 6. Lm. in the manner
4provided under this subsection is permitted pursuant to federal law or pursuant to
5a waiver from the secretary of the federal department of health and human services.
AB100-engrossed,924,86 2. The county in which the individual resides elects to make the services under
7s. 49.46 (2) (b) 6. Lm. available in the county through the medical assistance
8program.
AB100-engrossed,924,119 3. The individual's psychosocial health needs require more than outpatient
10counseling, but less than the services provided by a community support program
11under s. 51.421.
AB100-engrossed,924,1412 4. The psychosocial services are provided by a community-based psychosocial
13service program certified under rules promulgated by the department under par. (b)
143.
AB100-engrossed,924,1615 (b) Rules. The department shall promulgate rules regarding all of the
16following:
AB100-engrossed,924,1817 1. Standards for determining whether an individual is eligible under par. (a)
183.
AB100-engrossed,924,2019 2. The scope of psychosocial services that may be provided under s. 49.46 (2)
20(b) 6. Lm.
AB100-engrossed,924,2221 3. Requirements for certification of community-based psychosocial service
22programs.
AB100-engrossed,925,423 (c) Provider reimbursement. A county that elects to make the services under
24s. 49.46 (2) (b) 6. Lm. available shall reimburse a provider of the services for the
25amount of the allowable charges for those services under the medical assistance

1program that is not provided by the federal government. The department shall
2reimburse the provider only for the amount of the allowable charges for those
3services under the medical assistance program that is provided by the federal
4government.
AB100-engrossed, s. 1948m 5Section 1948m. 49.45 (45) of the statutes is created to read:
AB100-engrossed,925,96 49.45 (45) In-home and community mental health and alcohol and other
7drug abuse services.
(a) Services under s. 49.46 (2) (b) 6. fm. provided to an
8individual are reimbursable under the medical assistance program only if all of the
9following conditions are met:
AB100-engrossed,925,1210 1. Reimbursement for the services under s. 49.46 (2) (b) 6. fm. in the manner
11provided under this subsection is permitted pursuant to federal law or pursuant to
12a waiver from the secretary of the federal department of health and human services.
AB100-engrossed,925,1513 2. The county, city, town or village in which the individual resides elects to make
14the services under s. 49.46 (2) (b) 6. fm. available in the county, city, town or village
15through the medical assistance program.
AB100-engrossed,925,2116 (b) A county, city, town or village that elects to make the services under s. 49.46
17(2) (b) 6. fm. available shall reimburse a provider of the services for the amount of
18the allowable charges for those services under the medical assistance program that
19is not provided by the federal government. The department shall reimburse the
20provider only for the amount of the allowable charges for those services under the
21medical assistance program that is provided by the federal government.
AB100-engrossed, s. 1949 22Section 1949. 49.46 (1) (a) 1. of the statutes is amended to read:
AB100-engrossed,926,223 49.46 (1) (a) 1. Any person included in the grant of aid to families with
24dependent children and any person who does not receive such aid solely because of
25the application of s. 49.19 (11) (a) 7. This subdivision does not apply beginning on

1the first day of the 6th month beginning after the date stated in the notice under s.
249.141 (2) (d).
AB100-engrossed, s. 1950b 3Section 1950b. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB100-engrossed,926,84 49.46 (1) (a) 1m. Any pregnant woman who meets the resource and income
5limits under s. 49.19 (4) (bm) and (es) and whose pregnancy is medically verified.
6Eligibility continues to the last day of the month in which the 60th day after the last
7day of the pregnancy falls. This subdivision does not apply beginning on the first day
8of the 6th month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1951 9Section 1951. 49.46 (1) (a) 4m. of the statutes is created to read:
AB100-engrossed,926,1010 49.46 (1) (a) 4m. Any child for whom a payment is made under s. 49.775.
AB100-engrossed, s. 1952 11Section 1952. 49.46 (1) (a) 6. of the statutes is amended to read:
AB100-engrossed,926,1612 49.46 (1) (a) 6. Any person not described in pars. (c) to (e) who is considered,
13under federal law, to be receiving aid to families with dependent children for the
14purpose of determining eligibility for medical assistance. This subdivision does not
15apply beginning on the first day of the 6th month beginning after the date stated in
16the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1953b 17Section 1953b. 49.46 (1) (a) 9. of the statutes is amended to read:
AB100-engrossed,926,2118 49.46 (1) (a) 9. Any pregnant woman not described under subd. 1. or 1m. whose
19family income does not exceed 133% of the poverty line for a family the size of the
20woman's family. This subdivision does not apply beginning on the first day of the 6th
21month beginning after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1954d 22Section 1954d. 49.46 (1) (a) 10. of the statutes is amended to read:
AB100-engrossed,927,223 49.46 (1) (a) 10. Any child not described under subd. 1. who is under 6 years
24of age and whose family income does not exceed 133% of the poverty line for a family
25the size of the child's family. This subdivision does not apply beginning on the first

