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AB40-ASA1,612,210 49.68 (3) (b) From the appropriation accounts under ss. 20.435 (4) (e) and (je),
11the state shall pay the cost of, at a rate determined by the department under par. (e),
12for
medical treatment that is required as a direct result of chronic renal disease of
13certified patients from the date of certification, including the cost of administering
14recombinant human erythropoietin to appropriate patients, whether the treatment
15is rendered in an approved facility in the state or in a dialysis or transplantation
16center which that is approved as such by a contiguous state, subject to the conditions
17specified under par. (d). Approved facilities may include a hospital in-center dialysis
18unit or a nonhospital dialysis center which that is closely affiliated with a home
19dialysis program supervised by an approved facility. Aid shall also be provided for
20all reasonable expenses incurred by a potential living-related donor, including
21evaluation, hospitalization, surgical costs, and postoperative follow-up to the extent
22that these costs are not reimbursable under the federal medicare program or other
23insurance. In addition, all expenses incurred in the procurement, transportation,
24and preservation of cadaveric donor kidneys shall be covered to the extent that these

1costs are not otherwise reimbursable. All donor-related costs are chargeable to the
2recipient and reimbursable under this subsection.
AB40-ASA1, s. 1479 3Section 1479. 49.68 (3) (e) of the statutes is amended to read:
AB40-ASA1,612,164 49.68 (3) (e) State aids Payment for services provided under this section shall
5be equal to at a rate determined by the department that does not exceed the allowable
6charges under the federal Medicare program. In no case shall state rates for
7individual service elements exceed the federally defined allowable costs. The rate
8of charges for services not covered by public and private insurance shall not exceed
9the reasonable charges as established by medicare Medicare fee determination
10procedures. A person that provides to a patient a service for which aid is provided
11under this section shall accept the amount paid under this section for the service as
12payment in full and may not bill the patient for any amount by which the charge for
13the service exceeds the amount paid for the service under this section. The state may
14not pay for the cost of travel, lodging, or meals for persons who must travel to receive
15inpatient and outpatient dialysis treatment for kidney disease. This paragraph shall
16not apply to donor related costs as defined in par. (b).
AB40-ASA1, s. 1486m 17Section 1486m. 49.78 (1) (br) of the statutes is created to read:
AB40-ASA1,612,2018 49.78 (1) (br) "Multicounty consortium" means a group of counties that is
19approved by the department under sub. (1m) to administer income maintenance
20programs.
AB40-ASA1, s. 1487m 21Section 1487m. 49.78 (1m) of the statutes is created to read:
AB40-ASA1,612,2422 49.78 (1m) Multicounty consortia. (a) Except as provided in par. (c), each
23county with a population of less than 750,000 shall participate in a multicounty
24consortium that is approved by the department under par. (b).
AB40-ASA1,613,2
1(b) By October 31, 2011, the department shall approve multicounty consortia.
2The department may not approve more than 10 multicounty consortia.
AB40-ASA1,613,103 (c) If a county with a population of less than 750,000 does not participate in a
4multicounty consortium or the department determines that a multicounty
5consortium does not satisfy the department's performance requirements, the
6department shall assume responsibility for administering income maintenance
7programs in that county or in the geographical area of the multicounty consortium.
8The department may provide income maintenance program administration under
9this paragraph by contracting with another multicounty consortium or by providing
10the administrative services with state resources and employees.
AB40-ASA1,613,1711 (d) If the department assumes responsibility for administering income
12maintenance programs in a county or in the geographical area of the multicounty
13consortium under par. (c), any county for which the department administers income
14maintenance programs shall pay to the department the amount that the county
15expended for the administration of income maintenance programs in calendar year
162009. For the purposes of this paragraph, Kenosha County expended $673,000 for
17the administration of income maintenance programs in calendar year 2009.
AB40-ASA1, s. 1488m 18Section 1488m. 49.78 (1r) of the statutes is created to read:
AB40-ASA1,613,2219 49.78 (1r) Single county consortia. The department shall administer income
20maintenance programs in a county with a population of 750,000 or more as a
21single-county consortium, including the administrative functions specified in sub.
22(2) (b) 1.
