49.685(7)(a)5.
5. In determining net worth, only the net worth of the patient and persons responsible for the patient's support under
s. 49.90 will be considered.
49.685(7)(b)
(b) Individual liability shall be determined at the time of initial treatment and shall be redetermined annually or upon the patient's notification to the department of a change in family size or financial condition.
49.685(8)
(8) Department's duties. The department shall:
49.685(8)(a)
(a) Extend financial assistance under this section to eligible persons suffering from hemophilia or other related congenital bleeding disorders.
49.685(8)(b)
(b) Employ administrative personnel to implement this section.
49.685(8)(c)
(c) Promulgate all rules necessary to implement this section.
49.686
49.686
AZT and pentamidine reimbursement program. 49.686(1)(a)
(a) "AIDS" means acquired immunodeficiency syndrome.
49.686(1)(b)
(b) "Gross income" means all income, from whatever source derived and in whatever form realized, whether in money, property or services.
49.686(1)(c)
(c) "HIV" means any strain of human immunodeficiency virus, which causes acquired immunodeficiency syndrome.
49.686(1)(d)
(d) "HIV infection" means the pathological state produced by a human body in response to the presence of HIV.
49.686(1)(f)
(f) "Residence" means the concurrence of physical presence with intent to remain in a place of fixed habitation. Physical presence is prima facie evidence of intent to remain.
49.686(1)(g)
(g) "Validated test result" means a result of a test for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV that meets the validation requirements determined to be necessary by the state epidemiologist.
49.686(2)
(2) Reimbursement. From the appropriation under
s. 20.435 (5) (am), the department may reimburse or supplement the reimbursement of the cost of AZT, the drug pentamidine and any drug approved for reimbursement under
sub. (4) (c) for an individual who is eligible under
sub. (3).
49.686(3)
(3) Eligibility. An individual is eligible to receive the reimbursement specified under
sub. (2) if he or she meets all of the following criteria:
49.686(3)(b)
(b) Has an infection that is certified by a physician to be an HIV infection.
49.686(3)(c)
(c) Has a prescription issued by a physician for AZT, for pentamidine or for a drug approved for reimbursement under
sub. (4) (c).
49.686(3)(d)
(d) Has applied for coverage under and has been denied eligibility for medical assistance within 12 months prior to application for reimbursement under
sub. (2).
49.686(3)(e)
(e) Has no insurance coverage for AZT, the drug pentamidine or any drug approved for reimbursement under
sub. (4) (c) or, if he or she has insurance coverage, the coverage is inadequate to pay the full cost of the individual's prescribed dosage of AZT, the drug pentamidine or any drug approved for reimbursement under
sub. (4) (c).
49.686(3)(f)
(f) Is an individual whose annual gross household income is at or below 200% of the poverty line.
49.686(4)
(4) Departmental duties. The department shall do all of the following:
49.686(4)(a)
(a) Determine the eligibility of individuals applying for reimbursement, or a supplement to the reimbursement, of the costs of AZT or the drug pentamidine.
49.686(4)(b)
(b) Within the limits of
sub. (5) and of the funds specified under
sub. (2) and under a schedule that the department shall establish based on the ability of individuals to pay, reimburse or supplement the reimbursement of the eligible individuals.
49.686(4)(c)
(c) After consulting with individuals, including those not employed by the department, with expertise in issues relative to drugs for the treatment of HIV infection and AIDS, determine which, if any, drugs that are cost-effective alternatives to AZT and pentamidine may also have costs reimbursed under this section.
49.686(5)
(5) Reimbursement limitation. Reimbursement may not be made under this section for any portion of the costs of AZT, the drug pentamidine or any drug approved for reimbursement under
sub. (4) (c) which are payable by an insurer, as defined in
s. 600.03 (27).
49.686 History
History: 1989 a. 31;
1991 a. 39;
1993 a. 16;
1995 a. 27 ss.
3061 to
3062d; Stats. 1995 s. 49.686;
1997 a. 27.
49.687
49.687
Disease aids; patient financial and liability requirements. 49.687(1)(1) The department shall promulgate rules that require a person who is eligible for benefits under
s. 49.68,
49.683 or
49.685 and whose current income exceeds specified limits to obligate or expend specified portions of the income for medical care for treatment of kidney disease, cystic fibrosis or hemophilia before receiving benefits under
s. 49.68,
49.683 or
49.685.
49.687(2)
(2) The department shall develop and implement a sliding scale of patient liability for kidney disease aid under
s. 49.68, cystic fibrosis aid under
s. 49.683 and hemophilia treatment under
s. 49.685, based on the patient's ability to pay for treatment. To ensure that the needs for treatment of patients with lower incomes receive priority within the availability of funds under
s. 20.435 (4) (e), the department shall revise the sliding scale for patient liability by January 1, 1994, and shall, every 3 years thereafter by January 1, review and, if necessary, revise the sliding scale.
