SB40-CSA1,725,2522 49.45 (40) Periodic record matches. If the department contracts with the
23department of workforce development children and families under s. 49.197 (5), the
24department shall cooperate with the department of workforce development children
25and families in matching records of medical assistance recipients under s. 49.32 (7).

SB40-CSA1,726,82 49.45 (42m) (a) If, in authorizing the provision of physical or occupational
3therapy services under s. 49.46 (2) (b) 6. b. or 49.471 (11) (i), the department
4authorizes a reduced duration of services from the duration that the provider
5specifies in the authorization request, the department shall substantiate the
6reduction that the department made in the duration of the services if the provider
7of the services requests any additional authorizations for the provision of physical
8or occupational therapy services to the same individual.

SB40-CSA1,726,1710 49.45 (44m) Extension of parent eligibility when child dies. The department
11shall request a waiver from the secretary of the federal department of health and
12human services to permit the department to extend the eligibility of a parent, for up
13to 90 days, under the Medical Assistance program under this subchapter or the
14Badger Care health care program under s. 49.665 if the parent's child dies while both
15the parent and the child are covered under the Medical Assistance program or the
16Badger Care health care program and the parent would lose eligibility solely due to
17the death of the child. The department shall implement any waiver that is granted.

SB40-CSA1,726,2319 49.45 (48) Payment of medicare part B outpatient hospital services
20coinsurances. The department shall include in the state plan for medical assistance
21a methodology for payment of the medicare part B outpatient hospital services
22coinsurance amounts that are authorized under ss. 49.46 (2) (c) 2., 4., and 5m., 49.468
23(1) (b), and 49.47 (6) (a) 6. b., d., and f., and 49.471 (6) (j) 1.

SB40-CSA1,727,4

149.45 (49m) (c) 1. A list of the prescription drugs that are included as a benefit
2under s. ss. 49.46 (2) (b) 6. h. and 49.471 (11) (a) that identifies preferred choices
3within therapeutic classes and includes prescription drugs that bear only generic
4names.

SB40-CSA1,727,96 49.45 (53) Payments for certain services. Beginning on January 1, 2003, the
7department may, from the appropriation account under s. 20.435 (7) (b), make
8Medical Assistance payments to providers for covered services under s. ss. 49.46 (2)
9(a) 4. d. and (b) 6. j. and m. and 49.471 (11) (f).

SB40-CSA1,727,2011 49.45 (55) Health Opportunity Accounts Demonstration Program. The
12department shall request from the federal Centers for Medicare and Medicaid
13Services approval to participate in a demonstration program under 42 USC 1396u-8,
14under which Badger Care recipients may voluntarily enroll to contribute to health
15opportunity accounts and receive certain alternative benefits under medical
16assistance. If the Centers for Medicare and Medicaid Services approve the
17department's request, the department shall submit a proposed plan for
18implementation of the demonstration program to the joint committee on finance.
19The department may not implement the plan until it is approved by the committee,
20as submitted or as modified.

SB40-CSA1,728,322 49.45 (56) Disease management program. Based on the health conditions
23identified by the physical health risk assessments, if performed under sub. (57), the
24department shall develop and implement, for Medical Assistance recipients, disease
25management programs that are similar to that developed and followed by the

1Marshfield Clinic in this state under the Physician Group Practice Demonstration
2Program authorized under 42 USC 1315 (e) and (f). These programs shall have at
3least the following characteristics:

SB40-CSA1,728,64 (a) The use of information science to improve health care delivery by
5summarizing a patient's health status and providing reminders for preventive
6measures.

SB40-CSA1,728,87 (b) Educating health care providers on health care process improvement by
8developing best practice models.

SB40-CSA1,728,119 (c) The improvement and expansion of care management programs to assist in
10standardization of best practices, patient education, support systems, and
11information gathering.

SB40-CSA1,728,1312 (d) Establishment of a system of provider compensation that is aligned with
13clinical quality, practice management, and cost of care.

SB40-CSA1,728,1514 (e) Focus on patient care interventions for certain chronic conditions, to reduce
15hospital admissions.

SB40-CSA1,728,2117 49.45 (57) Physical health risk assessment. The department shall encourage
18each individual who is determined on or after the effective date of this subsection ....
19[revisor inserts date], to be eligible for Medical Assistance to receive a physical health
20risk assessment as part of the first physical examination the individual receives
21under Medical Assistance.