AB40-ASA1, s. 1489m 23Section 1489m. 49.78 (2) (title) of the statutes is amended to read:
AB40-ASA1,613,2424 49.78 (2) (title) Contracts with multicounty consortia.
AB40-ASA1, s. 1490m
1Section 1490m. 49.78 (2) of the statutes is renumbered 49.78 (2) (a) and
2amended to read:
AB40-ASA1,614,103 49.78 (2) (a) Annually, for the income maintenance program functions, if any,
4that the department delegates to a county or tribal governing body beginning with
5contracts for 2012
, the department and county department under s. 46.215, 46.22,
6or 46.23
shall enter into a contract, and the department and tribal governing body
7may enter into a contract, for reimbursement of the county department or tribal
8governing body for the reasonable cost of administering
with each multicounty
9consortium to administer
income maintenance programs in the multicounty
10consortium's geographical area
.
AB40-ASA1, s. 1491m 11Section 1491m. 49.78 (2) (b) of the statutes is created to read:
AB40-ASA1,614,1212 49.78 (2) (b) A contract under par. (a) shall provide all of the following:
AB40-ASA1,614,1413 1. That the multicounty consortia shall be responsible for all of the following
14administrative functions related to income maintenance programs:
AB40-ASA1,614,1515 a. Operating and maintaining a call center.
AB40-ASA1,614,1616 b. Conducting application processing and eligibility determinations.
AB40-ASA1,614,1717 c. Conducting ongoing case management.
AB40-ASA1,614,1818 d. Providing lobby services.
AB40-ASA1,614,2019 2. That the department and multicounty consortia shall cooperate to provide
20the following administrative functions related to the income maintenance programs:
AB40-ASA1,614,2121 a. Conducting subrogation and benefit recovery efforts.
AB40-ASA1,614,2222 b. Participating in fair hearings.
AB40-ASA1,614,2323 c. Conducting fraud prevention and identification activities.
AB40-ASA1,614,2524 3. That the department will reimburse a multicounty consortium for services
25provided under the contract on a risk-adjusted case load basis.
AB40-ASA1, s. 1492m
1Section 1492m. 49.78 (2m) of the statutes is created to read:
AB40-ASA1,615,62 49.78 (2m) Administration by a tribal governing body. (a) A tribal governing
3body may administer income maintenance programs by electing to have the
4department administer the tribe's income maintenance programs or by providing the
5required administrative services and entering into a contract with the department
6for reimbursement under par. (b).
AB40-ASA1,615,117 (b) Annually, for the income maintenance administrative program functions,
8if any, that the department delegates to a tribal governing body, the department and
9tribal governing body may enter into a contract, for reimbursement of the tribal
10governing body for the reasonable cost of administering income maintenance
11programs.
AB40-ASA1,615,1612 (c) The amount of each reimbursement paid under a contract entered into par.
13(b) shall be calculated using a formula based on workload within the limits of state
14and federal funds. The department may adjust reimbursement amounts determined
15under the contract for workload changes and computer network activities performed
16by a tribal governing body.
AB40-ASA1, s. 1493m 17Section 1493m. 49.78 (2r) of the statutes is created to read:
AB40-ASA1,615,2018 49.78 (2r) Departmental administrative functions. The department shall
19perform all of the following administrative functions related to income maintenance
20programs:
AB40-ASA1,615,2121 (a) Providing income maintenance worker training.
AB40-ASA1,615,2222 (b) Performing 2nd-party reviews.
AB40-ASA1,615,2323 (c) Administering the funeral expenses program under s. 49.785.
AB40-ASA1,615,2524 (d) Providing information technology and licenses for call centers that are
25operated by multicounty consortia.
AB40-ASA1,616,2
1(e) Maintaining the client assistance reemployment and economic support
2system.
AB40-ASA1,616,43 (f) Contracting with multicounty consortia under sub. (2), including
4establishing performance requirements.
AB40-ASA1,616,65 (g) Contracting with tribal governing bodies under sub. (2m), including
6establishing performance requirements.
AB40-ASA1,616,97 (h) Monitoring contracts with multicounty consortia and tribal governing
8bodies, including compliance with performance standards and federal and other
9reporting requirements.
