Wisconsin Legislature: Medical assistance

Complex rehabilitation technology re MA reimbursement: definition modified and DHS to defer to physician re medical necessity [S.Amdt.1: prior authorization provision added, ``physician" changed to ``qualified health care professional"; S.Amdt.2: replaces S.Amdt.1 provisions with review of prior authorization requests deadline] - SB605

Compliance with child support determinations and obligations to be eligible for MA: pre 2017 WisAct 268 requirements reinstated [Sec. 668, 670, 694] - SB59

Compliance with child support determinations and obligations to be eligible for MA: pre 2017 WisAct 268 requirements reinstated [Sec. 668, 670, 694; original bill only] - AB56

Dental provider critical access reimbursement payments [Sec. 676] - SB59

Dental provider critical access reimbursement payments [Sec. 676; original bill only] - AB56

Dental reimbursement pilot project in MA discontinued [Sec. 675] - SB59

Dental reimbursement pilot project in MA discontinued [Sec. 675; original bill only] - AB56

Dental reimbursement pilot project in MA expanded and sunset extended - AB680

Dental reimbursement pilot project in MA expanded and sunset extended - SB636

Dental services to MA recipients with disabilities: increase MA reimbursement rates [Sec. 9119 (9); A.Sub.Amdt.1: further revisions] - AB56

Dental services to MA recipients with disabilities: increase MA reimbursement rates [Sec. 9119 (9)] - SB59

DHS prohibited from certifying a MA provider that is a private entity providing abortion services, federal waiver provision - AB183

DHS prohibited from certifying a MA provider that is a private entity providing abortion services, federal waiver provision - SB187

DHS prohibited from certifying a MA provider that provides abortion services and is a nonprofit private entity that has applied or received a grant or contract re family planning project under federal law - AB181

DHS prohibited from certifying a MA provider that provides abortion services and is a nonprofit private entity that has applied or received a grant or contract re family planning project under federal law - SB199

DHS to suspend certain MA requirements to satisfy criteria for enhanced federal medical assistance percentage (FMAP) [Sec. 105 (1)] - SB932

DHS to suspend certain MA requirements to satisfy criteria for enhanced federal medical assistance percentage (FMAP) [Sec. 105 (1)] - AB1038

Direct care in personal care agencies: MA reimbursement rate increased [Sec. 9119 (12); A.Sub.Amdt.1: further revisions] - AB56

Direct care in personal care agencies: MA reimbursement rate increased [Sec. 9119 (12)] - SB59

Doula services: DHS to request approval to use MA reimbursement and establish a pilot program in certain counties; community-based doulas grant program [Sec. 679, 690, 9119 (8); original bill only] - AB56

Doula services: DHS to request approval to use MA reimbursement and establish a pilot program in certain counties; community-based doulas grant program [Sec. 679, 690, 9119 (8)] - SB59

Foster parent eligibility for MA under BadgerCare Plus, conditions set, DHS to request approval from DHHS - AB992

Home health care services provided under MA: reimbursement rate increased - AB447

Home health care services provided under MA: reimbursement rate increased - SB416

Homeless shelter grants: eligibility and implementation revisions [Admin.Code Adm 86.03, 86.05] [A.Amdt.1: funding modified; A.Amdt.3: MA waiver for assistance in obtaining housing; S.Amdt.1: transfer from WHEDA surplus fund to general fund] - AB119

Hospital access payments [Sec. 655, 656] - SB59

Hospital access payments [Sec. 655, 656; original bill only] - AB56

Housing assistance program funding for homeless and low or moderate income families; Interagency Council on Homelessness duties; DPI and WHEDA reports; workforce development and job and income support programs; federal Workforce Innovation and Opportunity Act (WIOA) references; community action agencies grants; public assistance advisory committee created in DHS; sober living residence networks encouraged, grant provision; reimbursement for nonemergency medical transportation services for MA recipients; nonrefundable individual income tax credit for household and dependent care services; urban mass transit aid; children in out-of-home-care and adverse experiences report; funding for Institute for Research on Poverty annual report on poverty in the state - AB508

