AB50-ASA2-AA8,214,432. Defined goals and measurable outcomes of the partnership group during 4the pilot program and after the pilot program. AB50-ASA2-AA8,214,853. The types of complex patients for whom care will be provided, which may 6include patients needing total care for multiple conditions or comorbidities such as 7cardiac and respiratory diseases, obesity, mental health, substance use, or 8dementia. AB50-ASA2-AA8,214,1194. An operating budget for the proposed site that details how fiscal 10responsibility will be shared among members of the partnership group and includes 11all of the following: AB50-ASA2-AA8,214,1312a. Estimated patient revenues from other sources, including the Medical 13Assistance program under subch. IV of ch. 49, and estimated total costs. AB50-ASA2-AA8,214,1414b. A margin to account for reserved beds. AB50-ASA2-AA8,214,16155. The partnership group’s expertise to successfully implement the proposal, 16which may include a discussion of the following issues: AB50-ASA2-AA8,214,1817a. Documented experience of the partners working together to serve complex 18patients. AB50-ASA2-AA8,214,2119b. The implementation timeline and the plan for post-acute facilities to accept 20admissions and transfer patients within 72 hours of a request submitted by a 21hospital. AB50-ASA2-AA8,215,222c. The plan for an interdisciplinary team that will staff the unit in the post-23acute facility, including the availability of staff with appropriate expertise that
1includes physicians, nurses, advance practice health professionals, pharmacists, 2physical therapists, occupational therapists, and social workers. AB50-ASA2-AA8,215,33d. Ability to electronically exchange health information. AB50-ASA2-AA8,215,54e. Resources to conduct patient intake and discharge planning from the post-5acute facility, including case managers and social workers. AB50-ASA2-AA8,215,86f. Ability to conduct monthly case management reviews with the 7interdisciplinary team for every complex care patient that cover care plan progress 8and any readmissions to an acute care hospital. AB50-ASA2-AA8,215,99g. Ability to conduct monthly quality assurance reviews. AB50-ASA2-AA8,215,1010h. Ability of the treatment model to be replicated by other healthcare systems. AB50-ASA2-AA8,215,1211i. Plans to document decreases in lengths of stay for complex patients in 12hospitals and avoided hospital days. AB50-ASA2-AA8,215,1713j. Documentation of stable finances among partnership group members to 14support the proposal, including matching funds that could be dedicated to the pilot 15program under this subsection. No applicant may be required to provide matching 16funds or a contribution, but the department may take into consideration the 17availability of matching funds or a contribution in evaluating an application. AB50-ASA2-AA8,215,1918k. Description of anticipated impediments to successful implementation and 19how the partnership group intends to overcome the anticipated impediments. AB50-ASA2-AA8,215,2120(e) In implementing this subsection, the department shall do all of the 21following: AB50-ASA2-AA8,216,2221. Develop a methodology to evaluate the complex patient pilot program and 23contract with an independent organization to complete the evaluation. The
1department may pay the fee of the organization selected from the appropriation 2under s. 20.435 (7) (d). AB50-ASA2-AA8,216,432. Give additional weight to partnership groups that would ensure geographic 4diversity. AB50-ASA2-AA8,216,75(f) Upon completion of the evaluation required under par. (e) 1., the 6independent organization contracted by the department to complete the evaluation 7shall provide the evaluation to the department. AB50-ASA2-AA8,216,149(1) Complex patient pilot program. In the schedule under s. 20.005 (3) for 10the appropriation to the department of health services under s. 20.435 (7) (d), the 11dollar amount for fiscal year 2025-26 is increased by $15,000,000 to fund, on a one-12time basis, a complex patient pilot program to help facilitate the transfer of complex 13patients from acute care settings, such as hospitals, to post-acute care facilities, in 14the 2025-27 biennium.”. AB50-ASA2-AA8,216,211720.435 (5) (bw) Child psychiatry and addiction medicine consultation 18programs Mental health consultation program. Biennially, the amounts in the 19schedule for operating the child psychiatry consultation program under s. 51.442 20and the addiction medicine consultation program under s. 51.448 mental health 21consultation program under s. 51.443. AB50-ASA2-AA8,217,22320.435 (5) (bx) Addiction medicine consultation program. Biennially, the
