146.89(3)(b)7. 7. Referrals to health care specialists.
146.89(3)(b)8. 8. Dental services, including simple tooth extractions and any necessary suturing related to the extractions, performed by a dentist who is a volunteer health provider; and dental hygiene services, performed by a dental hygienist who is a volunteer health provider.
146.89(3)(c) (c) The nonprofit agency may not provide emergency medical services, hospitalization or surgery, except as provided in par. (b) 8.
146.89(3)(d) (d) The nonprofit agency shall provide health care services primarily to low-income persons who are uninsured and who are not recipients of any of the following:
146.89(3)(d)2. 2. Except as provided in sub. (3m), Medical Assistance under subch. IV of ch. 49.
146.89(3m) (3m) A volunteer health care provider who is a dentist may provide dental services or a volunteer health care provider who is a dental hygienist may provide dental hygiene services, to persons who are recipients of Medical Assistance, if all of the following apply:
146.89(3m)(a) (a) The nonprofit agency's fees for these services apply to the recipients and to persons who are not recipients of Medical Assistance.
146.89(3m)(b) (b) The agency accepts discounted payments, based on ability to pay, from the persons who are not Medical Assistance recipients.
146.89(3m)(c) (c) The volunteer health care provider is certified under s. 49.45 (2) (a) 11. a., the department has waived the requirement for certification, or the volunteer health care provider is not required to be certified under s. 49.45 (2) (a) 11. a.
146.89(4) (4) Volunteer health care providers who provide services under this section are, for the provision of these services, state agents of the department of health and family services for purposes of ss. 165.25 (6), 893.82 (3) and 895.46.
146.905 146.905 Reduction in fees prohibited.
146.905(1) (1) Except as provided in sub. (2), a health care provider, as defined in s. 146.81 (1), that provides a service or a product to an individual with coverage under a disability insurance policy, as defined in s. 632.895 (1) (a), may not reduce or eliminate or offer to reduce or eliminate coinsurance or a deductible required under the terms of the disability insurance policy.
146.905(2) (2)Subsection (1) does not apply if payment of the total fee would impose an undue financial hardship on the individual receiving the service or product.
146.905 History History: 1991 a. 250; 1995 a. 225.
146.91 146.91 Long-term care insurance.
146.91(1) (1) In this section, "long-term care insurance" means insurance that provides coverage both for an extended stay in a nursing home and home health services for a person with a chronic condition. The insurance may also provide coverage for other services that assist the insured person in living outside a nursing home including but not limited to adult day care and continuing care retirement communities.
146.91(2) (2) The department, with the advice of the council on long-term care insurance, the office of the commissioner of insurance, the board on aging and long-term care and the department of employee trust funds, shall design a program that includes the following:
146.91(2)(a) (a) Subsidizing premiums for persons purchasing long-term care insurance, based on the purchasers' ability to pay.
146.91(2)(b) (b) Reinsuring by the state of policies issued in this state by long-term care insurers.
146.91(2)(c) (c) Allowing persons to retain liquid assets in excess of the amounts specified in s. 49.47 (4) (b) 3g., 3m. and 3r., for purposes of medical assistance eligibility, if the persons purchase long-term care insurance.
146.91(3) (3) The department shall collect any data on health care costs and utilization that the department determines to be necessary to design the program under sub. (2).
146.91(5) (5) In designing the program, the department shall consult with the federal department of health and human services to determine the feasibility of procuring a waiver of federal law or regulations that will maximize use of federal medicaid funding for the program designed under sub. (2).
146.91(6) (6) The department, with the advice of the council on long-term care insurance, may examine use of tax incentives for the sale and purchase of long-term care insurance.
146.91 History History: 1987 a. 27; 1989 a. 56.
146.95 146.95 Patient visitation.
146.95(1)(1)Definitions. In this section:
146.95(1)(a) (a) "Health care provider" has the meaning given in s. 155.01 (7).
146.95(1)(b) (b) "Inpatient health care facility" has the meaning given in s. 252.14 (1) (d).
