LRB-3686/1
JPC:kjf
2021 - 2022 LEGISLATURE
August 4, 2021 - Introduced by Representatives Summerfield, James,
Cabral-Guevara, Dittrich, Rozar and Wichgers, cosponsored by Senators
Testin and Kooyenga. Referred to Committee on Health.
AB485,1,2
1An Act relating to: prior authorization of specially formulated nutritional
2supplements and replacements.
Analysis by the Legislative Reference Bureau
This bill removes the requirement under the administrative code that a
provider receive prior authorization from the Department of Health Services to
provide and receive reimbursement for medically necessary, specially formulated
supplements and replacement products administered by feeding tube or by injection,
infusion, or implantation into the body under the Medical Assistance program. The
Medical Assistance program is a joint federal and state program that provides health
services to individuals with 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:
AB485,1
3Section
1. DHS 107.10 (2) (c) of the administrative code is amended to read:
AB485,2,24
DHS 107.10
(2) (c) Medically necessary, specially formulated nutritional
5supplements and replacement products
administered orally, including enteral
and
6parenteral products used for the treatment of severe health conditions such as
1pathologies of the gastrointestinal tract or metabolic disorders, as described in the
2MA provider handbooks and bulletins.
