AB150,1000,1915 49.02 (6g) (title) Liability of recipients. No individual who receives treatment
16or hospitalization under sub. (5) emergency medical relief may be liable for the
17difference between the costs of the treatment or hospitalization emergency medical
18relief charged by the health care provider and the amount paid by the general
19emergency medical relief agency.

AB150,1000,2221 49.02 (6m) Notwithstanding ss. 49.002 (2) and 49.01 (5m), a general relief
22agency is not required to provide services described in s. 51.42 (3) (ar) 4.

AB150,1001,53 49.02 (5) (cm) Notwithstanding ss. 49.002 (2) and 49.01 (5m), a general An
4emergency medical relief agency is not required to provide services described in s.
551.42 (3) (ar) 4.

AB150,1001,88 49.02 (7) (title) Administration of emergency medical relief.

AB150,1001,1611 49.02 (7) (b) Whenever the authorities charged with the administration of this
12section have reason to believe that a person receiving emergency medical relief is
13engaging in conduct or behavior prohibited in ch. 944 or ss. 940.225, 948.02, 948.025
14or 948.06 to 948.11 they shall promptly notify the law enforcement officials of the
15county thereof, including facts relating to such person's alleged misconduct or illegal
16behavior.

AB150,1001,2018 49.02 (7) (a) The department shall promulgate rules regarding the
19administration of emergency medical relief. The rules shall include all of the
20following:

AB150,1001,2221 1. Procedures that counties, tribal governing bodies and hospitals providing
22emergency medical relief shall follow in making eligibility determinations.

AB150,1002,4

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12. Procedures that counties and tribal governing bodies shall follow to obtain
2partial reimbursement for emergency medical relief expenses under s. 49.035 and
3procedures for determining the portion of medical costs under s. 49.035 (2) (cm) that
4are attributable to emergency medical care.

AB150,1002,65 3. Procedures for appealing eligibility determinations under s. 49.015. These
6procedures shall include provision for notice, fair hearing and review.

AB150,1002,129 49.015 (2m) (title) Ineligibility due to medical assistance divestment. Any
10person found ineligible for medical assistance because of the divestment provisions
11under s. 49.453 is ineligible for medical care under this section emergency medical
12relief for the same period during which ineligibility exists under s. 49.453.

AB150,1002,2016 49.02 (5) (bm) Except as provided under par. (b), a A county or tribal governing
17body shall limit its liability for medical or dental care furnished as general
18emergency medical relief, including emergency care provided under sub. (5), to the
19amount payable by medical assistance under ss. 49.43 to 49.47 for care for which a
20medical assistance rate exists.

AB150,1003,224 49.02 (11) (title) Checking eligibility with department of transportation
25records. A general An emergency medical relief agency may use vehicle registration

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1information from the department of transportation in determining eligibility for
2general emergency medical relief.

AB150,1003,6 649.035 (title) State aid for general emergency medical relief.

AB150,1003,1110 49.035 (1) (intro.) As provided in sub. (4e), the The department shall
11reimburse, as provided in sub. (4e), except for medical costs:

AB150,1003,1513 49.035 (1m) State reimbursement percentages for tribal governing bodies.
14From the appropriation under s. 20.435 (4) (e), the department shall reimburse a
15tribal governing body for 100% of eligible emergency medical relief costs.

AB150,1003,1817 49.035 (2) (intro.) As Except as provided in sub. (4e) (3), the department shall
18reimburse, as provided in sub. (4e), for general relief medical costs:

AB150,1004,3

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149.035 (2) (title) State reimbursement percentages for counties. (intro.)
2Except as provided in sub. (3), the department shall reimburse, as provided in sub.
3(4e), for general emergency medical relief medical costs:

AB150,1004,75 49.035 (2) (b) 7. Up to 40% of eligible emergency medical relief costs incurred
6by the county on behalf of an individual client that are not more than $10,000 per
7claim period.

AB150,1004,109 49.035 (2) (b) 8. Up to 70% of eligible emergency medical relief costs incurred
10by the county on behalf of an individual client that exceed $10,000 per claim period.

AB150,1004,1812 49.035 (2) (cm) (intro.) A If a county operates a comprehensive medical relief
13program in addition to an emergency medical relief program and if the county enrolls
14participants in these programs in a prepaid health care system with a uniform fee
15per person, a county for up to 60% of the eligible portion of the medical costs for
16individual clients who are enrolled in a prepaid health care system with a uniform
17fee per person these participants that are attributable to emergency medical care,
18if the following requirements are met:

AB150,1005,320 49.035 (2) (cm) 3. The county offers a full range of medical or dental care
21furnished by the general relief agency as general relief, including emergency medical
22treatment and hospitalization, must be available for general relief clients under a
23contract between a general care to all persons eligible for emergency medical relief

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1under s. 49.015 under a contract between the emergency medical relief agency and
2a health maintenance organization for provision of general relief medical treatment
3and hospitalization.

AB150,1005,65 49.035 (3) The state may not reimburse a county under this section for the costs
6of providing services described in s. 51.42 (3) (ar) 4.

