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AB56,542,1311 49.45 (41) (c) Notwithstanding par. (b), if a county elects to deliver crisis
12intervention services under the Medical Assistance program on a regional basis
13according to criteria established by the department, all of the following apply:
AB56,542,1714 1. After January 1, 2020, the department shall require the county to annually
15contribute for the crisis intervention services an amount equal to 75 percent of the
16county's expenditures for crisis intervention services under this subsection in
17calendar year 2017, as determined by the department.
AB56,542,2118 2. The department shall reimburse the provider of crisis intervention services
19in the county the amount of allowable charges for those services under the Medical
20Assistance program, including both the federal share and nonfederal share of those
21charges, that exceeds the amount of the county contribution required under subd. 1.
AB56,542,2522 3. If a county submits a certified cost report under s. 49.45 (52) (b) to claim
23federal medical assistance funds, the claim based on certified costs made by a county
24for amounts under subd. 2. may not include any part of the nonfederal share of the
25amount under subd. 2.
AB56,682
1Section 682. 49.45 (47) (b) of the statutes is amended to read:
AB56,543,52 49.45 (47) (b) No person may receive reimbursement under s. 46.27 (11) for the
3provision of services to clients in an adult day care center unless the adult day care
4center is certified by the department under sub. (2) (a) 11. as a provider of medical
5assistance.
AB56,683 6Section 683 . 49.45 (47) (dm) of the statutes is created to read:
AB56,543,147 49.45 (47) (dm) Every 24 months, on a schedule determined by the department,
8an adult day care center shall submit through an online system prescribed by the
9department a report in the form and containing the information that the department
10requires, including payment of any fee due under par. (c). If a complete report is not
11timely filed, the department shall issue a warning to the operator of the adult day
12care center. The department may revoke an adult day care center's certification for
13failure to timely and completely report within 60 days after the report date
14established under the schedule determined by the department.
AB56,684 15Section 684. 49.45 (60) of the statutes is repealed.
AB56,685 16Section 685. 49.46 (1) (a) 1m. of the statutes is amended to read:
AB56,543,2017 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the
18standard of need under s. 49.19 (11) and whose pregnancy is medically verified.
19Eligibility continues to the last day of the month in which the 60th day or, if approved
20by the federal government, the 365th day
after the last day of the pregnancy falls.
AB56,686 21Section 686. 49.46 (1) (a) 14. of the statutes is amended to read:
AB56,544,222 49.46 (1) (a) 14. Any person who would meet the financial and other eligibility
23requirements for home or community-based services under s. 46.27 (11), 46.277, or
2446.2785 but for the fact that the person engages in substantial gainful activity under
2542 USC 1382c (a) (3), if a waiver under s. 49.45 (38) is in effect or federal law permits

1federal financial participation for medical assistance coverage of the person and if
2funding is available for the person under s. 46.27 (11), 46.277, or 46.2785.
AB56,687 3Section 687. 49.46 (1) (em) of the statutes is amended to read:
AB56,544,104 49.46 (1) (em) To the extent approved by the federal government, for the
5purposes of determining financial eligibility and any cost-sharing requirements of
6an individual under par. (a) 6m., 14., or 14m., (d) 2., or (e), the department or its
7designee shall exclude any assets accumulated in a person's independence account,
8as defined in s. 49.472 (1) (c), and any income or assets from retirement benefits
9earned or accumulated from income or employer contributions while employed and
10receiving state-funded benefits under s. 46.27 or medical assistance under s. 49.472.
AB56,688 11Section 688. 49.46 (1) (j) of the statutes is amended to read:
AB56,544,1612 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a)
139. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and
14to the last day of the month in which the 60th day or, if approved by the federal
15government, the 365th day
after the last day of the pregnancy falls without regard
16to any change in the individual's family income.
AB56,689 17Section 689. 49.46 (2) (b) 8. of the statutes is amended to read:
AB56,544,2118 49.46 (2) (b) 8. Home or community-based services, if provided under s. 46.27
19(11),
46.275, 46.277, 46.278, 46.2785, 46.99, or under the family care benefit if a
20waiver is in effect under s. 46.281 (1d), or under the disabled children's long-term
21support program, as defined in s. 46.011 (1g).
AB56,690 22Section 690 . 49.46 (2) (b) 12p. of the statutes is created to read:
AB56,544,2423 49.46 (2) (b) 12p. Subject to the limitations under s. 49.45 (30y), services
24provided by a certified doula.
AB56,691 25Section 691. 49.46 (2) (b) 15. of the statutes is amended to read:
AB56,545,2
149.46 (2) (b) 15. Mental health crisis Crisis intervention services under s. 49.45
2(41).