AB40-ASA1,616,1010 (i) Operating a centralized document processing unit.
AB40-ASA1, s. 1494m 11Section 1494m. 49.78 (8) (a) of the statutes is amended to read:
AB40-ASA1,616,2412 49.78 (8) (a) From the appropriation accounts appropriations under s. 20.435
13(4) (bn) and (nn) and subject to par. (b), the department shall provide funding to
14reimburse each county multicounty consortium that contracts with the department
15under sub. (2)
and each tribal governing body that contracts with the department
16under sub. (2) (2m) for reasonable the costs of administering the income maintenance
17programs, including conducting fraud prevention activities. The amount of each
18reimbursement paid under this paragraph shall be calculated using a formula based
19on workload within the limits of available state and federal funds under s. 20.435 (4)
20(bn) and (nn) by contract under sub. (2)
, in accordance with the terms of the
21applicable contract
. The amount of reimbursement calculated under this paragraph
22and par. (b) is in addition to any reimbursement provided to a county , multicounty
23consortium,
or tribal governing body for fraud and error reduction under s. 49.197
24or 49.845.
AB40-ASA1, s. 1495m 25Section 1495m. 49.78 (8) (b) of the statutes is amended to read:
AB40-ASA1,617,5
149.78 (8) (b) The department may adjust the amounts determined under par.
2(a) for workload changes and computer network activities performed by a county or
3tribal governing body and
may reduce the amount of any reimbursement if federal
4reimbursement is withheld due to audits, quality control samples, or program
5reviews.
AB40-ASA1, s. 1496m 6Section 1496m. 49.78 (10) (title) of the statutes is amended to read:
AB40-ASA1,617,77 49.78 (10) (title) County Reimbursement certification.
AB40-ASA1, s. 1497m 8Section 1497m. 49.78 (10) (a) of the statutes is amended to read:
AB40-ASA1,617,219 49.78 (10) (a) Each county treasurer and director of a county department under
10s. 46.215, 46.22, or 46.23
An authorized representative from each multicounty
11consortium
that contracts with the department under sub. (2) and each tribal
12governing body that contracts with the department under sub. (2) (2m) shall certify
13monthly under oath to the department in such manner as the department prescribes
14the claim of the county multicounty consortium or tribal governing body for state
15reimbursement under sub. (8) (a). The department shall review each claim of
16reimbursement and, if the department approves the claim, the department shall
17certify to the department of administration for reimbursement to the county
18multicounty consortium or tribal governing body for amounts due under sub. (8) (a)
19and payment claimed to be made to the counties multicounty consortia or tribal
20governing bodies monthly. The department may make advance payments prior to
21the beginning of each month equal to one-twelfth of the contracted amount.
AB40-ASA1, s. 1498m 22Section 1498m. 49.78 (10) (b) of the statutes is amended to read:
AB40-ASA1,618,623 49.78 (10) (b) To facilitate prompt reimbursement the certificate of the
24department may be based on the certified statements of the county officers
25authorized representatives of multicounty consortia or tribal governing body

1executives filed under par. (a). Funds recovered from audit adjustments from a prior
2fiscal year may be included in subsequent certifications only to pay counties or
3multicounty consortia
owed funds as a result of any audit adjustment. By September
430 annually, the department shall submit a report to the appropriate standing
5committees under s. 13.172 (3) on funds recovered and paid out during the previous
6calendar year as a result of audit adjustments.
AB40-ASA1, s. 1499m 7Section 1499m. 49.78 (11) (a) of the statutes is amended to read:
AB40-ASA1,618,208 49.78 (11) (a) 1. The department, a county department under s. 46.215, 46.22,
9or 46.23, a multicounty consortium, or a tribal governing body may request from any
10person in this state information it determines appropriate and necessary for
11determining or verifying eligibility or benefits for a recipient under any income
12maintenance program. Unless access to the information is prohibited or restricted
13by law, or unless the person has good cause, as determined by the department in
14accordance with federal law and regulations, for refusing to cooperate, the person
15shall make a good faith effort to provide the information within 7 days after receiving
16a request under this paragraph. The department, county department, multicounty
17consortium,
or tribal governing body, or employees of any of them, may not disclose
18information obtained under this subdivision for any purpose not connected with the
19administration of the income maintenance program for which the information was
20requested.