Housing assistance program funding for homeless and low or moderate income families; Interagency Council on Homelessness duties; DPI and WHEDA reports; workforce development and job and income support programs; federal Workforce Innovation and Opportunity Act (WIOA) references; community action agencies grants; public assistance advisory committee created in DHS; sober living residence networks encouraged, grant provision; reimbursement for nonemergency medical transportation services for MA recipients; nonrefundable individual income tax credit for household and dependent care services; urban mass transit aid; children in out-of-home-care and adverse experiences report; funding for Institute for Research on Poverty annual report on poverty in the state - SB467

Individual Medicare supplement policy: policyholder may cancel at any time - AB217

Individual Medicare supplement policy: policyholder may cancel at any time - SB615

Legislative authorization and oversight of DHS requests to federal government for MA waiver, renewal, modification, or pilot program eliminated [Sec. 318, 2069; original bill only] - AB56

Legislative authorization and oversight of DHS requests to federal government for MA waiver, renewal, modification, or pilot program eliminated [Sec. 318, 2069] - SB59

Legislative oversight of DHS federal waiver requests related to the 2020 public health emergency [Sec. 105 (10)] - SB932

Legislative oversight of DHS federal waiver requests related to the 2020 public health emergency [Sec. 105 (10)] - AB1038

Long-term care and managed care programs receiving MA: aging and disability resource center duties, COP statutory language eliminated, regional long-term care advisory committees eliminated, appeal of eligibility determination by care management or managed care organizations [Sec. 48, 60, 193, 194, 197-200, 202, 208, 316, 441-483, 485, 651, 654, 660-666, 682, 686, 687, 689, 696-698, 706-709, 722-725, 731, 733-745, 747-749, 753, 754, 973, 980, 1110, 1354, 1387, 2078, 2109, 2110, 2112, 2133-2142] - AB56

Long-term care and managed care programs receiving MA: aging and disability resource center duties, COP statutory language eliminated, regional long-term care advisory committees eliminated, appeal of eligibility determination by care management or managed care organizations [Sec. 48, 60, 193, 194, 197-200, 202, 208, 316, 441-483, 485, 651, 654, 660-666, 682, 686, 687, 689, 696-698, 706-709, 722-725, 731, 733-745, 747-749, 753, 754, 973, 980, 1110, 1354, 1387, 2078, 2109, 2110, 2112, 2133-2142] - SB59

MA reimbursement for mental health consultations for students up to age 21: communication with parent added and sunset eliminated [A.Sub.Amdt.2: further revisions, definition added, sunset provision removed] - AB192

MA reimbursement for mental health consultations for students up to age 21: communication with parent added and sunset eliminated - SB177

MA reimbursement rate increase for direct care in nursing homes and intermediate care facilities [Sec. 9119 (11)] - SB59

MA reimbursement rate increase for direct care in nursing homes and intermediate care facilities [Sec. 9119 (11); A.Sub.Amdt.1: further revisions] - AB56

MA services provided through telehealth and communications technology: DHS required to provide reimbursement; conditions, definitions, and emergency rule provisions - AB410

MA services provided through telehealth and communications technology: DHS required to provide reimbursement; conditions, definitions, and emergency rule provisions - SB380

MA state plan amendments, changes to reimbursement rates, and supplemental payments: repeal requirement DHS submit to JCF for approval [Sec. 653; original bill only] - AB56

MA state plan amendments, changes to reimbursement rates, and supplemental payments: repeal requirement DHS submit to JCF for approval [Sec. 653] - SB59

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2); original bill only] - AB56

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - AB394

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - SB361

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2)] - SB59

Mental health consultation reimbursement sunset repealed [Sec. 678] - AB56

Mental health consultation reimbursement sunset repealed [Sec. 678] - SB59

Nonmedical services that contribute to the determinants of health as a MA benefit: DHS to seek a way to provide [Sec. 692, 693; original bill only] - AB56

Nonmedical services that contribute to the determinants of health as a MA benefit: DHS to seek a way to provide [Sec. 692, 693] - SB59