1amounts in the schedule for operating the addiction medicine consultation program 2under s. 51.448. AB50-ASA2-AA8,217,7751.443 Mental health consultation program. (1) In this section: AB50-ASA2-AA8,217,108(a) “Participating clinicians” includes physicians, nurse practitioners, 9physician assistants, and medically appropriate members of the care teams of 10physicians, nurse practitioners, and physician assistants. AB50-ASA2-AA8,217,1211(b) “Program” means the mental health consultation program under this 12section. AB50-ASA2-AA8,217,2113(2) During fiscal year 2025-26, the department shall contract with the 14organization that provided consultation services through the child psychiatry 15consultation program under s. 51.442, 2023 stats., as of January 1, 2025, to 16administer the mental health consultation program described under this section. 17Beginning in fiscal year 2026-27, the department shall contract with the 18organization that provided consultation services through the child psychiatry 19consultation program under s. 51.442, 2023 stats., as of January 1, 2025, or another 20organization to administer the mental health consultation program under this 21section. AB50-ASA2-AA8,218,422(3) The contracting organization under sub. (2) shall administer a mental 23health consultation program that incorporates a comprehensive set of mental
1health consultation services, which may include perinatal, child, adult, geriatric, 2pain, veteran, and general mental health consultation services, and may contract 3with any other entity to perform any operations and satisfy any requirements under 4this section for the program. AB50-ASA2-AA8,218,65(4) As a condition of providing services through the program, the contracting 6organization under sub. (2) shall do all of the following: AB50-ASA2-AA8,218,147(a) Ensure that all mental health care providers who are providing services 8through the program have the applicable credential from this state; if a psychiatric 9professional, that the provider is eligible for certification or is certified by the 10American Board of Psychiatry and Neurology for adult psychiatry, child and 11adolescent psychiatry, or both; and if a psychologist, that the provider is registered 12in a professional organization, including the American Psychological Association, 13National Register of Health Service Psychologists, Association for Psychological 14Science, or the National Alliance of Professional Psychology Providers. AB50-ASA2-AA8,218,1615(b) Maintain the infrastructure necessary to provide the program’s services 16statewide. AB50-ASA2-AA8,218,1817(c) Operate the program on weekdays during normal business hours of 8 a.m. 18to 5 p.m. AB50-ASA2-AA8,218,2019(d) Provide consultation services under the program as promptly as is 20practicable. AB50-ASA2-AA8,219,221(e) Have the capability to provide consultation services by, at a minimum, 22telephone and email. Consultation through the program may be provided by
1teleconference, video conference, voice over Internet protocol, email, pager, in-2person conference, or any other telecommunication or electronic means. AB50-ASA2-AA8,219,33(f) Provide all of the following services through the program: AB50-ASA2-AA8,219,541. Support for participating clinicians to assist in the management of mental 5health concerns. AB50-ASA2-AA8,219,862. Triage-level assessments to determine the most appropriate response to 7each request, including appropriate referrals to any community providers and 8health systems. AB50-ASA2-AA8,219,993. When medically appropriate, diagnostics and therapeutic feedback. AB50-ASA2-AA8,219,11104. Recruitment of other clinicians into the program as participating clinicians 11when possible. AB50-ASA2-AA8,219,1212(g) Report to the department any information requested by the department. AB50-ASA2-AA8,219,2213(h) Conduct annual surveys of participating clinicians who use the program to 14assess the quality of care provided, self-perceived levels of confidence in providing 15mental health services, and satisfaction with the consultations and other services 16provided through the program. Immediately after participating clinicians begin 17using the program and again 6 to 12 months later, the contracting organization 18under sub. (2) may conduct assessments of participating clinicians to assess the 19barriers to and benefits of participation in the program to make future 20improvements and to determine the participating clinicians’ treatment abilities, 21confidence, and awareness of relevant resources before and after beginning to use 22the program. AB50-ASA2-AA8,220,323(5) Services provided under sub. (4) (b) to (h) are eligible for funding from the
1department. The contracting organization under sub. (2) also may provide any of 2the following services under the program that are eligible for funding from the 3department: AB50-ASA2-AA8,220,64(a) Second opinion diagnostic and medication management evaluations and 5community resource referrals conducted by either a psychiatrist or allied health 6professionals. AB50-ASA2-AA8,220,97(b) In-person or web-based educational seminars and refresher courses on a 8medically appropriate topic within mental or behavioral health care provided to any 9participating clinician who uses the program. AB50-ASA2-AA8,220,1010(c) Data evaluation and assessment of the program. AB50-ASA2-AA8,220,1712(1) Comprehensive mental health consultation program. In the 13schedule under s. 20.005 (3) for the appropriation to the department of health 14services under s. 20.435 (5) (bw), the dollar amount for fiscal year 2025-26 is 15increased by $2,000,000 and the dollar amount for fiscal year 2026-27 is increased 16by $2,000,000 to support a comprehensive mental health consultation program 17under s. 51.443.”. AB50-ASA2-AA8,221,520(1) Contracted community services. In the schedule under s. 20.005 (3) for 21the appropriation to the department of health services under s. 20.435 (2) (bj), the 22dollar amount for fiscal year 2025-26 is increased by $3,742,500 to fund contracts 23for community-based mental health services for the treatment and monitoring for
