DHS 152.065(7)(c) (c) The department may make adjustments to and settle estate claims filed under s. 49.682 or 49.849, Stats., to obtain the fullest amount practicable.

- See PDF for table

- See PDF for table

DHS 152.065 Note Note: To illustrate how a patient’s coinsurance liability is calculated, assume that the family has 2 members and an annual income of $38,000, and that a bill has been received for treatment in the amount of $600. The patient would be liable for 16% of that bill, or $96.

DHS 152.065 History History: Cr. Register, December, 1994, No. 468, eff. 1-1-95; emerg. cr. (7), eff. 11-1-95; cr. (7), Register, April, 1996, No. 484, eff. 5-1-96; CR 02-070: am. (6) Register October 2002 No. 562, eff. 11-1-02; CR 04-051: am. (2) and (6), cr. (2) (f) to (h) Register November 2004 No. 587, eff. 12-1-04; corrections in (7) (a) and (b) (intro.) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; corrections in (7) (a), (b) 2., 5., (c) made under s. 13.92 (4) (b) 7., Stats., Register December 2013 No. 696.

DHS 152.07 DHS 152.07 Standards for renal transplantation centers.

DHS 152.07(1) (1) General. To be reimbursed by the CRD program, renal transplantation centers shall comply with the standards in this section.

DHS 152.07(2) (2) Staffing. A renal transplantation center shall have the following staff:

DHS 152.07(2)(a) (a) A transplant surgeon;

DHS 152.07(2)(b) (b) A nephrologist;

DHS 152.07(2)(c) (c) Other physicians licensed in Wisconsin or, if employed by an ESRD unit approved under this chapter in a border state, in that state, with experience in the following specialties: cardiology, endocrinology, hematology, neurology, infectious disease, orthopedics, pathology, psychiatry, nuclear medicine, radiology, urology, immunology, anesthesiology, gastroenterology, vascular surgery, pediatrics if pediatric patients are under care, neurosurgery and cardiovascular surgery;

DHS 152.07(2)(d) (d) A nurse;

DHS 152.07(2)(e) (e) A dietitian; and

DHS 152.07(2)(f) (f) A social worker.

DHS 152.07(3) (3) Services. The hospital housing the renal transplantation center shall:

DHS 152.07(3)(a) (a) Be approved under ss. 50.32 to 50.39, Stats., and ch. DHS 124, meet all the requirements of 42 USC 1395x (e) and be a certified medicare provider;

DHS 152.07(3)(b) (b) Be approved under 42 USC 1395rr (b);

DHS 152.07(3)(c) (c) Have laboratory services approved for participation in medicare and under 42 CFR 493 (CLIA) available for cross-matching of recipient serum and donor lymphocytes for preformed antibodies by an acceptable technique on a 24-hour emergency basis. Other available laboratory services shall include:

DHS 152.07(3)(c)1. 1. Suitable maintenance of recipient sera and typing reagents;

DHS 152.07(3)(c)2. 2. Phenotyping for donors and recipients;

DHS 152.07(3)(c)3. 3. Updating and retyping for human lymphocyte antigens (HLA);

DHS 152.07(3)(c)4. 4. Screening of recipient sera for preformed antibodies with a suitable lymphocyte panel;

DHS 152.07(3)(c)5. 5. Testing the mixed lymphocyte cultures to determine cellularly defined antigens;

DHS 152.07(3)(c)6. 6. ABO blood grouping and typing;

DHS 152.07(3)(c)7. 7. Unusual pathogen culturing, fungal cultures, tissue cultures and tuberculosis cultures;

DHS 152.07(3)(c)8. 8. Immunofluorescence and electron microscopy;

DHS 152.07(3)(c)9. 9. Urine glucose, protein, and microscopy;

DHS 152.07(3)(c)10. 10. Complete blood count (CBC) and platelet count;

DHS 152.07(3)(c)11. 11. Blood gases and blood pH;