2019 Wisconsin Act 186

  Date of enactment: April 17, 2020
2019 Senate Bill 605   Date of publication*: April 18, 2020

* Section 991.11, Wisconsin Statutes: Effective date of acts. “Every act and every portion of an act enacted by the legislature over the governor's partial veto which does not expressly prescribe the time when it takes effect shall take effect on the day after its date of publication."

2019 WISCONSIN ACT 186

An Act to amend 49.45 (9r) (a) 2.; and to create 49.45 (9r) (d) of the statutes; relating to: reimbursement under the Medical Assistance program for complex rehabilitation technology.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

186,1 Section 1. 49.45 (9r) (a) 2. of the statutes is amended to read:

49.45 (9r) (a) 2. “Complex rehabilitation technology" means items classified within Medicare as durable medical equipment that are individually configured for individuals to meet their specific and unique medical, physical, and functional needs and capacities for basic activities of daily living and instrumental activities of daily living identified as medically necessary. “Complex rehabilitation technology” includes complex rehabilitation manual and power wheelchairs, adaptive seating and positioning items, and other specialized equipment such as standing frames and gait trainers, power seat elevation or power standing components of power wheelchairs, as well as options and accessories related to any of these items.

186,2m Section 2m. 49.45 (9r) (d) of the statutes is created to read:

49.45 (9r) (d) When reviewing prior authorization requests for complex rehabilitation technology items, the department and managed care plans shall act within 10 working days of receiving complete, clinically relevant written documentation necessary to make a determination.