AB40-ASA1,618,2421 2. In conjunction with any request for information under subd. 1., including a
22request made by subpoena under par. (b), the department, county department,
23multicounty consortium, or tribal governing body shall advise the person of the time
24by which the information must be provided.
AB40-ASA1, s. 1500m 25Section 1500m. 49.78 (11) (b) of the statutes is amended to read:
AB40-ASA1,619,5
149.78 (11) (b) The department, a county department, a multicounty
2consortium,
or a tribal governing body may issue a subpoena, in substantially the
3form authorized under s. 885.02, to compel the production of financial information
4or other documentary evidence for determining or verifying eligibility or benefits for
5a recipient under any income maintenance program.
AB40-ASA1, s. 1501m 6Section 1501m. 49.78 (11) (c) 1. of the statutes is amended to read:
AB40-ASA1,619,97 49.78 (11) (c) 1. Allowing access to financial or other records by the department,
8a county department, a multicounty consortium, or a tribal governing body in
9response to a request under par. (a) or a subpoena described in par. (b).
AB40-ASA1, s. 1502m 10Section 1502m. 49.78 (11) (c) 2. of the statutes is amended to read:
AB40-ASA1,619,1311 49.78 (11) (c) 2. Disclosing information from financial or other records to the
12department, a county department, a multicounty consortium, or a tribal governing
13body in response to a request under par. (a) or a subpoena described in par. (b).
AB40-ASA1, s. 1503m 14Section 1503m. 49.78 (11) (c) 3. of the statutes is amended to read:
AB40-ASA1,619,1915 49.78 (11) (c) 3. Any other action taken in good faith to comply with this
16subsection or a subpoena described in par. (b) or to comply with a request for
17information or access to records from the department, a county department, a
18multicounty consortium,
or a tribal governing body for determining or verifying
19eligibility or benefits for a recipient under any income maintenance program.
AB40-ASA1, s. 1504m 20Section 1504m. 49.785 (2) of the statutes is amended to read:
AB40-ASA1,620,621 49.785 (2) From the appropriation under s. 20.435 (4) (bn) (br), the department
22shall reimburse a county or applicable tribal governing body or organization for any
23amount that the county or applicable tribal governing body or organization is
24required to pay under sub. (1) if the county or applicable tribal governing body or
25organization complies with sub. (3). From the appropriation under s. 20.435 (4) (bn)

1(br), the department shall reimburse a county or applicable tribal governing body or
2organization for cemetery expenses or for funeral and burial expenses for a person
3described under sub. (1) that the county or applicable tribal governing body or
4organization is not required to pay under subs. (1) and (1m) only if the department
5approves the reimbursement due to unusual circumstances and if the county or
6applicable tribal governing body or organization complies with sub. (3).
AB40-ASA1, s. 1505m 7Section 1505m. 49.79 (1) (e) of the statutes is created to read:
AB40-ASA1,620,98 49.79 (1) (e) "Multicounty consortium" has the meaning given in s. 49.78 (1)
9(br).
AB40-ASA1, s. 1506m 10Section 1506m. 49.79 (3) of the statutes is amended to read:
AB40-ASA1,620,1411 49.79 (3) Liability for lost food coupons. (a) A county, multicounty
12consortium,
or federally recognized American Indian tribe is liable for all food stamp
13coupons lost, misappropriated, or destroyed while under the county's , consortium's,
14or tribe's direct control, except as provided in par. (b).
AB40-ASA1,620,1815 (b) A county, multicounty consortium, or federally recognized American Indian
16tribe is not liable for food stamp coupons lost in natural disasters if it provides
17evidence acceptable to the department that the coupons were destroyed and not
18redeemed.
AB40-ASA1,620,2219 (c) A county, multicounty consortium, or federally recognized American Indian
20tribe is liable for food stamp coupons mailed to residents of the county or counties
21that are in the multicounty consortium
or members of the tribe and lost in the mail
22due to incorrect information submitted to the department by the county or tribe.