Peer recovery coach services under MA: reimbursement revision and continuation of care and overdose treatment providers provision - SB582

Peer recovery coach services under MA: reimbursement revision and continuation of care and overdose treatment providers provision [A.Amdt.1: DHS emergency rule authority added re training] - AB650

Personal care services reimbursement under MA increased; eligibility for BadgerCare Plus and BadgerCare Plus Core expanded; DHS required to apply for Medicaid expansion - AB255

Physical health services reimbursement rates under MA appropriation increased; acupuncture by a certified acupuncturist made reimbursable under MA; DHS duties - AB648

Physical health services reimbursement rates under MA appropriation increased; acupuncture by a certified acupuncturist made reimbursable under MA; DHS duties - SB600

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - SB630

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - AB693

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage [Sec. 685, 688, 695, 703-705; original bill only] - AB56

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage [Sec. 685, 688, 695, 703-705] - SB59

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage - SB324

Pregnant women eligible for MA: DHS to seek approval to extend post-partum coverage - AB346

Public health emergency dashboard: Wisconsin Hospital Association Information Center to prepare and publish certain information on the 2020 declared emergency; DHS to develop, under MA, a pay-for-performance system to incentivize participation in the health information exchange [Sec. 77, 105 (20)] - AB1038

Public health emergency dashboard: Wisconsin Hospital Association Information Center to prepare and publish certain information on the 2020 declared emergency; DHS to develop, under MA, a pay-for-performance system to incentivize participation in the health information exchange [Sec. 77, 105 (20)] - SB932

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684; original bill only] - AB56

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684] - SB59

``Telehealth" definition expanded; DHS to develop MA reimbursement method for providers [Sec. 677, 9119 (2)] - AB56

``Telehealth" definition expanded; DHS to develop MA reimbursement method for providers [Sec. 677, 9119 (2)] - SB59

Telehealth services, including audio-only telephone: insurers prohibited from denying coverage for services before set date; MA coverage from 2019 WisAct 56 provision - SB913

Transport of individuals for emergency detention: law enforcement agency may contract with another law enforcement agency, ambulance service provider, or third-party vendor; DHS reimbursement to counties from MA program provision - SB565

Transport of individuals for emergency detention: law enforcement agency may contract with another law enforcement agency, ambulance service provider, or third-party vendor; DHS reimbursement to counties from MA program provision [A.Amdt.1: DHS to establish criteria for third-party vendors] - AB633

Volunteer Health Care Provider Program: allowing nonprofit agencies providing volunteer health care services to MA recipients who are primarily homeless to participate - AB162

Volunteer Health Care Provider Program: allowing nonprofit agencies providing volunteer health care services to MA recipients who are primarily homeless to participate - SB155

Graduate medical education grants from DHS combined and eligibility expanded [Sec. 190, 195, 1764-1767] - AB56

Graduate medical education grants from DHS combined and eligibility expanded [Sec. 190, 195, 1764-1767] - SB59

Nutritional counseling certification: Chiropractic Examining Board to approve postgraduate nutrition programs and administrative rules revised [Admin.Code Chir 12.03] [introduction required by s. 277.19 (5) (e)] - AB1018

Nutritional counseling certification: Chiropractic Examining Board to approve postgraduate nutrition programs and administrative rules revised [Admin.Code Chir 12.03] [introduction required by s. 277.19 (5) (e)] - SB904

Pelvic exam on anesthetized or unconscious patient: requiring hospitals to have policy on written and verbal informed consent before medical student may perform - SB635

Pelvic exam on anesthetized or unconscious patient: requiring hospitals to have policy on written and verbal informed consent before medical student may perform - AB694

Spinal cord injury research grants and symposia created, report required; Spinal Cord Injury Council created in HEAB - SB373

Spinal cord injury research grants and symposia created, report required; Spinal Cord Injury Council created in HEAB - AB393

Genetic counseling regulations and licensing; Genetic Counselors Affiliated Credentialing Board created; JRCCP may report - AB686