49.70
49.70
County home; establishment. 49.70(1)
(1) Each county may establish a county home for the relief and support of dependent persons pursuant to
s. 46.17.
49.70(2)
(2) In all counties whose population is less than 250,000 such county home shall be governed pursuant to
ss. 46.18,
46.19 and
46.20.
49.70(3)
(3) No county in which a county home is established shall contract to conduct the same or to support and maintain the inmates thereof; and all agreements in violation of this subsection are void.
49.70(4)
(4) The trustees or any person employed by the county board pursuant to
subs. (1) and
(2), may administer oaths concerning any matter submitted to the trustees or person employed by the county board, in connection with their functions.
49.70(5)
(5) The uniform accounting system established by
s. 50.03 (10) shall be used by each county home and shall be subject to the conditions enumerated therein.
49.70 History
History: 1971 c. 125;
1975 c. 413 s.
18;
1977 c. 26 s.
75;
1991 a. 316;
1995 a. 27 ss.
2810 to
2815; Stats. 1995 s. 49.70.
49.70 Annotation
A county did not violate sub. (3) by terminating county home operations, conveying the home's assets and leasing the physical plant to a private operator. Local Union 2490 v. Waukesha County,
143 Wis. 2d 438,
422 N.W.2d 117 (Ct. App. 1988).
49.703
49.703
County homes; commitments; admissions. 49.703(1)(1) Any person upon his or her application to the board of trustees may be admitted to the county home upon such terms as may be prescribed by the board. If the person or his or her relatives are unable to pay for his or her care and maintenance the person may be admitted as a charge of the county of his or her residence.
49.703(3)
(3) The county board of any county may by resolution provide that the county shall bear the expense of maintaining all dependent persons committed or admitted to the county home, and may repeal any resolution adopted under this subsection.
49.703 History
History: 1977 c. 428,
1985 a. 29;
1995 a. 27 ss.
2816,
2817,
2819; Stats. 1995 s. 49.703.
49.71
49.71
County hospitals; establishment. 49.71(1)
(1) Each county may establish a county hospital for the treatment of dependent persons, under
s. 46.17, and other persons authorized under
s. 46.21 (4m).
49.71(2)
(2) In counties with a population of 500,000 or more, an institution established under
sub. (1) shall be governed under
s. 46.21 or
59.79 (10), but in all other counties it shall be governed under
ss. 46.18,
46.19 and
46.20.
49.71(3)
(3) The uniform accounting system established by
s. 50.03 (10) shall be used by each county hospital and shall be subject to the conditions enumerated therein.
49.713
49.713
County hospitals; admissions. 49.713(1)
(1) Any person upon application to the board of trustees may be admitted to the county hospital upon such terms as may be prescribed by the board. If the person or his or her relatives are unable to pay for his or her care and maintenance the person may be admitted as a charge of the county of his or her residence.
49.713(3)
(3) The county board of any county may by resolution provide that the county shall bear the expense of maintaining all dependent persons admitted to the county hospital, and may repeal any resolution adopted under this subsection.
49.713 History
History: 1985 a. 29;
1995 a. 27 ss.
2824,
2825,
2827; Stats. 1995 s. 49.713.
49.72
49.72
County infirmaries; establishment. 49.72(1)
(1) Each county, or any 2 or more counties jointly, may establish, pursuant to
s. 46.17 or
46.20 a county infirmary for the treatment, care and maintenance of the aged infirm.
49.72(2)
(2) In counties with a population of 500,000 or more, such institution shall be governed pursuant to
s. 46.21, but in all other counties it shall be governed pursuant to
ss. 46.18,
46.19 and
46.20.
49.72(3)(a)
(a) An aged infirm person is a person over the age of 65 years so incapacitated mentally by the degenerative processes of old age, or so incapacitated physically, as to require continuing infirmary care.
49.72(3)(b)
(b) A county infirmary is a county institution created pursuant to
sub. (1) or
(2) under the general supervision and inspection of the department pursuant to
ss. 46.16 and
46.17 as to adequacy of equipment and staff to treat, care for and maintain the physical and mental needs of aged infirm persons.
49.72(4)
(4) The uniform accounting system established by
s. 50.03 (10) shall be used by each county infirmary and shall be subject to the conditions enumerated therein.
49.72 History
History: 1971 c. 125;
1975 c. 413 s.
18;
1977 c. 26 s.
75;
1995 a. 27 ss.
2828 to
2834; Stats. 1995 s. 49.72.
49.723
49.723
County infirmaries, admissions; standards. 49.723(1)(1) The following standards shall apply to admissions to a county infirmary:
49.723(1)(a)
(a) The primary standard shall be need of infirmary care, rather than ability to pay for care, and no person shall be excluded from an infirmary solely because of ability or inability to pay for care.