AB40-ASA1, s. 1507m 23Section 1507m. 49.79 (4) of the statutes is amended to read:
AB40-ASA1,621,424 49.79 (4) Deductions from county income maintenance payments. The
25department shall withhold the value of food stamp losses for which a county,

1multicounty consortium,
or federally recognized American Indian tribe is liable
2under sub. (3) from the payment to the county, multicounty consortium, or tribe
3under income maintenance contracts under s. 49.78 and reimburse the federal
4government from the funds withheld.
AB40-ASA1, s. 1534 5Section 1534. 49.79 (8) of the statutes is amended to read:
AB40-ASA1,621,116 49.79 (8) Benefits for qualified aliens. The department shall not provide
7benefits under this section to a qualified alien who is ineligible for benefits under this
8section solely because of the application of 9 USC 1612 or 1613 according to a plan
9approved by the federal department of agriculture. This subsection does not apply
,
10except
to the extent that federal food stamp benefits for qualified aliens are restored
11required by the federal government.
AB40-ASA1, s. 1535m 12Section 1535m. 49.79 (9) (a) 1. of the statutes is amended to read:
AB40-ASA1,621,2313 49.79 (9) (a) 1. The department shall administer an employment and training
14program for recipients under the food stamp program and may contract under s.
1549.78
with county departments under ss. 46.215, 46.22, and 46.23, multicounty
16consortia,
and with tribal governing bodies to carry out the administrative functions.
17The department may contract, or a county department, multicounty consortium, or
18tribal governing body may subcontract, with a Wisconsin Works agency or another
19provider to administer the employment and training program under this subsection.
20Except as provided in subds. 2. and 3., the department may require able individuals
21who are 18 to 60 years of age who are not participants in a Wisconsin Works
22employment position to participate in the employment and training program under
23this subsection.
AB40-ASA1, s. 1536g 24Section 1536g. 49.793 (1) of the statutes is amended to read:
AB40-ASA1,622,6
149.793 (1) The department or a county or, a multicounty consortium, as defined
2in s. 49.78 (1) (br), or
an elected governing body of a federally recognized American
3Indian tribe or band acting on behalf of the department, may recover overpayments
4that arise from an overissuance of food coupons under the food stamp program
5administered under s. 46.215 (1) (k) or 46.22 (1) (b) 2. d. Recovery shall be made in
6accordance with 7 USC 2022.
AB40-ASA1, s. 1536m 7Section 1536m. 49.793 (2) (a) of the statutes is amended to read:
AB40-ASA1,622,168 49.793 (2) (a) Except as provided in par. (b), a county , multicounty consortium,
9as defined in s. 49.78 (1) (br),
or governing body of a federally recognized American
10Indian tribe may retain a portion of the amount of an overpayment the state is
11authorized to retain under 7 USC 2025 that is recovered under sub. (1) due to the
12efforts of an employee or officer of the county, multicounty consortium, or tribe. The
13department shall promulgate a rule establishing the portion of the amount of the
14overpayment that the county, multicounty consortium, or governing body may
15retain. This paragraph does not apply to recovery of an overpayment that was made
16as a result of state, county, multicounty consortium, or tribal governing body error.
AB40-ASA1, s. 1537m 17Section 1537m. 49.795 (1) (cm) of the statutes is created to read:
AB40-ASA1,622,1918 49.795 (1) (cm) "Multicounty consortium" has the meaning given in s. 49.78 (1)
19(br).
AB40-ASA1, s. 1538m 20Section 1538m. 49.795 (1) (e) 1. of the statutes is amended to read:
AB40-ASA1,622,2321 49.795 (1) (e) 1. An employee or officer of the federal government, the state, a
22county, a multicounty consortium, or a federally recognized American Indian tribe
23acting in the course of official duties in connection with the food stamp program.
AB40-ASA1, s. 1539m 24Section 1539m. 49.795 (1) (e) 2. of the statutes is amended to read:
AB40-ASA1,623,3
149.795 (1) (e) 2. A person acting in the course of duties under a contract with
2the federal government, the state, a county, a multicounty consortium, or a federally
3recognized American Indian tribe in connection with the food stamp program.
AB40-ASA1, s. 1540m 4Section 1540m. 49.795 (8) (d) 2. of the statutes is amended to read:
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