Chapter Jus 11

Jus 11.14(1) (1) Authority and purpose. This subchapter is promulgated under s. 949.22, Stats., for the purpose of administering the awards of compensation to health care providers who perform sexual assault forensic examinations and providing procedures to ensure any limitation of an award is calculated in a fair and equitable manner.

Jus 11.14(2) (2) Applicability. This subchapter applies to all applications for an award to cover the costs of performing a sexual assault forensic examination.

Jus 11.14(3) (3) Administration. This subchapter shall be administered by the director appointed by the attorney general to administer ch. 949, Stats.

Jus 11.14(4) (4) Service and filing. Papers an required to be filed with the department of justice shall be filed either in person or by mail and shall be addressed: Wisconsin Department of Justice, Office of Crime Victim Services, 17 West Main Street, Post Office Box 7951, Madison, WI 53707-7951. The papers are deemed filed when received by the department.

Jus 11.14(5) (5) Definitions. In this subchapter:

Jus 11.14(5)(a) (a) “Department” has the meaning specified in s. 949.20 (2), Stats.

Jus 11.14(5)(b) (b) “Sex offense” has the meaning specified in s. 949.20 (7), Stats.

Jus 11.14 History History: CR 15-058: cr. Register May 2016 No. 725; correction in (5) (intro.) made under s. 35.17, Stats., Register May 2016 No. 725; correction in (4) under 13.92 (4) (b) 6., Stats., Register June 2016 No. 726.

Jus 11.15 Jus 11.15 Eligibility for an award.

Jus 11.15(1) (1) Incorporation of subchapter ii of ch. 949, stats. The health care provider must follow all requirements of subch. II of ch. 949, Stats.

Jus 11.15(2) (2) Examination services for which costs are covered. A health care provider is eligible to be paid an award for all of the following services:

Jus 11.15(2)(a) (a) Collection of the victim’s medical history.

Jus 11.15(2)(b) (b) Collection of a forensic history of the events of the assault.

Jus 11.15(2)(c) (c) Physical examination of the victim for evidence of the assault.

Jus 11.15(2)(d) (d) Photographs of the physical evidence of the sex offense, if the health care provider conducting the examination has been trained to take photographs for use as evidence.

Jus 11.15(2)(e) (e) Evaluation, testing, and prophylaxis for sexually transmitted diseases.

Jus 11.15(2)(f) (f) Evaluation of the risk of pregnancy.

Jus 11.15(2)(g) (g) Collection of blood and urine using the collection kit provided by law enforcement.

Jus 11.15(3) (3) Other costs which are covered. A health care provider is also eligible to be reimbursed for other expenses incurred in conducting the examination, including but not limited to, the cost for the use of its facility for the examination.

Jus 11.15(4) (4) Relationship with s. 50.375, stats. Nothing in this subchapter affects a health care provider’s duties under s. 50.375, Stats.

Jus 11.15 History History: CR 15-058: cr. Register May 2016 No. 725.

Jus 11.16 Jus 11.16 Procedures for payment of awards of examination costs.

Jus 11.16(1) (1) Itemized bill. A health care provider seeking an award for examination costs shall provide an itemized bill to the department with individual charges listed for each service for which reimbursement is sought. Only one itemized bill shall be submitted for each examination. The health care provider shall also indicate the amount sought for all of the following categories of examination costs:

Jus 11.16(1)(a) (a) Services of the provider.

Jus 11.16(1)(b) (b) Facilities used for the examination.

Jus 11.16(1)(c) (c) Any other expenses.

Jus 11.16(2) (2) No billing of victim. Per s. 949.26 (2) (a), Stats., a health care provider seeking an award under this subchapter may not seek payment for any examination costs from the victim or any guardian of the victim.

Jus 11.16(3) (3) Payment directly to health care provider. The department will pay the award directly to the health care provider that performed the examination.

Jus 11.16(4) (4) Maximum amount of award. The department will pay two-thirds of the amount billed for eligible services, up to a maximum of $1200 for each examination. In exceptional cases, the department in its sole discretion may approve an award in excess of the maximum amount if the health care provider submits evidence that that maximum amount did not fairly and equitably compensate it for the costs incurred in conducting the examination. Beginning January 1, 2017, the maximum amount of an award shall be adjusted annually by the “inflation factor” as defined in s. 79.05 (1) (am), Stats., and certified by the department of revenue under s. 79.05 (2m), Stats.

Jus 11.16 History History: CR 15-058: cr. Register May 2016 No. 725.