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LRB-5492/1
TJD:wlj
2017 - 2018 LEGISLATURE
March 7, 2018 - Introduced by Senators Vinehout, Ringhand and L. Taylor,
cosponsored by Representatives Barca, Spreitzer, Berceau, Subeck and
Sargent. Referred to Committee on Health and Human Services.
SB865,1,2 1An Act to create 13.94 (1) (nm) of the statutes; relating to: nonemergency
2medical transportation for Medical Assistance recipients in certain counties.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services, to the extent permitted
by the contract, to modify the current contract for the arrangement and
reimbursement of nonemergency medical transportation for Medical Assistance
recipients to exclude Medical Assistance recipients who reside in Buffalo, Eau
Claire, Jefferson, Kenosha, Milwaukee, Ozaukee, Pepin, Racine, Rock,
Trempealeau, Walworth, Washington, and Waukesha counties from the contract
unless the county chooses to remain under the original contract. If DHS modifies the
contract, it must make alternative arrangements with counties, health maintenance
organizations, or transportation providers to provided nonemergency medical
transportation services to Medical Assistance recipients residing in those counties.
Medical Assistance is administered by DHS and is a joint federal and state program
that provides health services to individuals who have limited financial resources.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB865,1 3Section 1. 13.94 (1) (nm) of the statutes is created to read:
SB865,2,5
113.94 (1) (nm) No later than February 1, 2021, prepare a financial and
2performance evaluation audit of the nonemergency medical transportation program
3for Medical Assistance recipients including a comparison of services provided under
4an alternative arrangement made under 2017 Wisconsin Act .... (this act), section 2,
5to services provided under a contract other than the alternative arrangement.
SB865,2 6Section 2 . Nonstatutory provisions.
SB865,2,77 (1) Medical Assistance nonemergency medical transportation.
SB865,2,158 (a) The department of health services shall, to the extent permitted by the
9contract, modify the contract that is in effect on the effective date of this paragraph
10for the arrangement and reimbursement of nonemergency medical transportation
11services to recipients of Medical Assistance under subchapter IV of chapter 49 of the
12statutes to exclude recipients of Medical Assistance residing in Buffalo, Eau Claire,
13Jefferson, Kenosha, Milwaukee, Ozaukee, Pepin, Racine, Rock, Trempealeau,
14Walworth, Washington, and Waukesha counties from that contract unless the county
15chooses to remain under the original contract.
SB865,3,616 (b) If the department of health services modifies the contract under paragraph
17(a), the department of health services shall make alternative arrangements with
18counties, health maintenance organizations, or transportation providers to provide
19nonemergency medical transportation services to Medical Assistance recipients who
20reside in the counties specified in paragraph (a ), except any county that chooses to
21remain under the original contract, no later than January 1, 2019. The department
22of health services shall include in any contract for alternative arrangements under
23this paragraph a requirement that the nonemergency medical transportation
24provider submit to the department of health services information substantially
25similar to the information required under the original contract including trip log

1data, summary information on all calls for services and contacts with Medical
2Assistance recipients, encounter data based on Centers for Medicare and Medicaid
3Services 1500 claim form data, network provider information, accident and moving
4violation reports, vehicle reports, complaint summary reports, telecommunications
5system reports, annual fiscal audit reports, and daily reports including numbers of
6trips, cancelled trips, denied trips, and complaints.
SB865,3,77 (End)
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