AB56-ASA1,336,12
148.686
(4p) (c) Before the department completes its report under par. (a), a
2caregiver under sub. (1) (ag) 2. may submit a written request to the department for
3a preliminary report indicating whether a potential caregiver
, noncaregiver
4employee, or
nonclient resident household member is eligible to work or reside at a
5child care program under sub. (4m) (c). If the department receives such a request,
6it shall provide a written preliminary report to that caregiver indicating whether the
7individual is barred from
employment as a caregiver
working or
residence as a
8nonclient resident residing at a child care program on the basis of a background
9check under sub. (2) (am) 1. or 7. If the individual is ineligible
for employment or
10residence to work or reside at a child care program based on the results of the
11preliminary report, the department shall also provide a preliminary report to the
12individual containing information related to each disqualifying
crime offense.
AB56-ASA1,591
13Section 591
. 48.686 (4p) (d) of the statutes is amended to read:
AB56-ASA1,336,1614
48.686
(4p) (d) The results of a report under par. (c) may not be appealed by
15the individual until receipt of the department's report under par. (b) following
16completion of all components of the
criminal background check.
AB56-ASA1,592
17Section 592
. 48.686 (4s) (a) of the statutes is amended to read:
AB56-ASA1,336,2218
48.686
(4s) (a) An individual who is the subject of the department's report on
19the results of a
criminal background check may appeal the department's decision.
20Only the person who is the subject of the department's report may appeal the
21department's decision. Neither the child care program nor any other person may
22appeal the department's decision.
AB56-ASA1,593
23Section 593
. 48.686 (4s) (b) of the statutes is amended to read:
AB56-ASA1,337,424
48.686
(4s) (b) An appeal request shall be submitted to the department at the
25address, e-mail address, or fax number identified in the statement of appeal rights
1no later than
60 10 days after the date of the department's decision, unless the
2appellant requests, and the department grants, an extension for a specific amount
3of time prior to expiration of the
60 10 day appeal period. Extensions may be granted
4for good cause shown.
AB56-ASA1,594
5Section 594
. 48.686 (4s) (f) of the statutes is amended to read:
AB56-ASA1,337,76
48.686
(4s) (f) The department shall sustain the results of its
criminal 7background check report if supported by a preponderance of the available evidence.
AB56-ASA1,595
8Section 595
. 48.686 (4s) (m) of the statutes is amended to read:
AB56-ASA1,337,159
48.686
(4s) (m) Notwithstanding s. 19.35, the department may not publicly
10release or disclose the results of any
criminal individual background report it issues,
11except that the department may release aggregated data by crime as listed in sub.
12(1) (c) from
criminal background check results so long as the data does not contain
13personally identifiable information. The department may disclose and use
14information obtained in conducting
criminal background checks as necessary during
15an appeal or reconsideration under this subsection
or for another lawful purpose.
AB56-ASA1,596
16Section 596
. 48.686 (5) of the statutes is repealed and recreated to read:
AB56-ASA1,337,1917
48.686
(5) (a)
A person may have the opportunity to demonstrate his or her
18rehabilitation to the department or to a tribe authorized to conduct a rehabilitation
19review under sub. (5d) if any of the following apply:
AB56-ASA1,337,2120
1. An investigation under sub. (2) (am) indicates that sub. (4m) (a) 2., 3., or 4.
21applies to the person.
AB56-ASA1,338,322
2. An investigation under sub. (2) (am) indicates that the person has been
23convicted or adjudicated delinquent of a serious crime as specified under sub. (1) (c)
249. or for a violation of the law of any other state or United States jurisdiction that
25would be a violation listed in sub. (1) (c) 9. if committed in this state, and the person
1completed his or her sentence, including any probation, parole, or extended
2supervision, or was discharged by the department of corrections, more than 5 years
3before the date of the investigation under sub. (2) (am).
AB56-ASA1,338,74
(b) If the department or tribe determines that the person has demonstrated
5rehabilitation in accordance with procedures established by the department by rule
6or by the tribe and by clear and convincing evidence, the prohibition in sub. (4m) (a)
7does not apply.
AB56-ASA1,597
8Section 597
. 48.686 (5c) (a) of the statutes is renumbered 48.686 (5c).
AB56-ASA1,598
9Section 598
. 48.686 (5c) (b) of the statutes is repealed.
AB56-ASA1,599
10Section 599
. 48.686 (5c) (c) of the statutes is repealed.