AB56,692 3Section 692. 49.46 (2) (b) 21. of the statutes is created to read:
AB56,545,54 49.46 (2) (b) 21. Subject to par. (bv), nonmedical services that contribute to the
5determinants of health.
AB56,693 6Section 693. 49.46 (2) (bv) of the statutes is created to read:
AB56,545,137 49.46 (2) (bv) The department shall determine those services under par. (b) 21.
8that contribute to the determinants of health. The department shall seek any
9necessary state plan amendment or request any waiver of federal Medicaid law to
10implement this paragraph. The department is not required to provided the services
11under this paragraph as a benefit under the Medical Assistance program if the
12federal department of health and human services does not provide federal financial
13participation for the services under this paragraph.
AB56,694 14Section 694. 49.463 of the statutes is repealed.
AB56,695 15Section 695. 49.47 (4) (ag) 2. of the statutes is amended to read:
AB56,545,1816 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
17Eligibility continues to the last day of the month in which the 60th day or, if approved
18by the federal government, the 365th day
after the last day of the pregnancy falls.
AB56,696 19Section 696. 49.47 (4) (as) 1. of the statutes is amended to read:
AB56,545,2420 49.47 (4) (as) 1. The person would meet the financial and other eligibility
21requirements for home or community-based services under s. 46.27 (11), 46.277, or
2246.2785 or under the family care benefit if a waiver is in effect under s. 46.281 (1d)
23but for the fact that the person engages in substantial gainful activity under 42 USC
241382c
(a) (3).
AB56,697 25Section 697. 49.47 (4) (as) 3. of the statutes is amended to read:
AB56,546,2
149.47 (4) (as) 3. Funding is available for the person under s. 46.27 (11), 46.277,
2or 46.2785 or under the family care benefit if a waiver is in effect under s. 46.281 (1d).
AB56,698 3Section 698. 49.47 (4) (b) (intro.) of the statutes is amended to read:
AB56,546,114 49.47 (4) (b) (intro.) Eligibility exists if the applicant's property, subject to the
5exclusion of any amounts under the Long-Term Care Partnership Program
6established under s. 49.45 (31), any amounts in an independence account, as defined
7in s. 49.472 (1) (c), or any retirement assets that accrued from employment while the
8applicant was eligible for the community options program under s. 46.27 (11), 2017
9stats.,
or any other Medical Assistance program, including deferred compensation
10or the value of retirement accounts in the Wisconsin Retirement System or under the
11federal Social Security Act, does not exceed the following:
AB56,699 12Section 699 . 49.471 (1) (cr) of the statutes is created to read:
AB56,546,1413 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
14federal medical assistance percentage described under 42 USC 1396d (y) or (z).
AB56,700 15Section 700 . 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB56,546,1816 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
17percent of the poverty line before application of the 5 percent income disregard under
1842 CFR 435.603 (d)
.
AB56,701 19Section 701 . 49.471 (4) (a) 8. of the statutes is created to read:
AB56,546,2020 49.471 (4) (a) 8. An individual who meets all of the following criteria:
AB56,546,2121 a. The individual is an adult under the age of 65.
AB56,546,2322 b. The adult has a family income that does not exceed 133 percent of the poverty
23line, except as provided in sub. (4g).
AB56,546,2524 c. The adult is not otherwise eligible for the Medical Assistance program under
25this subchapter or the Medicare program under 42 USC 1395 et seq.
AB56,702
1Section 702. 49.471 (4g) of the statutes is created to read:
AB56,547,92 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
3services provided to individuals described under sub. (4) (a) 8., the department shall
4comply with all federal requirements to qualify for the highest available enhanced
5federal medical assistance percentage. The department shall submit any
6amendment to the state medical assistance plan, request for a waiver of federal
7Medicaid law, or other approval request required by the federal government to
8provide services to the individuals described under sub. (4) (a) 8. and qualify for the
9highest available enhanced federal medical assistance percentage.
AB56,703 10Section 703. 49.471 (6) (b) of the statutes is amended to read:
AB56,547,1511 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
12under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
13pregnancy and to the last day of the month in which the 60th day or, if approved by
14the federal government, the 365th day
after the last day of the pregnancy falls
15without regard to any change in the woman's family income.
AB56,704 16Section 704. 49.471 (6) (L) of the statutes is created to read:
AB56,547,2217 49.471 (6) (L) The department shall request from the federal department of
18health and human services approval of a state plan amendment, a waiver of federal
19Medicaid law, or approval of a demonstration project to maintain eligibility for
20post-partum women to the last day of the month in which the 365th day after the
21last day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag)
222., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1.
