SB865: Bill Text

LRB-5492/1

TJD:wlj

2017 - 2018 LEGISLATURE

2017 Senate BILL 865

March 7, 2018 - Introduced by Senators Vinehout, Ringhand and L. Taylor, cosponsored by Representatives Barca, Spreitzer, Berceau, Subeck and Sargent. Referred to Committee on Health and Human Services.

SB865,1,2 An Act to create 13.94 (1) (nm) of the statutes; relating to: nonemergency medical transportation for Medical Assistance recipients in certain counties.

Analysis by the Legislative Reference Bureau

This bill requires the Department of Health Services, to the extent permitted by the contract, to modify the current contract for the arrangement and reimbursement of nonemergency medical transportation for Medical Assistance recipients to exclude Medical Assistance recipients who reside in Buffalo, Eau Claire, Jefferson, Kenosha, Milwaukee, Ozaukee, Pepin, Racine, Rock, Trempealeau, Walworth, Washington, and Waukesha counties from the contract unless the county chooses to remain under the original contract. If DHS modifies the contract, it must make alternative arrangements with counties, health maintenance organizations, or transportation providers to provided nonemergency medical transportation services to Medical Assistance recipients residing in those counties. Medical Assistance is administered by DHS and is a joint federal and state program that provides health services to individuals who have limited financial resources.

For further information see the state 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:

SB865,1 Section 1. 13.94 (1) (nm) of the statutes is created to read:

SB865,2,5 13.94 (1) (nm) No later than February 1, 2021, prepare a financial and performance evaluation audit of the nonemergency medical transportation program for Medical Assistance recipients including a comparison of services provided under an alternative arrangement made under 2017 Wisconsin Act .... (this act), section 2, to services provided under a contract other than the alternative arrangement.

SB865,2 Section 2 . Nonstatutory provisions.

SB865,2,7 (1) Medical Assistance nonemergency medical transportation.

SB865,2,15 (a) The department of health services shall, to the extent permitted by the contract, modify the contract that is in effect on the effective date of this paragraph for the arrangement and reimbursement of nonemergency medical transportation services to recipients of Medical Assistance under subchapter IV of chapter 49 of the statutes to exclude recipients of Medical Assistance residing in Buffalo, Eau Claire, Jefferson, Kenosha, Milwaukee, Ozaukee, Pepin, Racine, Rock, Trempealeau, Walworth, Washington, and Waukesha counties from that contract unless the county chooses to remain under the original contract.

SB865,3,6 (b) If the department of health services modifies the contract under paragraph (a), the department of health services shall make alternative arrangements with counties, health maintenance organizations, or transportation providers to provide nonemergency medical transportation services to Medical Assistance recipients who reside in the counties specified in paragraph (a ), except any county that chooses to remain under the original contract, no later than January 1, 2019. The department of health services shall include in any contract for alternative arrangements under this paragraph a requirement that the nonemergency medical transportation provider submit to the department of health services information substantially similar to the information required under the original contract including trip log data, summary information on all calls for services and contacts with Medical Assistance recipients, encounter data based on Centers for Medicare and Medicaid Services 1500 claim form data, network provider information, accident and moving violation reports, vehicle reports, complaint summary reports, telecommunications system reports, annual fiscal audit reports, and daily reports including numbers of trips, cancelled trips, denied trips, and complaints.

SB865,3,7 (End)