AB56-ASA1,600
11Section 600
. 48.686 (5g) of the statutes is amended to read:
AB56-ASA1,338,1712
48.686
(5g) On January 1 of each year, the department shall submit a report
13to the legislature under s. 13.172 (2) that specifies the number of persons in the
14previous year who have requested to demonstrate that they have been rehabilitated
15under sub. (5)
(a), the number of persons who successfully demonstrated that they
16have been rehabilitated under sub. (5)
(a), and the reasons for the success or failure
17of a person who has attempted to demonstrate that he or she has been rehabilitated.
AB56-ASA1,601
18Section 601
. 48.686 (5m) of the statutes is amended to read:
AB56-ASA1,339,819
48.686
(5m) Notwithstanding s. 111.335,
the department a licensing entity 20may refuse to
license a person issue an approval to operate a child care
center, the
21department in a county having a population of 750,000 or more, a county
22department, or an agency contracted with under s. 48.651 (2) may refuse to certify
23a child care provider under s. 48.651, a school board may refuse to contract with a
24person under s. 120.13 (14) program to a person, and a child care program may refuse
25to employ or contract with a caregiver
or noncaregiver employee or permit a
1nonclient resident household member to reside at the child care program if the
2person has been convicted of or adjudicated delinquent
on or after his or her 10th
3birthday for an offense that is not a serious crime, but that is, in the estimation of
4the department, substantially related to the care of a client. The department shall
5notify the provider and the individual of the results of a substantially related
6determination pursuant to the process set forth in sub. (4p) for
criminal background
7check determinations. The individual shall have the same appeal rights as set forth
8in sub. (4s), and the same appeal procedures apply.
AB56-ASA1,602
9Section 602
. 48.686 (7) of the statutes is amended to read:
AB56-ASA1,339,1410
48.686
(7) The department shall conduct throughout the state periodic training
11sessions that cover procedures and uses of
criminal background investigations;
12reporting and investigating misappropriation of property or abuse or neglect of a
13client; and any other material that will better enable entities to comply with the
14requirements of this section.
AB56-ASA1,603
15Section 603
. 48.715 (4g) (a) of the statutes is amended to read:
AB56-ASA1,340,316
48.715
(4g) (a) If a person
who has been issued a license under s. 48.66 (1) (a)
17or a probationary license under s. 48.69 to operate a child care center is convicted of
18a serious crime, as defined in s. 48.686 (1) (c), if a caregiver specified in s. 48.686 (1)
19(ag) 1. or a nonclient resident, as defined in s. 48.686 (1) (bm), of the subject to a
20background check under s. 48.686 (2) who operates, works at, or resides at a child
21care center is convicted or adjudicated delinquent for committing a serious crime
on
22or after his or her 10th birthday, or if the results of a
criminal background check
23conducted under s. 48.686 indicate that the
person, caregiver,
or nonclient resident 24household member, or noncaregiver employee is not eligible to be licensed, certified,
25or employed
, or
permitted to reside at a child care program, the department shall
1revoke the license of the child care center immediately upon providing written notice
2of revocation and the grounds for revocation and an explanation of the process for
3appealing the revocation.
AB56-ASA1,604
4Section 604
. 48.715 (4g) (b) of the statutes is amended to read:
AB56-ASA1,340,165
48.715
(4g) (b) If a person
who has been issued a license under s. 48.66 (1) (a)
6or a probationary license under s. 48.69 to operate a child care center is the subject
7of a pending criminal charge alleging that the person has committed a serious crime,
8as defined in s. 48.686 (1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. or a 9nonclient resident, as defined in s. 48.686 (1) (bm), of the subject to a background
10check under s. 48.686 (2) who operates, works at, or resides at a child care center is
11the subject of a pending criminal charge or delinquency petition alleging that the
12person has committed a serious crime
on or after his or her 10th birthday, the
13department shall immediately suspend the license of the child care center until the
14department obtains information regarding the final disposition of the charge or
15delinquency petition indicating that the person is not ineligible to
be licensed to
16operate
, work at, or reside at a child care center.
AB56-ASA1,605
17Section 605
. 48.981 (7) (a) 4p. of the statutes is amended to read:
AB56-ASA1,340,2218
48.981
(7) (a) 4p. A public or private agency in this state or any other state that
19is investigating a person for purposes of licensing the person to operate a foster home
20or placing a child for adoption in the home of the person
or for the purposes of
21conducting a background investigation of an adult congregate care worker, as
22defined in s. 48.685 (1) (ap).
AB56-ASA1,606
23Section 606
. 49.133 of the statutes is repealed.
AB56-ASA1,607
24Section 607
. 49.1385 of the statutes is amended to read:
AB56-ASA1,341,3
149.1385 Grants for services for homeless and runaway youth. The
2department may award not more than
$100,000 $400,000 in each fiscal year in
3grants to support programs that provide services for homeless and runaway youth.
AB56-ASA1,633
4Section 633
. 49.155 (6) (b) of the statutes is amended to read:
AB56-ASA1,341,85
49.155
(6) (b) The department shall set maximum payment rates for Level I
6certified family child care providers certified under s. 48.651 (1) (a) for services
7provided to eligible individuals under this section. The maximum rates set under
8this paragraph may not exceed
75 90 percent of the rates established under par. (a).
AB56-ASA1,634
9Section 634
. 49.155 (6) (c) of the statutes is amended to read:
AB56-ASA1,341,1310
49.155
(6) (c) The department shall set maximum payment rates for Level II
11certified family child care providers for services provided to eligible individuals
12under this section. The maximum rates set under this paragraph may not exceed
50 1390 percent of the rates established under par. (a).
AB56-ASA1,635
14Section 635
. 49.155 (7) (a) 1. of the statutes is amended to read:
AB56-ASA1,342,215
49.155
(7) (a) 1. If a
child care provider is convicted of a serious crime, as defined
16in s. 48.686 (1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. a. or a nonclient
17resident, as defined in s. 48.686 (1) (bm), of the person subject to a background check
18under s. 48.686 (2) who operates, works at, or resides at a child care provider is
19convicted or adjudicated delinquent for committing a serious crime
on or after his or
20her 10th birthday, as defined in s. 48.686 (1) (c), or if the department provides written
21notice under s. 48.686 (4p) that the
child care provider, caregiver, or nonclient
22resident person is ineligible
for certification, employment, or residence to operate,
23work at, or reside at the child care provider, the department or the county
24department under s. 46.215, 46.22, or 46.23 shall refuse to allow payment to the child
1care provider for any child care provided under this section beginning on the date of
2the conviction or delinquency adjudication.
AB56-ASA1,636
3Section 636
. 49.155 (7) (a) 2. of the statutes is amended to read:
AB56-ASA1,342,164
49.155
(7) (a) 2. If a
child care provider is the subject of a pending criminal
5charge alleging that the person has committed a serious crime, as defined in s. 48.686
6(1) (c), or if a caregiver specified in s. 48.686 (1) (ag) 1. or a nonclient resident, as
7defined in s. 48.686 (1) (bm), of the person subject to a background check under s.
848.686 (2) who operates, works at, or resides at a child care provider is the subject
9of a pending criminal charge or delinquency petition alleging that the person has
10committed a serious crime
on or after his or her 10th birthday, as defined in s. 48.686
11(1) (c), the department or the county department under s. 46.215, 46.22, or 46.23 shall
12immediately
suspend refuse to allow payment to the child care provider for any child
13care provided under this section until the department obtains information regarding
14the final disposition of the charge or delinquency petition indicating that the person
15is not ineligible to
receive such a payment operate, work at, or reside at the child care
16provider.
AB56-ASA1,637
17Section 637
. 49.155 (7) (b) of the statutes is repealed and recreated to read:
AB56-ASA1,342,2518
49.155
(7) (b) 1. If a person subject to a background check under s. 48.686 (2)
19who operates, works at, or resides at a child care provider has been convicted or
20adjudicated delinquent for committing an offense that is not a serious crime, as
21defined in s. 48.686 (1) (c), but the department determines under s. 48.686 (5m) that
22the offense substantially relates to the care of children or the department determines
23that the offense substantially relates to the operation of a business, the department
24or the county department under s. 46.215, 46.22, or 46.23 may refuse to allow
25payment to the child care provider for child care provided under this section.
AB56-ASA1,343,8
12. If a person subject to a background check under s. 48.686 (2) who operates,
2works at, or resides at a child care provider is the subject of a pending criminal charge
3or delinquency petition for committing an offense that is not a serious crime, as
4defined in s. 48.686 (1) (c), but the department determines under s. 48.686 (5m) that
5the offense substantially relates to the care of children or the department determines
6that the offense substantially relates to the operation of a business, the department
7or the county department under s. 46.215, 46.22, or 46.23 may refuse to allow
8payment to the child care provider for child care provided under this section.
