AB150-ASA,970,12 49.43 (10) "Provider" means a person, corporation, limited liability company, partnership, unincorporated business or professional association and any agent or employe thereof who provides medical assistance under ss. 49.45 to 49.47, 49.49 and 49.495.

AB150-ASA, s. 2946 Section 2946. 49.43 (10s) of the statutes is created to read:

AB150-ASA,970,14 49.43 (10s) "Secretary" means the secretary of health and social services.

AB150-ASA, s. 2947 Section 2947. 49.45 (2) (a) 15. of the statutes is amended to read:

AB150-ASA,970,18 49.45 (2) (a) 15. Routinely provide notification to persons eligible for medical assistance under ss. 49.46 to 49.47, or such persons' guardians, of the department's access to provider records.

AB150-ASA, s. 2949 Section 2949. 49.45 (2) (a) 23. of the statutes is created to read:

AB150-ASA,970,23 49.45 (2) (a) 23. Promulgate rules that define "supportive services", "personal services" and "nursing services" provided in a certified assisted living facility, as defined under s. 50.01 (1d), for purposes of reimbursement under ss. 46.27 (11) (c) 7. and 46.277 (5) (e).

AB150-ASA, s. 2950 Section 2950. 49.45 (2) (b) 4. of the statutes is amended to read:

AB150-ASA,971,4 49.45 (2) (b) 4. Audit claims filed by any provider of medical assistance, and as part of that audit, request of any such provider, and review, medical records of individuals who have received benefits under the medical assistance program, or under s. 49.046.

AB150-ASA, s. 2951 Section 2951. 49.45 (3) (a) of the statutes is amended to read:

AB150-ASA,971,10 49.45 (3) (a) Reimbursement shall be made to each county department under ss. 46.215, 46.22 and 46.23 for the administrative services performed in the medical assistance program on the basis of s. 49.52 49.33 (8). For purposes of reimbursement under this paragraph, assessments completed under s. 46.27 (6) (a) are administrative services performed in the medical assistance program.

AB150-ASA, s. 2952g Section 2952g. 49.45 (3) (e) 7m. of the statutes is created to read:

AB150-ASA,971,17 49.45 (3) (e) 7m. Notwithstanding subd. 7., the daily reimbursement or payment rate for services at a hospital established under s. 45.375 (1) provided to medical assistance recipients whose continued hospitalization is no longer medically necessary or appropriate during a period where the recipient awaits placement in an alternate custodial living arrangement shall be the skilled nursing facility rate paid to the facility created under s. 45.365 (1).

AB150-ASA, s. 2953 Section 2953. 49.45 (5) of the statutes is amended to read:

AB150-ASA,971,22 49.45 (5) Appeal. Any person whose application for medical assistance is denied or is not acted upon promptly or who believes that the payments made in the person's behalf have not been properly determined may file an appeal with the department pursuant to s. 49.50 (8) 49.21 (1).

AB150-ASA, s. 2954 Section 2954. 49.45 (5m) (a) of the statutes is amended to read:

AB150-ASA,972,5 49.45 (5m) (a) Notwithstanding sub. (3) (e), from the appropriations under s. 20.435 (1) (b) and (o) the department shall distribute not more than $2,256,000 in each of fiscal years 1993-94 and 1994-95 year, to provide supplemental funds to rural hospitals that, as determined by the department, have high utilization of inpatient services by patients whose care is provided from governmental sources, except that the department may not distribute funds to a rural hospital to the extent that the distribution would exceed any limitation under 42 USC 1396b (i) (3).

AB150-ASA, s. 2955 Section 2955. 49.45 (6b) (a) of the statutes is amended to read:

AB150-ASA,972,9 49.45 (6b) (a) Beginning in fiscal year 1994-95 1995-96, for relocations from the central Wisconsin center for the developmentally disabled, by $55.77 $220 per day.

AB150-ASA, s. 2956 Section 2956. 49.45 (6b) (b) of the statutes is amended to read:

AB150-ASA,972,13 49.45 (6b) (b) Beginning in fiscal year 1994-95 1995-96, for relocations from the northern Wisconsin center for the developmentally disabled, by $49.06 $214 per day.

AB150-ASA, s. 2957 Section 2957. 49.45 (6b) (c) of the statutes is amended to read:

AB150-ASA,972,17 49.45 (6b) (c) Beginning in fiscal year 1994-95 1995-96, for relocations from the southern Wisconsin center for the developmentally disabled, by $48.37 $164 per day.

AB150-ASA, s. 2960 Section 2960. 49.45 (6m) (ag) 3m. of the statutes is amended to read:

AB150-ASA,972,23 49.45 (6m) (ag) 3m. For state fiscal year 1993-94 1995-96, rates that shall be set by the department based on information from cost reports for the 1992 1994 fiscal year of the facility and for state fiscal year 1994-95 1996-97, rates that shall be set by the department based on information from cost reports for the 1993 1995 fiscal year of the facility.

AB150-ASA, s. 2961 Section 2961. 49.45 (6m) (ag) 8. of the statutes is amended to read:

AB150-ASA,973,11 49.45 (6m) (ag) 8. Calculation of total payments and supplementary payments to facilities that permits an increase in funds allocated under s. 20.435 (1) (b) and (o) for nursing home care provided medical assistance recipients over that paid for services provided in state fiscal year 1992-93 1994-95 of no more than 3.58% 4.25% during state fiscal year 1993-94 1995-96 and over that paid for services provided in state fiscal year 1993-94 1995-96 of no more than 3.57% 3.5% during state fiscal year 1994-95 1996-97, excluding increases in total payments attributable to increases in recipient utilization of facility care, payments for the provision of active treatment to facility residents with developmental disability or chronic mental illness and payments for preadmission screening of facility applicants and annual reviews of facility residents required under 42 USC 1396r (e).

AB150-ASA, s. 2962 Section 2962. 49.45 (6m) (am) 5. of the statutes is amended to read:

AB150-ASA,973,16 49.45 (6m) (am) 5. Allowable administrative and general costs, including costs related to the facility's overall management and administration and allowable expenses that are not recognized or reimbursed in other cost centers and including the costs of commercial estimators approved by the department under par. (ar) 6.