49.45(24g)(a)(a) The department shall develop a proposal to increase medical assistance reimbursement to providers to which at least one of the following applies: 49.45(24g)(a)1.1. The provider is recognized by the National Committee on Quality Assurance as a Patient-Centered Medical Home. 49.45(24g)(a)2.2. The secretary determines that the provider performs well with respect to all of the following aspects of care: 49.45(24g)(a)2.a.a. Adoption of written standards for patient access and patient communication. 49.45(24g)(a)2.b.b. Use of data to show that standards for patient access and patient communication are satisfied. 49.45(24g)(a)2.c.c. Use of paper or electronic charting tools to organize clinical information. 49.45(24g)(a)2.d.d. Use of data to identify diagnoses and conditions among the provider’s patients that have a lasting detrimental effect on health. 49.45(24g)(a)2.e.e. Adoption and implementation of guidelines that are based on evidence for treatment and management of at least 3 chronic conditions. 49.45(24g)(a)2.g.g. Systematic tracking of patient test results and systematic identification of abnormal patient test results. 49.45(24g)(a)2.h.h. Systematic tracking of referrals using a paper or electronic system. 49.45(24g)(a)2.i.i. Measuring the quality of the performance of the physician practice and of individual physicians within the practice, including with respect to provision of clinical services, patient outcomes, and patient safety. 49.45(24g)(a)2.j.j. Reporting to members of the physician practice and to other persons on the quality of the performance of the physician practice and of individual physicians. 49.45(24g)(c)(c) The department’s proposal under par. (a) shall specify increases in reimbursement rates for providers that satisfy the conditions under par. (a) 1. or 2., and shall provide for payment of a monthly per-patient care coordination fee to those providers. The department shall set the increases in reimbursement rates and the monthly per-patient care coordination fee so that together they provide sufficient incentive for providers to satisfy a condition under par. (a) 1. or 2. The proposal shall specify effective dates for the increases in reimbursement rates and the monthly per-patient care coordination fee that are no sooner than July 1, 2011. 49.45(24g)(d)(d) The department shall submit the proposal under par. (a) to the joint committee on finance. 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 proposal, the department shall, subject to approval by the U.S. department of health and human services of any required waiver of federal law relating to medical assistance and any required amendment to the state plan for medical assistance under 42 USC 1396a, implement the proposal beginning January 1, 2010. 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 proposal, the department may implement the proposal only upon approval of the committee. If the committee reviews the proposal and approves it, the department shall, subject to approval by the U.S. department of health and human services of any required waiver of federal law relating to medical assistance and any required amendment to the state plan for medical assistance under 42 USC 1396a, implement the proposal beginning January 1, 2010. 49.45(24g)(e)(e) By October 1, 2012, the department shall, if it was required under par. (d) to increase reimbursement to providers that satisfy a condition under par. (a) 1. or 2., submit a report to the joint committee on finance on whether the increased reimbursement results in net cost reductions for the Medical Assistance program under this subchapter and a recommendation as to whether to continue the increased reimbursement. 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 report and recommendation, the department may implement its recommendation. 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 report and recommendation, the department may discontinue the increased reimbursement only upon the approval of the committee. 49.45(24j)(a)(a) The department may administer the medical home initiative as a service delivery mechanism to provide and coordinate care for individuals who are eligible for a Medical Assistance program under this subchapter that provides services under a fee-for-service model. The department may administer a medical home initiative to serve individuals who are members of any of the following populations: 49.45(24j)(a)3.3. Individuals who are exiting mental health facilities or correctional facilities. 49.45(24j)(a)4.4. Individuals with a diagnosis of serious mental illness or substance abuse disorder. 49.45(24j)(a)6.6. Other groups of individuals with conditions that the department determines would benefit from services through a medical home. 49.45(24j)(b)(b) The department shall provide to individuals through any medical home initiative administered under this subsection the benefits described under s. 49.46 (2) (a) and (b). The department may provide to individuals though any medical home initiative administered under this subsection benefits in addition to the standard plan benefits that are targeted to the population receiving services through the medical home. 49.45(24j)(c)(c) The department may elect to administer any medical home initiative under this subsection in a limited geographical area. 49.45(24j)(d)(d) The department may make an all-inclusive payment to the provider offering services through a medical home. 49.45(24j)(e)(e) If the federal department of health and human services approves the department’s request to administer a medical home initiative, the department shall automatically enroll an individual who is eligible for a medical home initiative under this subsection in the medical home initiative. At any time after the first 6 months of enrollment in the medical home initiative, the individual who is enrolled in the medical home initiative may opt out of participation in the medical home initiative. 49.45(24k)(24k) Dental reimbursement pilot project.