SB30-SSA1,527,6 (h) The department shall seek any necessary approval from the federal department of health and human services to implement the program under this subsection. If the federal department of health and human services disapproves the request for approval, the department may implement the reimbursement under par. (d), the savings distribution under par. (f), or both or any part of the program under this subsection.

SB30-SSA1,928h Section 928h. 49.45 (29y) of the statutes is created to read:

SB30-SSA1,527,13 49.45 (29y) Mental health consultation reimbursement. (a) In this subsection, “clinical consultation" means, for a student up to age 21, communication from a mental health professional or a qualified treatment trainee working under the supervision of a mental health professional to another individual who is working with the client to inform, inquire, and instruct regarding all of the following and to direct and coordinate clinical service components:

SB30-SSA1,527,14 1. The client's symptoms.

SB30-SSA1,527,15 2. Strategies for effective engagement, care, and intervention for the client.

SB30-SSA1,527,16 3. Treatment expectations for the client across service settings.

SB30-SSA1,527,19 (b) The department shall, subject to any approval necessary from the federal department of health and human services, reimburse clinical consultation from the Medical Assistance program under this subchapter.

SB30-SSA1,527,22 (c) By March 31, 2019, the department shall submit a report to the joint committee on finance on the utilization of the clinical consultation services under this subsection.

SB30-SSA1,527,24 (d) The department may not provide the reimbursement for clinical consultation that occurs after June 30, 2019.

SB30-SSA1,928n Section 928n. 49.45 (39) (bm) of the statutes is repealed.

SB30-SSA1,928r Section 928r. 49.45 (47m) of the statutes is created to read:

SB30-SSA1,528,4 49.45 (47m) Family Care funding. (a) In this subsection, “care management organization” means a care management organization under contract with the department of health services as described under s. 46.284.

SB30-SSA1,528,8 (b) The department shall collaborate with care management organizations and the federal centers for Medicare and Medicaid services to develop an allowable payment mechanism to increase the direct care and services portion of the capitation rates to address the direct caregiver workforce challenges in the state.

SB30-SSA1,528,11 (c) By December 31, 2017, the department shall seek any federal approval necessary from the federal centers for Medicare and Medicaid services to implement the payment mechanism developed under par. (b).

SB30-SSA1,528,21 (d) The department may not implement the plan developed under this subsection unless the department receives federal approval under par. (c). The department may submit one or more requests to the joint committee on finance under s. 13.10 to supplement the appropriation under s. 20.435 (4) (b) from the appropriation under s. 20.865 (4) (a) for implementation of the payment mechanism under par. (b). The department may only use moneys for the payment mechanism under par. (b) if the joint committee on finance approves the request under this paragraph. Notwithstanding s. 13.101, the joint committee on finance is not required to find that an emergency exists before making a supplementation under this paragraph.

SB30-SSA1,928t Section 928t. 49.45 (53m) of the statutes is created to read:

SB30-SSA1,529,2 49.45 (53m) Coverage program for institutions for mental disease. Subject to any necessary waiver approval of the federal department of health and human services, or as otherwise permitted under federal law, the department may, if federal funding participation is available, provide Medical Assistance coverage of services provided in an institution for mental disease to persons ages 21 to 64.

SB30-SSA1,929 Section 929 . 49.45 (54) (b) of the statutes is repealed.

SB30-SSA1,930 Section 930 . 49.45 (54) (c) of the statutes is created to read:

SB30-SSA1,529,12 49.45 (54) (c) Special services. From the appropriations under s. 20.435 (4) (b) and (o) and (7) (bt), the department may pay the costs of services provided under the early intervention program under s. 51.44 that are included in program participant's individualized family service plan and that were not authorized for payment under the state Medicaid plan or a department policy before July 1, 2017, including any services under the early intervention program under s. 51.44 that are delivered by a type of provider that becomes certified to provide Medical Assistance service on July 1, 2017, or after.

SB30-SSA1,931 Section 931 . 49.46 (1) (em) of the statutes is created to read:

SB30-SSA1,529,20 49.46 (1) (em) To the extent approved by the federal government, for the purposes of determining financial eligibility and any cost-sharing requirements of an individual under par. (a) 6m., 14., or 14m., (d) 2., or (e), the department or its designee shall exclude any assets accumulated in a person's independence account, as defined in s. 49.472 (1) (c), and any income or assets from retirement benefits earned or accumulated from income or employer contributions while employed and receiving state-funded benefits under s. 46.27 or medical assistance under s. 49.472.

SB30-SSA1,931n Section 931n. 49.46 (2) (b) 6. dm. of the statutes is created to read:

SB30-SSA1,529,23 49.46 (2) (b) 6. dm. Durable medical equipment that is considered complex rehabilitation technology, subject to the requirements under s. 49.45 (9r).

SB30-SSA1,931p Section 931p. 49.46 (2) (b) 6. e. of the statutes is amended to read:

SB30-SSA1,530,5 49.46 (2) (b) 6. e. Subject to the limitation under s. 49.45 (30r), inpatient hospital, skilled nursing facility and intermediate care facility services for patients of any institution for mental diseases who are under 21 years of age, are under 22 years of age and who were receiving these services immediately prior to reaching age 21, or are 65 years of age or older, or are otherwise permitted under s. 49.45 (53m).

SB30-SSA1,932 Section 932 . 49.46 (2) (b) 17. of the statutes is amended to read:

SB30-SSA1,530,9 49.46 (2) (b) 17. Services under s. 49.45 (54) (b) (c) for children participating in the early intervention program under s. 51.44, that are provided by a special educator.

SB30-SSA1,932n Section 932n. 49.46 (2) (dm) of the statutes is amended to read: