AB150,1072,1817 2. Agreement, by the county in which is located a county department that has
18an operating deficit, to provide funds to match federal medicaid funds.
AB150,1072,1919 3. Consideration of the size of a county department's operating deficit.
AB150,1072,2120 (c) Except as provided in par. (d), distribute the allocation under the
21distribution method that is developed.
AB150,1073,222 (d) If the federal department of health and human services approves for state
23expenditure in a fiscal year amounts under s. 20.435 (1) (o) that result in a lesser
24allocation amount than that allocated under this subsection or disallows use of the

1allocation of federal medicaid funds under par. (c), reduce allocations under this
2subsection and distribute on a prorated basis, as determined by the department.
AB150, s. 2976 3Section 2976. 49.45 (6u) (intro.) of the statutes is amended to read:
AB150,1073,104 49.45 (6u)Facility operating deficit reduction. (intro.) Except as provided
5in par. (g), from the appropriation under s. 20.435 (1) (o), for reduction of operating
6deficits, as defined under criteria developed by the department, incurred by a facility,
7as defined under sub. (6m) (a) 2., that is established under s. 49.14 (1) 49.70 (1) or
8that is owned and operated by a city, village or town, the department shall distribute
9to these facilities not more than $18,600,000 in each fiscal year, as determined by the
10department, and shall perform all of the following:
AB150, s. 2977 11Section 2977. 49.45 (6u) (b) 2. of the statutes is amended to read:
AB150,1073,1612 49.45 (6u) (b) 2. Agreement by the county in which is located the facility
13established under s. 49.14 (1) 49.70 (1) and agreement by the city, village or town that
14owns and operates the facility that the applicable county, city, village or town shall
15provide funds to match federal medical assistance matching funds under this
16subsection.
AB150, s. 2978 17Section 2978. 49.45 (6u) (b) 2m. of the statutes is amended to read:
AB150,1073,2118 49.45 (6u) (b) 2m. Identification by the county in which is located the facility
19established under s. 49.14 (1) 49.70 (1) of all county funds expended in each calendar
20year to operate the facility, and certification by the county to the department of this
21amount.
AB150, s. 2979 22Section 2979. 49.45 (6v) of the statutes is repealed.
AB150, s. 2980 23Section 2980. 49.45 (6w) (intro.) of the statutes is amended to read:
AB150,1074,524 49.45 (6w) Hospital operating deficit reduction. (intro.) From the
25appropriation under s. 20.435 (1) (o), for reduction of operating deficits, as defined

1under criteria developed by the department, incurred by a hospital, as defined under
2s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.16 or
3owned and operated by a city or village, the department shall allocate distribute,
4beginning July 1, 1996,
up to $3,300,000 $8,500,000 in each fiscal year to these
5hospitals, as determined by the department, and shall perform all of the following:
AB150, s. 2981 6Section 2981 . 49.45 (6w) (intro.) of the statutes, as affected by 1995 Wisconsin
7Act .... (this act), is amended to read:
AB150,1074,148 49.45 (6w)Hospital operating deficit reduction. (intro.) From the
9appropriation under s. 20.435 (1) (o), for reduction of operating deficits, as defined
10under criteria developed by the department, incurred by a hospital, as defined under
11s. 50.33 (2) (a) and (b), that is operated by the state, established under s. 49.16 49.71
12or owned and operated by a city or village, the department shall distribute, beginning
13July 1, 1996, up to $8,500,000 in each fiscal year to these hospitals, as determined
14by the department, and shall perform all of the following:
****Note: This is reconciled s. 49.45 (6w) (intro.). This Section has been affected by drafts
with the following LRB numbers: -2153/1 and -2413/2.
AB150, s. 2982 15Section 2982. 49.45 (6w) (a) 2. of the statutes is amended to read:
AB150,1074,1616 49.45 (6w) (a) 2. County funds, for a hospital established under s. 49.16 49.71.