1forensic and sexually violent persons programs. In the schedule under s. 20.005 (3) 2for the appropriation to the department of health services under s. 20.435 (2) (bj), 3the dollar amount for fiscal year 2026-27 is increased by $6,305,000 to fund 4contracts for community-based mental health services for the treatment and 5monitoring for forensic and sexually violent persons programs.”. AB50-ASA2-AA8,221,88(1) Coverage of continuous glucose monitoring devices. AB50-ASA2-AA8,221,139(a) In the schedule under s. 20.005 (3) for the appropriation to the department 10of health services under s. 20.435 (4) (b), the dollar amount for fiscal year 2026-27 is 11increased by $4,647,100 to support the cost of providing coverage for continuous 12glucose monitoring devices and insulin pumps for diabetic care as a pharmacy 13benefit. AB50-ASA2-AA8,221,1814(b) In the schedule under s. 20.005 (3) for the appropriation to the department 15of health services under s. 20.435 (4) (j), the dollar amount for fiscal year 2026-27 is 16increased by $9,600,000 to support the cost of providing coverage for continuous 17glucose monitoring devices and insulin pumps for diabetic care as a pharmacy 18benefit.”. AB50-ASA2-AA8,221,212149.45 (30t) Doula services. (a) In this subsection: AB50-ASA2-AA8,221,23221. “Certified doula” means an individual who has received certification from 23a doula certifying organization recognized by the department. AB50-ASA2-AA8,222,3
12. “Doula services” means childbirth education and support services, 2including emotional and physical support provided during pregnancy, labor, birth, 3and the postpartum period. AB50-ASA2-AA8,222,104(b) The department shall request from the secretary of the federal 5department of health and human services any required waiver or any required 6amendment to the state plan for Medical Assistance to allow reimbursement for 7doula services provided by a certified doula. If the waiver or state plan amendment 8is granted, the department shall reimburse a certified doula under s. 49.46 (2) (b) 912p. for the allowable charges for doula services provided to Medical Assistance 10recipients. AB50-ASA2-AA8,37511Section 375. 49.46 (2) (b) 12p. of the statutes is created to read: AB50-ASA2-AA8,222,131249.46 (2) (b) 12p. Doula services provided by a certified doula, as specified 13under s. 49.45 (30t). AB50-ASA2-AA8,222,1915(1) Coverage of doula services. In the schedule under s. 20.005 (3) for the 16appropriation to the department of health services under s. 20.435 (4) (b), the dollar 17amount for fiscal year 2025-26 is increased by $215,400 and the dollar amount for 18fiscal year 2026-27 is increased by $428,500 to provide reimbursement of doula 19services under the Medical Assistance program under subch. IV of ch. 49.”. AB50-ASA2-AA8,222,222249.46 (2) (b) 1. j. Nonsurgical treatment of temporomandibular joint disorder. AB50-ASA2-AA8,223Section 2. DHS 107.07 (4) (k) 2. of the administrative code is repealed.”. AB50-ASA2-AA8,223,33(1) Elimination of birth cost recovery. AB50-ASA2-AA8,223,104(a) In the schedule under s. 20.005 (3) for the appropriation to the department 5of children and families under s. 20.437 (2) (a), the dollar amount for fiscal year 62025-26 is increased by $650,000 to to support a policy change that would end the 7practice of recovering birth costs. In the schedule under s. 20.005 (3) for the 8appropriation to the department of children and families under s. 20.437 (2) (a), the 9dollar amount for fiscal year 2026-27 is increased by $650,000 to to support a policy 10change that would end the practice of recovering birth costs. AB50-ASA2-AA8,223,1711(b) In the schedule under s. 20.005 (3) for the appropriation to the department 12of children and families under s. 20.437 (2) (md), the dollar amount for fiscal year 132025-26 is increased by $1,261,800 to to support a policy change that would end the 14practice of recovering birth costs. In the schedule under s. 20.005 (3) for the 15appropriation to the department of children and families under s. 20.437 (2) (md), 16the dollar amount for fiscal year 2026-27 is increased by $1,261,800 to to support a 17policy change that would end the practice of recovering birth costs.”. AB50-ASA2-AA8,223,2222(1) Disease Intervention Specialists. AB50-ASA2-AA8,224,823(a) In the schedule under s. 20.005 (3) for the appropriation to the department
1of health services under s. 20.435 (1) (a), the dollar amount for fiscal year 2025-26 is 2increased by $352,900 to increase the authorized FTE positions for the department 3by 5.0 GPR positions to provide specialization and investigative support to local and 4tribal health departments to intervene in active infections and interrupt disease 5transmission. In the schedule under s. 20.005 (3) for the appropriation to the 6department of health services under s. 20.435 (1) (a), the dollar amount for fiscal 7year 2026-27 is increased by $453,900 to provide funding for the positions 8authorized under this paragraph.
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