AB56-ASA1,640m
9Section 640m. 49.163 (2) (am) 2. of the statutes is amended to read:
AB56-ASA1,343,1210
49.163
(2) (am) 2. If over
24
25 years of age, be a biological or adoptive parent
11of a child under 18 years of age whose parental rights to the child have not been
12terminated or be a relative and primary caregiver of a child under 18 years of age.
AB56-ASA1,643
13Section 643
. 49.175 (1) (intro.) of the statutes is amended to read:
AB56-ASA1,343,1714
49.175
(1) Allocation of funds. (intro.) Except as provided in
subs. sub. (2)
15and (3), within the limits of the appropriations under s. 20.437 (2) (a), (cm), (dz), (k),
16(kx), (L), (mc), (md), (me), and (s) and (3) (kp), the department shall allocate the
17following amounts for the following purposes:
AB56-ASA1,644
18Section 644
. 49.175 (1) (a), (b), (c), (g), (i), (k), (n), (o), (p), (q), (qm), (r), (s), (t),
19(u), (v), (y) and (z) of the statutes are amended to read:
AB56-ASA1,343,2220
49.175
(1) (a)
Wisconsin Works benefits. For Wisconsin Works benefits,
21$42,500,000 $31,110,000 in fiscal year
2017-18 2019-20 and
$44,625,000 22$31,732,200 in fiscal year
2018-19 2020-21.
AB56-ASA1,344,223
(b)
Wisconsin Works agency contracts; job access loans. For contracts with
24Wisconsin Works agencies under s. 49.143 and for job access loans under s. 49.147
1(6),
$52,000,000 $50,000,000 in fiscal year
2017-18 2019-20 and
$54,600,000 2$50,000,000 in fiscal year
2018-19 2020-21.
AB56-ASA1,344,53
(c)
Case management incentive payments. For supplement payments to
4individuals under s. 49.255, $2,700,000 in fiscal year
2017-18 2019-20 and
5$2,700,000 in fiscal year
2018-19 2020-21.
AB56-ASA1,344,96
(g)
State administration of public assistance programs and overpayment
7collections. For state administration of public assistance programs and the collection
8of public assistance overpayments,
$15,987,000
$16,671,200 in fiscal year
2017-18 92019-20 and
$15,902,900 $17,268,300 in fiscal year
2018-19 2020-21.
AB56-ASA1,344,1210
(i)
Emergency assistance. For emergency assistance under s. 49.138 and for
11transfer to the department of administration for low-income energy or
12weatherization assistance programs,
$7,000,000
$6,000,000 in each fiscal year.
AB56-ASA1,344,1613
(k)
Transform Milwaukee and Transitional Jobs programs. For contract costs
14under the Transform Milwaukee Jobs program and the Transitional Jobs program
15under s. 49.163,
$7,000,000 $8,500,000 in fiscal year
2017-18 2019-20 and
16$8,000,000 $9,500,000 in fiscal year
2018-19 2020-21.
AB56-ASA1,344,2017
(n)
Fostering futures: connections count. For funding community connectors to
18interact with vulnerable families with young children and to connect families with
19formal and informal community support,
$360,300 in fiscal year 2017-18 and
20$560,300 in fiscal year 2018-19 $560,300 in each fiscal year.
AB56-ASA1,344,2221
(o)
Evidence-based substance abuse prevention grants. For grants awarded
22under s. 48.545 (2) (c), $500,000 in
each fiscal year
2018-19.
AB56-ASA1,344,2523
(p)
Direct child care services. For direct child care services under s. 49.155
,
24$289,215,200 or 49.257, $357,097,500 in fiscal year
2017-18 2019-20 and
25$318,369,200 $365,700,400 in fiscal year
2018-19 2020-21.
AB56-ASA1,345,4
1(q)
Child care state administration and licensing activities. For state
2administration of child care programs under s. 49.155 and for child care licensing
3activities,
$36,189,400 $40,152,100 in fiscal year
2017-18 2019-20 and
$36,030,000 4$41,555,200 in fiscal year
2018-19 2020-21.
AB56-ASA1,345,75
(qm)
Quality care for quality kids. For the child care quality improvement
6activities specified in s.
ss. 49.155 (1g)
and 49.257,
$15,652,700 $16,532,900 in
each 7fiscal year
2019-20 and $16,683,700 in fiscal year 2020-21.