1day of the 6th month beginning after the date stated in the notice under s. 49.141 (2)
2(d).
AB100-engrossed, s. 1955d 3Section 1955d. 49.46 (1) (a) 11. of the statutes is amended to read:
AB100-engrossed,927,134 49.46 (1) (a) 11. Any If a waiver under s. 49.665 is granted and in effect, any
5child not described under subd. 1. who was born after September 30, 1983, who has
6attained the age of 6 but has not attained the age of 19 and whose family income does
7not exceed 100% of the poverty line for a family the size of the child's family. This
8subdivision does not apply beginning on the first day of the 6th month beginning
9after the date stated in the notice under s. 49.141 (2) (d)
If a waiver under s. 49.665
10is not granted or in effect, any child not described in subd. 1. who was born after
11September 30,1983, who has attained the age of 6 but has not attained the age of 19
12and whose family income does not exceed 100% of the poverty line for a family the
13size of the child's family
.
AB100-engrossed, s. 1956b 14Section 1956b. 49.46 (1) (a) 12. of the statutes is amended to read:
AB100-engrossed,927,1815 49.46 (1) (a) 12. Any child not described under subd. 1. who is under 19 years
16of age and who meets the resource and income limits under s. 49.19 (4). This
17subdivision does not apply beginning on the first day of the 6th month beginning
18after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1957b 19Section 1957b. 49.46 (1) (a) 13. of the statutes is amended to read:
AB100-engrossed,927,2320 49.46 (1) (a) 13. Any child who is under one year of age, whose mother was
21determined to be eligible under subd. 9. and who lives with his or her mother. This
22subdivision does not apply beginning on the first day of the 6th month beginning
23after the date stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1958c 24Section 1958c. 49.46 (1) (am) 3. of the statutes is repealed.
AB100-engrossed, s. 1959 25Section 1959. 49.46 (1) (c) (intro.) of the statutes is amended to read:
AB100-engrossed,928,5
149.46 (1) (c) (intro.) Except as provided under pars. par. (co) and (cs), a family
2that becomes ineligible for aid to families with dependent children under s. 49.19
3because of increased income from employment or increased hours of employment or
4because of the expiration of the time during which the disregards under s. 49.19 (5)
5(a) 4. or 4m. or (am) apply shall receive medical assistance for:
AB100-engrossed, s. 1960b 6Section 1960b. 49.46 (1) (cb) of the statutes is repealed.
AB100-engrossed, s. 1961b 7Section 1961b. 49.46 (1) (cg) of the statutes is amended to read:
AB100-engrossed,928,178 49.46 (1) (cg) Except as provided in par. (cs), medical Medical assistance shall
9be provided to a dependent child, a relative with whom the child is living or the
10spouse of the relative, if the spouse meets the requirements of s. 49.19 (1) (c) 2. a. or
11b., for 4 calendar months beginning with the month in which the child, relative or
12spouse is ineligible for aid to families with dependent children because of the
13collection or increased collection of maintenance or support, if the child, relative or
14spouse received aid to families with dependent children in 3 or more of the 6 months
15immediately preceding the month in which that ineligibility begins. This paragraph
16does not apply beginning on the first day of the 6th month beginning after the date
17stated in the notice under s. 49.141 (2) (d).
AB100-engrossed, s. 1962 18Section 1962. 49.46 (1) (co) 1. of the statutes is amended to read:
AB100-engrossed,929,219 49.46 (1) (co) 1. Except as provided under subd. 2. and par. (cs), medical
20assistance shall be provided to a family for 12 consecutive calendar months following
21the month in which the family becomes ineligible for aid to families with dependent
22children because of increased income from employment, because the family no longer
23receives the earned income disregard under s. 49.19 (5) (a) 4. or 4m. or (am) due to
24the expiration of the time limit during which the disregards are applied or because

1of the application of the monthly employment time eligibility limitation under 45
2CFR 233.100
(a) (1) (i).
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