2019 WISCONSIN ACT 186
An Act to amend 49.45 (9r) (a) 2.; and to create 49.45 (9r) (d) of the statutes; relating to: reimbursement under the Medical Assistance program for complex rehabilitation technology.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
49.45 (9r) (a) 2. of the statutes is amended to read:
49.45 (9r) (a) 2. “Complex rehabilitation technology" means items classified within Medicare as durable medical equipment that are individually configured for individuals to meet their specific and unique medical, physical, and functional needs and capacities for basic activities of daily living and instrumental activities of daily living identified as medically necessary. “Complex rehabilitation technology” includes complex rehabilitation manual and power wheelchairs, adaptive seating and positioning items, and other specialized equipment such as standing frames and gait trainers, power seat elevation or power standing components of power wheelchairs, as well as options and accessories related to any of these items.
49.45 (9r) (d) of the statutes is created to read:
49.45 (9r) (d) When reviewing prior authorization requests for complex rehabilitation technology items, the department and managed care plans shall act within 10 working days of receiving complete, clinically relevant written documentation necessary to make a determination.