AB56-ASA1,345,108
(r)
Children of recipients of supplemental security income. For payments made
9under s. 49.775 for the support of the dependent children of recipients of
10supplemental security income,
$26,938,000 $25,013,300 in each fiscal year.
AB56-ASA1,345,1711
(s)
Kinship care and long-term kinship care assistance. For kinship care and
12long-term kinship care payments under s. 48.57 (3m) (am) and (3n) (am), for
13assessments to determine eligibility for those payments, and for agreements under
14s. 48.57 (3t) with the governing bodies of Indian tribes for the administration of the
15kinship care and long-term kinship care programs within the boundaries of the
16reservations of those tribes,
$22,012,100 $26,640,000 in fiscal year
2017-18 2019-20 17and
$22,741,200 $28,159,200 in fiscal year
2018-19 2020-21.
AB56-ASA1,346,218
(t)
Safety and out-of-home placement services. For services provided to ensure
19the safety of children who the department or a county determines may remain at
20home if appropriate services are provided, and for services provided to families with
21children placed in out-of-home care,
$6,282,500
$8,314,300 in fiscal year
2017-18 222019-20 and
$7,314,300 $9,314,300 in fiscal year
2018-19 2020-21. To receive
23funding under this paragraph, a county shall match a percentage of the amount
24received that is equal to the percentage the county is required to match for a
1distribution under s. 48.563 (2) as specified by the schedule established by the
2department under s. 48.569 (1) (d).
AB56-ASA1,346,53
(u)
Prevention services. For services to prevent child abuse or neglect,
4$5,289,600 in each fiscal year $5,789,600 in fiscal year 2019-20 and $6,789,600 in
5fiscal year 2020-21.
AB56-ASA1,346,86
(v)
General education development. For general education development testing
7and preparation for individuals who are eligible for temporary assistance for needy
8families under
42 USC 601 et seq.,
$115,000 $175,000 in each fiscal year.
AB56-ASA1,346,119
(y)
Offender reentry demonstration project. For the offender reentry
10demonstration project under s. 49.37 (1),
$187,500 in fiscal year 2017-18 and
11$250,000 in fiscal year 2018-19 $250,000 in each fiscal year.
AB56-ASA1,347,412
(z)
Grants to the Boys and Girls Clubs of America. For grants to the Wisconsin
13Chapter of the Boys and Girls Clubs of America to fund programs that improve social,
14academic, and employment skills of youth who are eligible to receive temporary
15assistance for needy families under
42 USC 601 et seq., focusing on study habits,
16intensive tutoring in math and English, and exposure to career options and role
17models,
$1,275,000 $2,675,000 in each fiscal year. Grants provided under this
18paragraph may not be used by the grant recipient to replace funding for programs
19that are being funded, when the grant proceeds are received, with moneys other than
20those from the appropriations specified in sub. (1) (intro.). The total amount of the
21grants includes funds for
the Green Bay Boys and Girls Clubs for the BE GREAT:
22Graduate program in the amount of matching funds that the program provides, up
23to
$75,000 $1,400,000 in each fiscal year, to be used only for activities for which
24federal Temporary Assistance for Needy Families block grant moneys may be used.
25The total amount of the grants also includes funds to be equally distributed among
1the Milwaukee, Oshkosh, and Appleton Boys and Girls Clubs for the BE GREAT:
2Graduate program in the amount of matching funds that the program provides, up
3to $100,000 in each fiscal year, to be used only for activities for which federal
4Temporary Assistance for Needy Families block grant moneys may be used.
AB56-ASA1,644c
5Section 644c. 49.175 (1) (fa) of the statutes is created to read:
AB56-ASA1,347,106
49.175
(1) (fa)
Homeless case management services grants; additional funding. 7For grants to shelter facilities under s. 16.3085, $500,000 in fiscal year 2019-20 and
8$500,000 in fiscal year 2020-21. All moneys allocated under this paragraph shall be
9credited to the appropriation account under s. 20.865 (4) (g) for the purpose of
10supplementing the appropriation under s. 20.505 (7) (kg).
AB56-ASA1,648
11Section 648
. 49.257 of the statutes is created to read:
AB56-ASA1,347,13
1249.257 Milwaukee child care grant program. (1) In this section, “child
13care provider” has the meaning given in s. 49.155 (1) (ag).