AB150, s. 2983 17Section 2983. 49.45 (6w) (b) 2. b. of the statutes is amended to read:
AB150,1074,1918 49.45 (6w) (b) 2. b. Agreement to provide matching funds by the county in
19which is located a hospital established under s. 49.16 49.71.
AB150, s. 2984 20Section 2984. 49.45 (6x) (a) of the statutes is amended to read:
AB150,1075,321 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
2220.435 (1) (b) and (o) the department shall distribute not more than $4,748,000 in
23each of fiscal years 1993-94 and 1994-95 year, to provide funds to an essential access

1city hospital, except that the department may not allocate funds to an essential
2access city hospital to the extent that the allocation would exceed any limitation
3under 42 USC 1396b (i) (3).
AB150, s. 2985 4Section 2985. 49.45 (6y) (a) of the statutes is amended to read:
AB150,1075,105 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriations under s.
620.435 (1) (b) and (o) the department shall distribute funding in each fiscal year to
7provide supplemental payment to county hospitals and to county mental health
8complexes, as determined by the department, for inpatient hospital services that are
9not in excess of the hospitals' customary charges for the services, as limited under
1042 USC 1396b (i) (3).
AB150, s. 2986 11Section 2986. 49.45 (7) (d) 4. of the statutes is amended to read:
AB150,1075,1512 49.45 (7) (d) 4. The department's determination of serious misconduct under
13this subsection shall be cause for terminating the facility's participation in the
14state-funded portion of the medical assistance program under ss. 49.45 to 49.47 this
15subchapter
.
AB150, s. 2987 16Section 2987. 49.45 (8) (title) of the statutes is amended to read:
AB150,1075,1817 49.45 (8) (title) Home Per-visit limits on home health services
18reimbursement.
AB150, s. 2988 19Section 2988. 49.45 (8e) of the statutes is created to read:
AB150,1075,2420 49.45 (8e) Monthly limits on home health, and private-duty nursing services
21reimbursement.
(a) Except as provided in par. (b), reimbursement under s. 20.435
22(1) (b) and (o) for home health and private-duty nursing services provided to a
23medical assistance recipient in a month may not exceed the average monthly cost of
24nursing home care, as determined by the department.
AB150,1075,2525 (b) This subsection does not apply to any of the following:
AB150,1076,1
11. A medical assistance recipient under the age of 22.
AB150,1076,32 2. A ventilator-dependent individual under s. 49.46 (2) (b) 6. m. or 49.47 (6) (a)
31.
AB150,1076,74 3. An individual not covered under subds. 1. and 2., if the department
5determines that the cost of providing the individual with nursing home care would
6exceed the cost of providing the individual with home health and private-duty
7nursing services.
****Note: This is reconciled s. 49.45 (8e). It has been affected by drafts with the following
LRB numbers: -1137/2 and-2408/1.
AB150, s. 2989 8Section 2989. 49.45 (8m) (intro.) of the statutes is amended to read:
AB150,1076,149 49.45 (8m)Rates for respiratory care services. (intro.) Notwithstanding a
10determination by the department of a maximum rate
the limits under sub. subs. (8)
11and (8e), the rates under sub. (8) and rates charged by providers under s. 49.46 (2)
12(a) 4. d. that are not home health agencies, for reimbursement for respiratory care
13services for ventilator-dependent individuals under ss. 49.46 (2) (b) 6. m. and 49.47
14(6) (a) 1., shall be as follows:
AB150, s. 2990 15Section 2990. 49.45 (11) of the statutes is amended to read:
AB150,1076,1816 49.45 (11) Penalty. Any person who receives or assists another in receiving
17assistance under this section, to which the recipient is not entitled, shall be subject
18to the penalties under s. 49.12 49.95.
****Note: This is reconciled s. 49.45 (11). This Section has been affected by drafts with the
following LRB numbers: -1701/3 and -2153/1.
