AB40-ASA1,569,21 49.197 (4) County and tribal error reduction. If the department of health services contracts with the department under sub. (5), the department shall provide funds from the appropriation under s. 20.437 (2) (kx) to counties, multicounty consortia, as defined in s. 49.78 (1) (br), and governing bodies of federally recognized American Indian tribes administering Medical Assistance under subch. IV, the food stamp program under 7 USC 2011 to 2036, the supplemental security income payments program under s. 49.77, the program providing payments for the support of children of supplemental security income recipients under s. 49.775, and the Badger Care health care program under s. 49.665 to offset administrative costs of reducing payment errors in those programs.

AB40-ASA1, s. 1415 Section 1415. 49.265 (4) (a) of the statutes is amended to read:

AB40-ASA1,569,25 49.265 (4) (a) The department shall distribute the federal community services block grant funds received under 42 USC 9903 and deposited in credited to the appropriations appropriation account under s. 20.437 (1) (mc) and (md) (2) (mg).

AB40-ASA1, s. 1420m Section 1420m. 49.43 (2r) of the statutes is created to read:

AB40-ASA1,570,4 49.43 (2r) "County," "county department," and "county department under s. 46.215, 46.22, or 46.23" includes a multicounty consortium in accordance with a contract under s. 49.78 (2).

AB40-ASA1, s. 1422m Section 1422m. 49.43 (8m) of the statutes is created to read:

AB40-ASA1,570,6 49.43 (8m) "Multicounty consortium" has the meaning given in s. 49.78 (1) (br).

AB40-ASA1, s. 1423k Section 1423k. 49.45 (2m) of the statutes, as created by 2011 Wisconsin Act 10, is repealed and recreated to read:

AB40-ASA1,570,13 49.45 (2m) Authorization for modifications to programs; study. (a) In this subsection, "Medical Assistance program" includes any program operated under this subchapter, demonstration program operated under 42 USC 1315, and program operated under a waiver of federal law relating to medical assistance that is granted by the federal department of health and human services.

AB40-ASA1,570,17 (b) The department shall study potential changes to the Medical Assistance state plan and to waivers of federal law relating to medical assistance obtained from the federal department of health and human services for all of the following purposes:

AB40-ASA1,570,19 1. Increasing the cost effectiveness and efficiency of care and the care delivery system for Medical Assistance programs.

AB40-ASA1,570,21 2. Limiting switching from private health insurance to Medical Assistance programs.

AB40-ASA1,570,23 3. Ensuring the long-term viability and sustainability of Medical Assistance programs.

AB40-ASA1,570,25 4. Advancing the accuracy and reliability of eligibility for Medical Assistance programs and claims determinations and payments.

AB40-ASA1,571,2 5. Improving the health status of individuals who receive benefits under a Medical Assistance program.

AB40-ASA1,571,4 6. Aligning Medical Assistance program benefit recipient and service provider incentives with health care outcomes.

AB40-ASA1,571,5 7. Supporting responsibility and choice of medical assistance recipients.

AB40-ASA1,571,9 (c) Subject to par. (d), if the department determines, as a result of the study under par. (b), that revision of existing statutes or rules would be necessary to advance a purpose described in par. (b) 1. to 7., the department may propose a policy that makes any of the following changes related to Medical Assistance programs:

AB40-ASA1,571,11 1. Requires cost sharing from program benefit recipients up to the maximum allowed by federal law or a waiver of federal law.

AB40-ASA1,571,13 2. Authorizes providers to deny care or services if a program benefit recipient is unable to share costs, to the extent allowed by federal law or waiver.

AB40-ASA1,571,15 3. Modifies existing benefits or establishes various benefit packages and offers different packages to different groups of recipients.

AB40-ASA1,571,16 4. Revises provider reimbursement models for particular services.

AB40-ASA1,571,17 5. Mandates that program benefit recipients enroll in managed care.

AB40-ASA1,571,18 6. Restricts or eliminates presumptive eligibility.

AB40-ASA1,571,20 7. To the extent permitted by federal law, imposes restrictions on providing benefits to individuals who are not citizens of the United States.

AB40-ASA1,571,21 8. Sets standards for establishing and verifying eligibility requirements.

AB40-ASA1,571,23 9. Develops standards and methodologies to assure accurate eligibility determinations and redetermines continuing eligibility.

AB40-ASA1,571,25 10. Reduces income levels for purposes of determining eligibility to the extent allowed by federal law or waiver and subject to the limitations under par. (e) 2.

AB40-ASA1,572,14 (d) Before implementing a policy proposed under par. (c) that conflicts with a statute, and before submitting any amendment or waiver request under par. (e) that is necessary to implement any such policy, the department shall submit to the joint committee on finance the proposed amendment or waiver request and estimates of the projected cost savings associated with that amendment or waiver request. If the cochairpersons of the committee do not notify the department within 14 working days after the date of the department's submittal that the committee has scheduled a meeting for the purpose of reviewing the proposed amendment or waiver request, the proposed amendment or waiver request may be submitted to the federal department of health and human services. If, within 14 working days after the date of the department's submittal, the cochairpersons of the committee notify the department that the committee has scheduled a meeting for the purpose of reviewing the proposed amendment or waiver request, the proposed amendment or waiver requested may be submitted only on approval of the committee.