Wisconsin Legislature: Medical assistance

Authority of a private person to bring a qui tam claim against another person making a false claim for MA restored [Sec. 528, 1051, 2303, 3061, 3063, 3064, 3066-3068, 3103] [original bill only] - AB68

Authority of a private person to bring a qui tam claim against another person making a false claim for MA restored [Sec. 528, 1051, 2303, 3061, 3063, 3064, 3066-3068, 3103] - SB111

Authority of a private person to bring a qui tam claim against another person making a false claim for MA restored; AG authority provisions - AB652

Authority of a private person to bring a qui tam claim against another person making a false claim for MA restored; AG authority provisions - SB652

Behavioral treatment services re autism: MA reimbursement rate increased - AB479

Behavioral treatment services re autism: MA reimbursement rate increased - SB340

Community-based psychosocial services: MA reimbursement [Sec. 1027-1031, 9119 (5)] [original bill only] - AB68

Community-based psychosocial services: MA reimbursement [Sec. 1027-1031, 9119 (5)] - SB111

Copayment for prescription drugs under MA eliminated [Sec. 1017-1020] [original bill only] - AB68

Copayment for prescription drugs under MA eliminated [Sec. 1017-1020] - SB111

Cost sharing payments for prescription drugs under MA eliminated - AB559

Cost sharing payments for prescription drugs under MA eliminated - SB552

COVID-19 vaccines and tests administered by pharmacists: DHS to ensure MA coverage [A.Amdt.1: “pharmacist” changed to “pharmacy”; S.Sub.Amdt.1: further revisions] - AB1

DHS prohibited from certifying a MA provider that is a private entity providing abortion services, federal waiver provision - SB503

DHS prohibited from certifying a MA provider that is a private entity providing elective abortion services, federal waiver provision - AB493

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 - AB528

Direct care for persons with intellectual disabilities in nursing or intermediate care facilities: MA payments increased [Sec. 9119 (11); A.Sub.Amdt.2: further revisions, Sec. 9119 (4); A.Amdt.9: further revisions] - AB68

Direct care for persons with intellectual disabilities in nursing or intermediate care facilities: MA payments increased [Sec. 9119 (11)] - SB111

Direct care in personal care agencies: MA reimbursement rate increased [Sec. 9119 (6); A.Sub.Amdt.2: further revisions, Sec. 9119 (6); A.Amdt.9: further revisions] - AB68

Direct care in personal care agencies: MA reimbursement rate increased [Sec. 9119 (6)] - SB111

Disproportionate share hospital payments increased [Sec. 1011, 1012; A.Sub.Amdt.2: further revisions, Sec. 227, 228] - AB68

Disproportionate share hospital payments increased [Sec. 1011, 1012] - SB111

Doula services: MA reimbursement [Sec. 1032, 1038] [original bill only] - AB68

Doula services: MA reimbursement [Sec. 1032, 1038] - SB111

Essential breast cancer screenings beyond mammography for certain individuals: health insurance and MA coverage required - AB416

Essential breast cancer screenings beyond mammography for certain individuals: health insurance and MA coverage required - SB413

Estate recovery for cost of MA long-term care limited to probate estate - AB774

Estate recovery for cost of MA long-term care limited to probate estate - SB726

Gender transition procedure: prohibiting physicians and health care providers from providing to persons under age 18; MA and civil liability provisions - AB977

Gender transition procedure: prohibiting physicians and health care providers from providing to persons under age 18; MA and civil liability provisions - SB915

Group physical therapy authorized for MA reimbursement [Sec. 9119 (2)] [original bill only] - AB68

Group physical therapy authorized for MA reimbursement [Sec. 9119 (2)] - SB111

Group physical therapy reimbursement under MA: administrative rule changes [Admin.Code DHS 107.16] - AB765

Group physical therapy reimbursement under MA: administrative rule changes [Admin.Code DHS 107.16] - SB737

Hazard pay and paid medical leave for frontline health care workers during a public health emergency; DHS to provide coverage for uninsured health care worker re COVID-19 or other communicable disease; Medicaid expansion accepted, DHS duties, and elimination of BadgerCare Plus Core - AB955

Health care data aggregator creates de-identified health information from MA data provided by DHS; confidentiality provision [removed by S.Sub.Amdt.1 and restored by S.Amdt.2 to S.Sub.Amdt.1] - AB1

Hospital assessment percentage [Sec. 1009, 1010] [original bill only] - AB68

Hospital assessment percentage [Sec. 1009, 1010] - SB111

Hospital services provided in a home setting (hospital-associated services): standards and MA reimbursement specified [removed by S.Sub.Amdt.1 and restored by S.Amdt.2 to S.Sub.Amdt.1, expiration set] - AB1

Hospitals providing nursing-facility-level custodial care and outpatient services: DHS to provide reimbursement or supplemental payment under MA; expiration provision [A.Amdt.1: outpatient service “reimbursement” changed to “payment”; S.Sub.Amdt.1: further revisions; S.Amdt.2 to S.Sub.Amdt.1: does not apply to reimbursement for administration of COVID-19 vaccine] - AB1