49.723(1)(b)
(b) The person admitted must be an aged infirm individual, and it must be reasonably apparent that unless admitted the person will be without adequate care.
49.723(1)(cm)
(cm) Except as provided in
par. (d), any person who meets the standards for admission is eligible for admission.
49.723(1)(d)
(d) An applicant who has removed residence to Wisconsin from a state which requires that one who has removed residence from Wisconsin to that state reside in the latter more than one year before being eligible for a similar type of care shall be required to reside in this state for a like period before becoming eligible for admission.
49.723(2)
(2) The board of trustees of a county infirmary, subject to regulations approved by the county board, shall establish rules and regulations governing the admission and discharge of voluntary patients.
49.723(3)
(3) If it appears to the satisfaction of the circuit court for the county in which an infirmary is located, upon petition for commitment, that a person meets the standards under
sub. (1), it may, after affording the person an opportunity to be heard in person or by someone on his or her behalf, commit the person to a county infirmary. The power to commit includes persons who entered an infirmary voluntarily. The court may also, on petition and after a hearing, order the discharge of any patient, upon a showing that the patient is no longer in need of infirmary care, or that the patient can be adequately cared for elsewhere.
49.723(4)
(4) The board of trustees on receipt of an application for voluntary admission, or the circuit court on the filing of a petition for commitment, shall appoint a person licensed to practice medicine and surgery in this state to examine personally the applicant or the subject of the petition and to advise the board or court whether such person meets the standard prescribed by
sub. (1) (a).
49.723(5)
(5) The department shall prescribe and prepare the forms to be used for the voluntary admission or commitment of patients.
49.723(6)
(6) The circuit court in the case of a commitment, and the board of trustees in the case of a voluntary admission, shall pass on the economic status of the patient at the time of commitment or admission, and in all cases in which the patient has residence in another county shall notify the county of residence of the fact of such commitment or admission.
49.723 History
History: 1977 c. 449 ss.
130,
497;
1985 a. 29;
1989 a. 359;
1995 a. 27 s.
2835; Stats. 1995 s. 49.723;
1995 a. 225.
49.726
49.726
County infirmaries; cost of treatment, care and maintenance of patients. 49.726(1)
(1) In the first instance the county or counties operating an infirmary shall defray the actual per capita cost of treatment, care and maintenance. To the extent that a patient is a public charge, such county or counties shall be reimbursed for such expenditures, as determined from annual infirmary reports filed with the department under
s. 46.18 (8),
(9) and
(10), by the county of residence.
49.726(2)
(2) To the extent that a patient is not a public charge, such cost shall be charged and paid in advance for each calendar month, and payment may be enforced by the board of trustees.
49.726(4)
(4) The records and accounts of each county infirmary may be audited by the department. In addition to other findings, such audits shall ascertain compliance with the mandatory uniform cost record-keeping system requirements of
s. 46.18 (8),
(9) and
(10), and verify the actual per person cost of maintenance, care and treatment of patients.
49.726 History
History: 1971 c. 108 ss.
5,
6;
1971 c. 125 s.
523;
1985 a. 29;
1995 a. 27 s.
2836; Stats. 1995 s. 49.726.
49.729
49.729
County infirmaries; fees and expenses of proceedings. The fees of examining physicians, witnesses and guardians ad litem and other expenses of proceedings under
ss. 49.72 to
49.726 shall be governed by
s. 51.20 (18).
49.729 History
History: 1975 c. 430 s.
80;
1977 c. 428 s.
115;
1995 a. 27 s.
2837; Stats. 1995 s. 49.729.
49.73
49.73
Residential care institutions; establishment. 49.73(1)(1) Any county or combination of counties may establish and staff a county residential care institution for the reception and care of dependent persons which shall be governed by the county board. The institution shall be licensed under
s. 50.03 by the department before receiving or caring for any dependent person.
49.73(2)
(2) Residential care institutions may be established and staffed by private vendors for the reception and care of dependent persons. The institution shall be licensed under
s. 50.03 by the department before receiving or caring for any dependent persons.
49.73(3)
(3) Any county operated or private residential care facility not certifiable as a Title XIX facility shall be licensed and governed under
s. 50.03 by the department before receiving or caring for any dependent persons.
49.73(4)
(4) The cost of care of such patients shall be determined by multiplying the per day patient rate for such facility as determined by applying the formula under
s. 49.45 (6m) (ag), except that interest on capital expenditures which are reimbursable under
s. 51.91 shall be excluded, times the number of days of care of such patients in the time period being considered. Any amounts received by the facility from the patient or resident shall be deducted from the costs determined under this subsection. This section shall not be construed to require that as a condition of reimbursement any facility must meet any skilled or intermediate care standards established by the department.
49.73(6)
(6) The care, services and supplies provided under this section shall be a liability against the patient's county of residence.