AB150, s. 2991 19Section 2991. 49.45 (12) (c) of the statutes is amended to read:
AB150,1077,420 49.45 (12) (c) The department shall request proposals for a system of
21machine-readable identification cards for medical assistance recipients and a
22computerized support system for the cards that will accept and respond to

1electronically conveyed requests from health care providers for information related
2to medical assistance recipients, such as eligibility, coverages and authorizations.
3The request for proposals shall specify that the systems are to be operating by
4January 1, 1996 1997.
AB150, s. 2992 5Section 2992. 49.45 (24m) (a) of the statutes is amended to read:
AB150,1077,96 49.45 (24m) (a) By September 1, 1990, select a county in this state and solicit
7bids from providers of home health care and personal care services in that county for
8the provision, on a contractual basis, of home health and personal care services
9authorized under ss. 49.46 (2) (a) 4. d. and (b) 6. j. and 49.47 (6) (a) 1.
AB150, s. 2993 10Section 2993. 49.45 (25) (am) of the statutes is renumbered 49.45 (25) (am)
11(intro.) and amended to read:
AB150,1077,1712 49.45 (25) (am) (intro.) Except as provided under pars. (be) and (bg) and sub.
13(24), case management services under s. 49.46 (2) (b) 9. and (bm) are reimbursable
14under medical assistance only if provided to a medical assistance beneficiary who
15receives case management services from or through a certified case management
16provider in a county, city, village or town that elects, under par. (b), to make the
17services available and who has meets at least one of the following conditions:
AB150,1077,18 181. Has a developmental disability, as defined under s. 51.01 (5) (a),.
AB150,1077,19 192. Has a chronic mental illness, as defined under s. 51.01 (3g), or.
AB150,1077,20 203. Has Alzheimer's disease, as defined under s. 46.87 (1) (a), is.
AB150,1077,21 214. Is an alcoholic, as defined under s. 51.01 (1) , or.
AB150,1077,22 225. Is drug dependent, as defined under s. 51.01 (8), is.
AB150,1077,23 236. Is physically disabled, as defined by the department, is.
AB150,1077,24 247. Is a severely emotionally disturbed child, is.
AB150,1077,25 258. Is age 65 or over or, after December 31, 1991, has.
AB150,1078,1
110. Has HIV infection, as defined in s. 252.01 (2).
AB150, s. 2994 2Section 2994. 49.45 (25) (am) 9. of the statutes is created to read:
AB150,1078,43 49.45 (25) (am) 9. Is a member of a family that has a child who is at risk of
4serious physical, mental or emotional dysfunction, as defined by the department.
AB150, s. 2995 5Section 2995. 49.45 (25) (am) 11. of the statutes is created to read:
AB150,1078,76 49.45 (25) (am) 11. Is a child who is eligible for early intervention services
7under s. 51.44.
AB150, s. 2996 8Section 2996. 49.45 (25) (am) 12. of the statutes is created to read:
AB150,1078,99 49.45 (25) (am) 12. Is infected with tuberculosis.
AB150, s. 2997 10Section 2997. 49.45 (25) (bg) of the statutes is amended to read:
AB150,1078,1811 49.45 (25) (bg) An independent living center, as defined in s. 46.96 (1) (a), that
12is a certified case management provider may elect to provide case management
13services to one or more of the categories of medical assistance beneficiaries specified
14under par. (am). The amount of allowable charges for the services under the medical
15assistance program that is not provided by the federal government shall be paid from
16nonfederal, public funds received by the independent living center from a county,
17city, village or town or from funds distributed under the appropriation under s.
1820.435 (5) (bm) or
as a grant under s. 46.96.
AB150, s. 2998 19Section 2998. 49.45 (25) (bm) (intro.) of the statutes is amended to read:
AB150,1078,2220 49.45 (25) (bm) (intro.) Case management services under this subsection may
21not be provided to a person under the category of severely emotionally disturbed
22child
par. (am) 7. unless any of the following is true:
AB150, s. 2999 23Section 2999. 49.45 (34) of the statutes is amended to read:
AB150,1079,324 49.45 (34) Medical assistance manual. The department shall prepare a
25medical assistance manual that is clear, comprehensive and consistent with ss. 49.43

1to 49.47
this subchapter and 42 USC 1396a to 1396u and shall, no later than July
21, 1992, provide the manual to counties for use by county employes who administer
3the medical assistance program.