Hospitals providing nursing-facility-level custodial care and outpatient services: DHS to provide reimbursement or supplemental payment under MA; expiration provision - AB31

Hospitals providing nursing-facility-level custodial care: DHS to provide reimbursement or supplemental payment under MA; public health emergency provision - SB135

Hospitals providing outpatient services: DHS to provide reimbursement or supplemental payment under MA; public health emergency provision - SB134

Individual Medicare supplement policy: policyholder may cancel at any time - AB1086

Individual Medicare supplement policy: policyholder may cancel at any time - SB1021

Ineligibility period for FoodShare and MA created re certain voluntary employment termination - AB1056

MA benefits eligibility determination, disenrollment, and redetermination changes; DHS duties [A.Amdt.1: BadgerCare Plus childless adults demonstration project specified and federal approval provision added] - AB934

MA benefits eligibility determination, disenrollment, and redetermination changes; DHS duties - SB905

MA benefits prohibited conduct to include failure to accept offer of employment or increase of paid work hours or wages - AB936

MA benefits prohibited conduct to include failure to accept offer of employment or increase of paid work hours or wages - SB912

MA changes re coverage of home health services and products and cross-references to “institution for mental diseases;” definition of “independent living core services” revised (remedial legislation suggested by DHS) - AB1030

MA critical access reimbursement payments to dental providers [Sec. 1023] [original bill only] - AB68

MA critical access reimbursement payments to dental providers [Sec. 1023] - SB111

MA for Afghan refugees: DHS to request extension from federal DHHS - SB1023

MA reimbursement for community health services [Sec. 1026, 1036] [original bill only] - AB68

MA reimbursement for community health services [Sec. 1026, 1036] - SB111

MA state plan amendments and changes to reimbursement rate or supplemental payment: JCF review eliminated [Sec. 1008] [original bill only] - AB68

MA state plan amendments and changes to reimbursement rate or supplemental payment: JCF review eliminated [Sec. 1008] - SB111

MA trust fund: transfer from general fund [A.Sub.Amdt.2: Sec. 9219 (2); A.Amdt.9: further revisions] - AB68

Maternal mental health screenings: DHS to request federal waiver to allow MA reimbursement for; standards, best practices, and health insurance coverage provisions - AB697

Maternal mental health screenings: DHS to request federal waiver to allow MA reimbursement for; standards, best practices, and health insurance coverage provisions - SB668

Medicaid expansion accepted, DHS duties, and elimination of BadgerCare Plus Core - AB31

Medicaid expansion and funding various programs and grants - AB444

Medicaid expansion and funding various programs and grants - SB439

Medicaid expansion; elimination of BadgerCare Plus Core; BadgerCare Reform waiver statutory implementation requirement eliminated [Sec. 390, 1007, 1021, 1022, 1044-1047, 1052, 3469, 9119 (1), 9419 (1)] [original bill only] - AB68

Nonmedical services included in the determinants of health as a MA benefit [Sec. 1039, 1040] [original bill only] - AB68

Nonmedical services included in the determinants of health as a MA benefit [Sec. 1039, 1040] - SB111

Nursing in home health agencies: MA rate [A.Sub.Amdt.2: Sec. 9119 (5); A.Amdt.9: further revisions] - AB68

Peer recovery coach services re 2019 WisAct 122: “coach” changed to “specialist” and certain training requirement modified - AB976

Peer recovery coach services re 2019 WisAct 122: “coach” changed to “specialist” and certain training requirement modified - SB927

Permanent endowment fund transfer to MA trust fund [A.Sub.Amdt.2: Sec. 167] - AB68

Pharmacist services: MA reimbursement - AB290

Pharmacist services: MA reimbursement - SB255

Postpartum MA coverage extended - AB592

Postpartum MA coverage extended - SB562

Postpartum MA coverage extended [Sec. 1033, 1034, 1042, 1048-1050; A.Sub.Amdt.2: further revisions, federal approval required, Sec. 230-235] - AB68

Postpartum MA coverage extended [Sec. 1033, 1034, 1042, 1048-1050] - SB111

Pregnant MA recipients: DHS to ensure opportunity to see dentist when referred under the MA program - AB696

Pregnant MA recipients: DHS to ensure opportunity to see dentist when referred under the MA program - SB670

Recovery of birth expenses: state cannot seek recovery if paid through MA for unmarried persons and court cannot include in judgment or order relating to paternity - AB701

Recovery of birth expenses: state cannot seek recovery if paid through MA for unmarried persons and court cannot include in judgment or order relating to paternity - SB665

Residential substance use disorder treatment: MA to cover room and board [Sec. 1035] [original bill only] - AB68

Residential substance use disorder treatment: MA to cover room and board [Sec. 1035] - SB111

Specially formulated nutritional supplements and replacements for severe health conditions: remove prior authorization from DHS for MA reimbursement [Admin.Code DHS 107.10] - AB485

Specially formulated nutritional supplements and replacements for severe health conditions: remove prior authorization from DHS for MA reimbursement [Admin.Code DHS 107.10] [S.Sub.Amdt.1: further revisions, changed to enteral nutrition products administered through a tube] - SB453