AB150,1005,119 49.035 (3) (title) Limitation on state reimbursement. The state may not
10reimburse a county or a tribal governing body under this section for the costs of
11providing services described in s. 51.42 (3) (ar) 4.

AB150,1005,1313 49.035 (4) (title) Filing of reimbursement claims.

AB150,1005,1816 49.035 (4) (b) Claims for reimbursement under subs. (1) and sub. (2) shall be
17filed with the department by March 1 of the year immediately following the calendar
18year in which the costs were incurred.

AB150,1005,2220 49.035 (4) (a) The department, after consulting with all elected tribal
21governing bodies in this state, shall promulgate rules establishing requirements for
22filing claims for reimbursement under sub. (1m).

AB150,1006,2

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149.035 (4e) (title) Treatment of certain payments to county hospitals and
2mental health complexes.

AB150,1006,114 49.035 (4e) (a) If claims for eligible general emergency medical relief costs at
5the maximum rates under subs. (1) and sub. (2) do not exceed the total of the funds
6available under s. 20.435 (4) (eb) and the payments to county hospitals and county
7mental health complexes under par. (c) for that fiscal year, the department shall
8determine the amount of a county's reimbursement from the appropriation under s.
920.435 (4) (eb) by applying the maximum rates under subs. (1) and sub. (2) to the
10county's eligible costs and subtracting the amount paid to county hospitals and
11county mental health complexes in the county under par. (c).

AB150,1006,2114 49.035 (4e) (a) If claims for eligible emergency medical relief costs at the
15maximum rates under sub. (2) do not exceed the total of the funds available under
16s. 20.435 (4) (eb) (1) (cb) and the payments to county hospitals and county mental
17health complexes under par. (c) for that fiscal year, the department shall determine
18the amount of a county's reimbursement from the appropriation under s. 20.435 (4)
19(eb) (1) (cb) by applying the maximum rates under sub. (2) to the county's eligible
20costs and subtracting the amount paid to county hospitals and county mental health
21complexes in the county under par. (c).

AB150,1007,9

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149.035 (4e) (b) If claims for eligible general emergency medical relief costs at
2the maximum rates under subs. (1) and sub. (2) do exceed the total of the funds
3available under s. 20.435 (4) (eb) and the payments to county hospitals and county
4mental health complexes under par. (c) for that fiscal year, the department shall
5prorate the funds available under s. 20.435 (4) (eb) among the counties. Under this
6paragraph, the department shall determine the amount of a county's reimbursement
7from the appropriation under s. 20.435 (4) (eb) by subtracting the amount paid to
8county hospitals and county mental health complexes in the county under par. (c)
9from its prorated share of the funds available under s. 20.435 (4) (eb).

AB150,1007,2012 49.035 (4e) (b) If claims for eligible emergency medical relief costs at the
13maximum rates under sub. (2) do exceed the total of the funds available under s.
1420.435 (4) (eb) (1) (cb) and the payments to county hospitals and county mental
15health complexes under par. (c) for that fiscal year, the department shall prorate the
16funds available under s. 20.435 (4) (eb) (1) (cb) among the counties. Under this
17paragraph, the department shall determine the amount of a county's reimbursement
18from the appropriation under s. 20.435 (4) (eb) (1) (cb) by subtracting the amount
19paid to county hospitals and county mental health complexes in the county under
20par. (c) from its prorated share of the funds available under s. 20.435 (4) (eb) (1) (cb).

AB150,1008,422 49.035 (4e) (c) The department shall distribute the payments under s. 49.45
23(6y) and (6z) to county hospitals and county mental health complexes that qualify for

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1these payments at the time that the county is paid under par. (a) or (b). For the year
2for which the payment under par. (a) or (b) is made, the county shall treat the
3payments to county hospitals and county mental health complexes as
4reimbursement for general emergency medical relief claims under sub. (4) (b).

AB150,1008,116 49.035 (4m) (title) Deadline for reimbursement. The department shall
7reimburse the general emergency medical relief agency for claims submitted under
8sub. (4) (b) on or before the July 31 immediately following the March 1 filing date or
9within 30 days after the effective date of the act that provides funding for the general
10emergency medical relief appropriation from which general emergency medical
11relief claims for reimbursement are paid, whichever is later.

AB150,1008,1613 49.035 (5m) (title) Uniform reporting system. The department shall establish
14a uniform reporting system for use by counties and tribal governing bodies to provide
15the department with case and fiscal information relating to general emergency
16medical relief costs.

AB150,1008,2118 49.035 (6) (title) Reimbursement requirements. (intro.) No county or tribal
19governing body may receive reimbursement for any general emergency medical
20relief expenditures unless the county or tribal governing body does all of the
21following:

AB150,1009,524 49.035 (6) (b) Develops and files with the department on or before October 1
25of each year a an emergency medical cost containment plan for the subsequent

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1calendar year. The plan shall include provisions limiting the inappropriate use of
2emergency room care and controlling payments to providers and may include
3provisions on supplying case management services. The department shall approve
4or disapprove the plan within a reasonable period of time after the plan is timely
5filed.