LRB-4895/1
JPC:cjs
2021 - 2022 LEGISLATURE
December 9, 2021 - Introduced by Representatives Kurtz, Brooks, Dittrich,
Gundrum, Horlacher, Magnafici, Rozar, Skowronski, Tauchen, Tusler and
Wichgers, cosponsored by Senators Felzkowski, Ballweg, Agard,
Carpenter, Darling and Kooyenga. Referred to Committee on Health.
AB765,1,3
1An Act relating to: modifying and creating administrative rules to require
2reimbursement for group physical therapy under the Medical Assistance
3program.
Analysis by the Legislative Reference Bureau
This bill modifies and creates administrative rules to require reimbursement
of group physical therapy under the Medical Assistance program. Under current
administrative rules, group physical therapy is not a covered service. Under the bill,
“group physical therapy” means a physical therapy session at which there are more
than one but not more than 10 recipients receiving services together from one or two
providers. The bill specifies that physical therapy aides may not be reimbursed for
group physical therapy. The Medical Assistance program is a joint state and federal
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:
AB765,1
4Section
1. DHS 107.16 (3) (f) of the administrative code is created to read:
AB765,2,6
1DHS 107.16
(3) (f)
Group physical therapy. Group physical therapy shall be
2a covered service. For purposes of this paragraph, “group physical therapy” means
3a physical therapy session at which there are more than one but not more than 10
4recipients receiving services together from one or 2 providers. No more than 2
5providers may be reimbursed for the same session. Physical therapy aides may not
6be reimbursed for group physical therapy.
AB765,2
7Section
2. DHS 107.16 (4) (d) of the administrative code is repealed.
AB765,3
8Section
3.
Effective date.
AB765,2,109
(1) Notwithstanding s. 227.265, this act takes effect on the day after
10publication.