AB56-ASA1,347,22
14(2) From the allocation under s. 49.175 (1) (p), the department may award
15grants to child care providers to support access to high-quality child care for families
16that reside in a geographic area with high-poverty levels, as identified by the
17department, in the city of Milwaukee. A grant under this section may be used for
18start-up costs, ongoing operational costs, including subsidy payments for eligible
19families, and quality improvement activities. A child care provider that is awarded
20a grant under this subsection shall contribute matching funds equal to 25 percent
21of the amount awarded. The matching contribution may be in the form of money or
22in-kind goods or services.
AB56-ASA1,347,25
23(3) From the allocation under s. 49.175 (1) (qm), the department may award
24grants to any of the following to improve overall child care quality in the geographic
25area identified under sub. (2):
AB56-ASA1,348,1
1(a) Child care providers and employees of child care providers.
AB56-ASA1,348,32
(b) Educational institutions for the purpose of educating employees of child
3care providers.
AB56-ASA1,650m
4Section 650m. 49.36 (7) of the statutes is amended to read:
AB56-ASA1,348,105
49.36
(7) The department shall pay a county, tribal governing body, or
6Wisconsin works agency not more than
$400 $800 for each person who participates
7in the program under this section in the region in which the county, tribal governing
8body, or Wisconsin works agency administers the program under this section. The
9county, tribal governing body, or Wisconsin works agency shall pay any additional
10costs of the program.
AB56-ASA1,651
11Section 651
. 49.45 (2) (a) 23. of the statutes is amended to read:
AB56-ASA1,348,1512
49.45
(2) (a) 23. Promulgate rules that define “supportive services", “personal
13services" and “nursing services" provided in a certified residential care apartment
14complex, as defined under s. 50.01 (6d), for purposes of reimbursement under
ss.
1546.27 (11) (c) 7. and s. 46.277 (5) (e).
AB56-ASA1,654
16Section 654
. 49.45 (3) (a) of the statutes is amended to read:
AB56-ASA1,348,2117
49.45
(3) (a) Reimbursement shall be made to each county department under
18ss. 46.215, 46.22, and 46.23 for any administrative services performed in the Medical
19Assistance program on the basis of s. 49.78 (8).
For purposes of reimbursement
20under this paragraph, assessments completed under s. 46.27 (6) (a) are
21administrative services performed in the Medical Assistance program.
AB56-ASA1,659
22Section 659
. 49.45 (3p) (a) of the statutes is amended to read:
AB56-ASA1,349,1123
49.45
(3p) (a) Subject to par. (c) and notwithstanding sub. (3) (e), from the
24appropriations under s. 20.435 (4) (b) and (o), in each fiscal year, the department
25shall pay to hospitals that
would are not eligible for payments under sub. (3m) but
1that meet the criteria under sub. (3m) (a)
except that the hospitals do not provide
2obstetric services 1. and 2. and that, in the most recent year for which information
3is available, charged at least 6 percent of overall charges for services to the Medical
4Assistance program for services provided to Medical Assistance recipients an
5amount equal to the sum of
$250,000 $2,000,000, as the state share of payments, and
6the matching federal share of payments. The department may make a payment to
7a hospital under this subsection under a calculation method determined by the
8department that provides a fee-for-service supplemental payment that increases as
9the
hospital's percentage of
inpatient days for Medical Assistance recipients at the
10hospital the total amount of the hospital's overall charges for services that are
11charges to the Medical Assistance program increases.
AB56-ASA1,660
12Section 660
. 49.45 (5) (a) of the statutes is amended to read:
AB56-ASA1,349,1813
49.45
(5) (a) Any person whose application for medical assistance is denied or
14is not acted upon promptly or who believes that the payments made in the person's
15behalf have not been properly determined or that his or her eligibility has not been
16properly determined may file an appeal with the department pursuant to par. (b).
17Review is unavailable if the decision or failure to act arose more than 45 days before
18submission of the petition for a hearing
, except as provided in par. (ag) or (ar).
AB56-ASA1,661
19Section 661
. 49.45 (5) (ag) of the statutes is created to read:
AB56-ASA1,349,2520
49.45
(5) (ag) A person shall request a hearing within 90 days of the date of
21receipt of a notice from a care management organization or managed care
22organization upholding its adverse benefit determination relating to any of the
23following or within 90 days of the date the care management organization or
24managed care organization failed to act on the contested matter within the time
25specified by the department:
AB56-ASA1,350,3
11. Denial or limited authorization of a requested services, including a
2determination based on the type or level of service, requirement for medical
3necessity, appropriateness, setting, or effectiveness of a covered benefit.