146.95(1)(c) (c) "Treatment facility" has the meaning given in s. 51.01 (19).
146.95(2) (2)Patient-designated visitors.
146.95(2)(a)(a) Any individual who is 18 years of age or older may identify to a health care provider at an inpatient health care facility at any time, either orally or in writing, those persons with whom the individual wishes to visit while the individual is a patient at the inpatient health care facility. Except as provided in par. (b), no inpatient health care facility may deny visitation during the inpatient health care facility's regular visiting hours to any person identified by the individual.
146.95(2)(b) (b) Subject to s. 51.61 for a treatment facility, an inpatient health care facility may deny visitation with a patient to any person if any of the following applies:
146.95(2)(b)1. 1. The inpatient health care facility or a health care provider determines that the patient may not receive any visitors.
146.95(2)(b)2. 2. The inpatient health care facility or a health care provider determines that the presence of the person would endanger the health or safety of the patient.
146.95(2)(b)3. 3. The inpatient health care facility determines that the presence of the person would interfere with the primary operations of the inpatient health care facility.
146.95(2)(b)4. 4. The patient has subsequently expressed in writing to a health care provider at the inpatient health care facility that the patient no longer wishes to visit with the person. Unless subd. 2. applies, an inpatient health care facility may not under this subdivision deny visitation to the person based on a claim by someone other than a health care provider that the patient has orally expressed that the patient no longer wishes to visit with that person.
146.95 History History: 1997 a. 153.
146.96 146.96 Uniform claim processing form. Beginning no later than July 1, 2004, every health care provider, as defined in s. 146.81 (1), shall use the uniform claim processing form developed by the commissioner of insurance under s. 601.41 (9) (b) when submitting a claim to an insurer.
146.96 History History: 2001 a. 109.
146.99 146.99 Assessments. The department shall, within 90 days after the commencement of each fiscal year, assess hospitals, as defined in s. 50.33 (2), a total of $1,500,000, in proportion to each hospital's respective gross private-pay patient revenues during the hospital's most recently concluded entire fiscal year. Each hospital shall pay its assessment on or before December 1 for the fiscal year. All payments of assessments shall be deposited in the appropriation under s. 20.435 (4) (gp).
146.995 146.995 Reporting of wounds and burn injuries.
146.995(1) (1) In this section:
146.995(1)(a) (a) "Crime" has the meaning specified in s. 949.01 (1).
146.995(1)(b) (b) "Inpatient health care facility" has the meaning specified in s. 50.135 (1).
146.995(2) (2)
146.995(2)(a)(a) Any person licensed, certified or registered by the state under ch. 441, 448 or 455 who treats a patient suffering from any of the following shall report in accordance with par. (b):
146.995(2)(a)1. 1. A gunshot wound.
146.995(2)(a)2. 2. Any wound other than a gunshot wound if the person has reasonable cause to believe that the wound occurred as a result of a crime.
146.995(2)(a)3. 3. Second-degree or 3rd-degree burns to at least 5% of the patient's body or, due to the inhalation of superheated air, swelling of the patient's larynx or a burn to the patient's upper respiratory tract, if the person has reasonable cause to believe that the burn occurred as a result of a crime.
146.995(2)(b) (b) For any mandatory report under par. (a), the person shall report the patient's name and the type of wound or burn injury involved as soon as reasonably possible to the local police department or county sheriff's office for the area where the treatment is rendered.
146.995(2)(c) (c) Any such person who intentionally fails to report as required under this subsection may be required to forfeit not more than $500.
146.995(3) (3) Any person reporting in good faith under sub. (2), and any inpatient health care facility that employs the person who reports, are immune from all civil and criminal liability that may result because of the report. In any proceeding, the good faith of any person reporting under this section shall be presumed.
146.995(4) (4) The reporting requirement under sub. (2) does not apply under any of the following circumstances:
146.995(4)(a) (a) The patient is accompanied by a law enforcement officer at the time treatment is rendered.