AB56,705 23Section 705. 49.471 (7) (b) 1. of the statutes is amended to read:
AB56,548,924 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
25of the poverty line may become eligible for coverage under this section if the

1difference between the pregnant woman's family income and the applicable income
2limit under sub. (4) (a) is obligated or expended for any member of the pregnant
3woman's family for medical care or any other type of remedial care recognized under
4state law or for personal health insurance premiums or for both. Eligibility obtained
5under this subdivision continues without regard to any change in family income for
6the balance of the pregnancy and to the last day of the month in which the 60th day
7or, if approved by the federal government, the 365th day after the last day of the
8woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
9subdivision extends to all pregnant women in the pregnant woman's family.
AB56,706 10Section 706. 49.472 (3) (b) of the statutes is amended to read:
AB56,548,1811 49.472 (3) (b) The individual's assets do not exceed $15,000. In determining
12assets, the department may not include assets that are excluded from the resource
13calculation under 42 USC 1382b (a), assets accumulated in an independence
14account, and, to the extent approved by the federal government, assets from
15retirement benefits accumulated from income or employer contributions while
16employed and receiving medical assistance under this section or state-funded
17benefits under s. 46.27, 2017 stats. The department may exclude, in whole or in part,
18the value of a vehicle used by the individual for transportation to paid employment.
AB56,707 19Section 707. 49.472 (3) (f) of the statutes is amended to read:
AB56,548,2320 49.472 (3) (f) The individual maintains premium payments under sub. (4) (am)
21and, if applicable and to the extent approved by the federal government, premium
22payments calculated by the department in accordance with sub. (4) (bm), unless the
23individual is exempted from premium payments under sub. (4) (dm) or (5).
AB56,708 24Section 708. 49.472 (4) (am) of the statutes is amended to read:
AB56,549,3
149.472 (4) (am) To the extent approved by the federal government and except
2as provided in pars. (dm) and (em) and sub. (5), an individual who receives medical
3assistance under this section shall pay a monthly premium of $25 to the department.
AB56,709 4Section 709. 49.472 (5) of the statutes is repealed.
AB56,710 5Section 710 . 49.485 of the statutes is renumbered 20.9315 (19) and amended
6to read:
AB56,549,127 20.9315 (19) Whoever knowingly presents or causes to be presented to any
8officer, employee, or agent of this state a false claim for medical assistance shall
9forfeit not less than $5,000 nor more than $10,000, plus 3 times the amount of the
10damages that were sustained by the state or would have been sustained by the state,
11whichever is greater, as a result of the false claim.
The attorney general may bring
12an action on behalf of the state to recover any forfeiture incurred under this section.
AB56,711 13Section 711 . 49.686 (3) (d) of the statutes is amended to read:
AB56,549,1914 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
15for medical assistance within 12 months prior to application for reimbursement
16under sub. (2). This paragraph does not apply to an individual who is eligible for
17benefits under the demonstration project for childless adults under s. 49.45 (23)
18BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
19benefits under BadgerCare Plus under s. 49.471 (11).
AB56,712 20Section 712. 49.79 (1) (bg) of the statutes is repealed.
AB56,713 21Section 713. 49.79 (1) (em) of the statutes is repealed.
AB56,714 22Section 714. 49.79 (6m) of the statutes is repealed.
AB56,715 23Section 715. 49.79 (6q) of the statutes is repealed.
AB56,716 24Section 716. 49.79 (6t) of the statutes is repealed.
AB56,717 25Section 717. 49.79 (6u) of the statutes is repealed.
AB56,718
1Section 718. 49.79 (9) (a) 1g. of the statutes is amended to read:
AB56,550,102 49.79 (9) (a) 1g. Except as provided in subds. 2. and 3., beginning October 1,
32019,
the department shall require, to the extent allowed by the federal government,
4all
able-bodied adults without dependents in this state to participate in the
5employment and training program under this subsection, except for able-bodied
6adults without dependents who are employed, as determined by the department.
7The department may require other able individuals who are 18 to 60 years of age, or
8a subset of those individuals to the extent allowed by the federal government, who
9are not participants in a Wisconsin Works employment position to participate in the
10employment and training program under this subsection.
AB56,719 11Section 719. 49.79 (9) (d) of the statutes is repealed.
AB56,720 12Section 720. 49.79 (9) (f) of the statutes is repealed.
AB56,721 13Section 721. 49.791 of the statutes is repealed.
AB56,722 14Section 722. 49.849 (1) (e) of the statutes is amended to read:
AB56,550,1815 49.849 (1) (e) “Public assistance" means any services provided as a benefit
16under a long-term care program, as defined in s. 49.496 (1) (bk), medical assistance
17under subch. IV, long-term community support services funded under s. 46.27 (7),
18or aid under s. 49.68, 49.683, 49.685, or 49.785.