AB150, s. 3000 4Section 3000. 49.45 (39) of the statutes is created to read:
AB150,1079,55 49.45 (39) School medical services. (a) Definitions. In this subsection:
AB150,1079,96 1. "School" means a public school described under s. 115.01 (1) or a charter
7school, as defined in s. 115.001 (1). It includes school-operated early childhood
8programs for developmentally delayed and disabled 4-year-old and 5-year-old
9children.
AB150,1079,1210 2. "School medical services" means health care services that are provided in a
11school to children who are eligible for medical assistance and that are appropriate
12to a school setting, under rules promulgated by the department.
AB150,1079,2213 (b) Payment for school medical services. If a school district elects to provide
14school medical services and meets all requirements under par. (c), the department
15shall reimburse the school district for the federal share of allowable charges for the
16school medical services that it provides and for allowable administrative costs. The
17department shall promulgate rules establishing a methodology for making
18reimbursements under this paragraph. All other expenses for the school medical
19services shall be paid for by the school district with funds received from state or local
20taxes. The school district shall comply with all requirements of the federal
21department of health and human services for receiving federal financial
22participation.
AB150,1079,2523 (c) Certification and reporting requirements. The department shall promulgate
24rules establishing specific certification and reporting requirements with respect to
25school medical services under this subsection.
AB150, s. 3001
1Section 3001. 49.45 (40) of the statutes is created to read:
AB150,1080,42 49.45 (40) Periodic record matches. The department shall cooperate with the
3department of industry, labor and human relations in matching records of medical
4assistance recipients under s. 49.32 (7).
AB150, s. 3002 5Section 3002. 49.45 (41) of the statutes is created to read:
AB150,1080,166 49.45 (41) Mental health crisis intervention services. A county, city, village
7or town may elect to make mental health crisis intervention services under this
8subsection available in the county, city, village or town to medical assistance
9recipients through the medical assistance program. A county, city, village or town
10that elects to make the services available shall reimburse the provider of the mental
11health crisis intervention services for the amount of the allowable charges for those
12services under the medical assistance program that is not provided by the federal
13government. The department shall reimburse the provider of mental health crisis
14intervention services under this subsection only for the amount of the allowable
15charges for those services under the medical assistance program that is provided by
16the federal government.
AB150, s. 3003 17Section 3003. 49.455 (4) (c) of the statutes is repealed and recreated to read:
AB150,1080,2318 49.455 (4) (c) 1. For all years other than 1996 and 1997, the minimum monthly
19maintenance needs allowance equals $1,500 increased by the same percentage as the
20percentage increase in the consumer price index between September 1988 and
21September of the year before the year involved. For 1996 and 1997, the minimum
22monthly maintenance needs allowance equals the lesser of the amount determined
23under subd. 2., or the sum of the following:
AB150,1080,2424 a. One-twelfth of 200% of the poverty line for a family of 2 persons.
AB150,1080,2525 b. Any excess shelter allowance under par. (d).
AB150,1081,4
12. The minimum monthly maintenance needs allowance in a year may not
2exceed $1,500 increased by the same percentage as the percentage increase in the
3consumer price index between September 1988 and September of the year before the
4year involved.
AB150,1081,75 3. In making the calculation under subd. 1. a., when the poverty line is revised
6the department shall use the revised amount starting on the first day of the 2nd
7calendar quarter beginning after the date of publication of the revision.
AB150, s. 3004 8Section 3004. 49.455 (4) (d) of the statutes is created to read:
AB150,1081,109 49.455 (4) (d) The excess shelter allowance equals the amount by which 30%
10of the amount determined under par. (c) 1. a. is exceeded by the sum of the following:
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