146.995(4)(b) (b) The patient's name and type of wound or burn injury have been previously reported under sub. (2).
146.995(4)(c) (c) The wound is a gunshot wound and appears to have occurred at least 30 days prior to the time of treatment.
146.995 History History: 1987 a. 233; 1991 a. 39; 1993 a. 27.
146.997 146.997 Health care worker protection.
146.997(1) (1)Definitions. In this section:
146.997(1)(a) (a) "Department" means the department of workforce development.
146.997(1)(b) (b) "Disciplinary action" has the meaning given in s. 230.80 (2).
146.997(1)(c) (c) "Health care facility" means a facility, as defined in s. 647.01 (4), or any hospital, nursing home, community-based residential facility, county home, county infirmary, county hospital, county mental health complex or other place licensed or approved by the department of health and family services under s. 49.70, 49.71, 49.72, 50.03, 50.35, 51.08 or 51.09 or a facility under s. 45.365, 51.05, 51.06, 233.40, 233.41, 233.42 or 252.10.
146.997(1)(d) (d) "Health care provider" means any of the following:
146.997(1)(d)1. 1. A nurse licensed under ch. 441.
146.997(1)(d)2. 2. A chiropractor licensed under ch. 446.
146.997(1)(d)3. 3. A dentist licensed under ch. 447.
146.997(1)(d)4. 4. A physician, podiatrist, perfusionist, physical therapist, or physical therapist assistant licensed under ch. 448.
146.997(1)(d)5. 5. An occupational therapist, occupational therapy assistant, physician assistant or respiratory care practitioner certified under ch. 448.
146.997(1)(d)6. 6. A dietician certified under subch. V of ch. 448.
146.997(1)(d)7. 7. An optometrist licensed under ch. 449.
146.997(1)(d)8. 8. A pharmacist licensed under ch. 450.
146.997(1)(d)9. 9. An acupuncturist certified under ch. 451.
146.997(1)(d)10. 10. A psychologist licensed under ch. 455.
146.997(1)(d)11. 11. A social worker, marriage and family therapist or professional counselor certified under ch. 457.
146.997(1)(d)12. 12. A speech-language pathologist or audiologist licensed under subch. II of ch. 459 or a speech and language pathologist licensed by the department of public instruction.
146.997(1)(d)13. 13. A massage therapist or bodyworker issued a certificate under ch. 460.
146.997(1)(d)14. 14. An emergency medical technician licensed under s. 146.50 (5) or a first responder.
146.997(1)(d)15. 15. A partnership of any providers specified under subds. 1. to 14.
146.997(1)(d)16. 16. A corporation or limited liability company of any providers specified under subds. 1. to 14. that provides health care services.
146.997(1)(d)17. 17. An operational cooperative sickness care plan organized under ss. 185.981 to 185.985 that directly provides services through salaried employees in its own facility.
146.997(1)(d)18. 18. A hospice licensed under subch. IV of ch. 50
146.997(1)(d)19. 19. A rural medical center, as defined in s. 50.50 (11).
146.997(1)(d)20. 20. A home health agency, as defined in s. 50.49 (1) (a).
146.997(2) (2)Reporting protected.
146.997(2)(a)(a) Any employee of a health care facility or of a health care provider who is aware of any information, the disclosure of which is not expressly prohibited by any state law or rule or any federal law or regulation, that would lead a reasonable person to believe any of the following may report that information to any agency, as defined in s. 111.32 (6) (a), of the state; to any professionally recognized accrediting or standard-setting body that has accredited, certified or otherwise approved the health care facility or health care provider; to any officer or director of the health care facility or health care provider; or to any employee of the health care facility or health care provider who is in a supervisory capacity or in a position to take corrective action:
146.997(2)(a)1. 1. That the health care facility or health care provider or any employee of the health care facility or health care provider has violated any state law or rule or federal law or regulation.
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This is an archival version of the Wis. Stats. database for 2003. See Are the Statutes on this Website Official?