AB56,723 19Section 723. 49.849 (2) (a) (intro.) of the statutes is amended to read:
AB56,551,220 49.849 (2) (a) (intro.) Subject to par. (b), the department may collect from the
21property of a decedent by affidavit under sub. (3) (b) or by lien under sub. (4) (a) an
22amount equal to the medical assistance that is recoverable under s. 49.496 (3) (a), the
23long-term community support services under s. 46.27, 2017 stats., that is
24recoverable under s. 46.27 (7g) (c) 1., 2017 stats., or the aid under s. 49.68, 49.683,
2549.685, or 49.785 that is recoverable under s. 49.682 (2) (a) or (am), and that was paid

1on behalf of the decedent or the decedent's spouse, if all of the following conditions
2are satisfied:
AB56,724 3Section 724. 49.849 (6) (a) of the statutes is renumbered 49.849 (6).
AB56,725 4Section 725. 49.849 (6) (b) of the statutes is repealed.
AB56,726 5Section 726 . 49.855 (3) of the statutes is amended to read:
AB56,552,46 49.855 (3) Receipt of a certification by the department of revenue shall
7constitute a lien, equal to the amount certified, on any state tax refunds or credits
8owed to the obligor. The lien shall be foreclosed by the department of revenue as a
9setoff under s. 71.93 (3), (6), and (7). When the department of revenue determines
10that the obligor is otherwise entitled to a state tax refund or credit, it shall notify the
11obligor that the state intends to reduce any state tax refund or credit due the obligor
12by the amount the obligor is delinquent under the support, maintenance, or receiving
13and disbursing fee order or obligation, by the outstanding amount for past support,
14or medical expenses, or birth expenses under the court order, or by the amount due
15under s. 46.10 (4), 49.345 (4), or 301.12 (4). The notice shall provide that within 20
16days the obligor may request a hearing before the circuit court rendering the order
17under which the obligation arose. Within 10 days after receiving a request for
18hearing under this subsection, the court shall set the matter for hearing. Pending
19further order by the court or a circuit court commissioner, the department of children
20and families or its designee, whichever is appropriate, is prohibited from disbursing
21the obligor's state tax refund or credit. A circuit court commissioner may conduct the
22hearing. The sole issues at that hearing shall be whether the obligor owes the
23amount certified and, if not and it is a support or maintenance order, whether the
24money withheld from a tax refund or credit shall be paid to the obligor or held for
25future support or maintenance, except that the obligor's ability to pay shall also be

1an issue at the hearing if the obligation relates to an order under s. 767.805 (4) (d)
21. or 767.89 (3) (e) 1.
regarding birth expenses and the order specifies that the court
3found that the obligor's income was at or below the poverty line established under
442 USC 9902 (2).
AB56,727 5Section 727 . 49.855 (4m) (b) of the statutes is amended to read:
AB56,553,96 49.855 (4m) (b) The department of revenue may provide a certification that it
7receives under sub. (1), (2m), (2p), or (2r) to the department of administration. Upon
8receipt of the certification, the department of administration shall determine
9whether the obligor is a vendor or is receiving any other payments from this state,
10except for wages, retirement benefits, or assistance under s. 45.352, 1971 stats., s.
1145.40 (1m), this chapter, or ch. 46, 108, or 301. If the department of administration
12determines that the obligor is a vendor or is receiving payments from this state,
13except for wages, retirement benefits, or assistance under s. 45.352, 1971 stats., s.
1445.40 (1m), this chapter, or ch. 46, 108, or 301, it shall begin to withhold the amount
15certified from those payments and shall notify the obligor that the state intends to
16reduce any payments due the obligor by the amount the obligor is delinquent under
17the support, maintenance, or receiving and disbursing fee order or obligation, by the
18outstanding amount for past support, or medical expenses, or birth expenses under
19the court order, or by the amount due under s. 46.10 (4), 49.345 (4), or 301.12 (4). The
20notice shall provide that within 20 days after receipt of the notice the obligor may
21request a hearing before the circuit court rendering the order under which the
22obligation arose. An obligor may, within 20 days after receiving notice, request a
23hearing under this paragraph. Within 10 days after receiving a request for hearing
24under this paragraph, the court shall set the matter for hearing. A circuit court
25commissioner may conduct the hearing. Pending further order by the court or circuit

1court commissioner, the department of children and families or its designee,
2whichever is appropriate, may not disburse the payments withheld from the obligor.
3The sole issues at the hearing are whether the obligor owes the amount certified and,
4if not and it is a support or maintenance order, whether the money withheld shall be
5paid to the obligor or held for future support or maintenance, except that the obligor's
6ability to pay is also an issue at the hearing if the obligation relates to an order under
7s. 767.805 (4) (d) 1. or 767.89 (3) (e) 1.
regarding birth expenses and the order specifies
8that the court found that the obligor's income was at or below the poverty line
9established under 42 USC 9902 (2).
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