AB43,,2641 49.46 (2) (b) 14p. Subject to s. 49.45 (30j), services provided by a peer recovery coach or a certified peer specialist.

AB43,1113 Section 1113. 49.46 (2) (b) 14r. of the statutes is created to read:

AB43,,2643 49.46 (2) (b) 14r. Detoxification and stabilization services as specified under s. 49.45 (30p).

AB43,1114 Section 1114. 49.46 (2) (b) 24. of the statutes is created to read:

AB43,,2645 49.46 (2) (b) 24. Subject to par. (by), nonmedical services that contribute to the determinants of health.

AB43,1115 Section 1115. 49.46 (2) (bv) of the statutes is created to read:

AB43,,2647 49.46 (2) (bv) The department shall submit to the federal department of health and human services any request for a state plan amendment, waiver, or other federal approval necessary to provide reimbursement for services by a psychiatric residential treatment facility. If the federal department of health and human services approves the request or if no federal approval is necessary, the department shall provide reimbursement under par. (b) 14c. If the federal department of health and human services disapproves the request, the department may not provide reimbursement for services under par. (b) 14c.

AB43,1116 Section 1116. 49.46 (2) (bx) of the statutes is created to read:

AB43,,2649 49.46 (2) (bx) The department shall submit to the federal department of health and human services any request for a state plan amendment, waiver, or other federal approval necessary to provide reimbursement for the benefit under par. (b) 11m. If the federal department approves the request or if no federal approval is necessary, the department shall provide the benefit and reimbursement under par. (b) 11m. If the federal department disapproves the request, the department may not provide the benefit or reimbursement for the benefit described under par. (b) 11m.

AB43,1117 Section 1117. 49.46 (2) (by) of the statutes is created to read:

AB43,,2651 49.46 (2) (by) The department shall determine those services under par. (b) 24. that contribute to the determinants of health. The department shall seek any necessary state plan amendment or request any waiver of federal Medicaid law to implement this paragraph. The department is not required to provide the services under this paragraph as a benefit under the Medical Assistance program if the federal department of health and human services does not provide federal financial participation for the services under this paragraph.

AB43,1118 Section 1118. 49.47 (4) (ag) 2. of the statutes is amended to read:

AB43,,2653 49.47 (4) (ag) 2. Pregnant and the woman’s pregnancy is medically verified. Eligibility continues to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls.

AB43,1119 Section 1119. 49.471 (1) (b) 2. of the statutes is amended to read:

AB43,,2655 49.471 (1) (b) 2. A stepfather, stepmother stepparent, stepbrother, or stepsister.

AB43,1120 Section 1120. 49.471 (1) (cr) of the statutes is created to read:

AB43,,2657 49.471 (1) (cr) “Enhanced federal medical assistance percentage” means a federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB43,1121 Section 1121. 49.471 (4) (a) 4. b. of the statutes is amended to read:

AB43,,2659 49.471 (4) (a) 4. b. The individual’s family income does not exceed 100 133 percent of the poverty line before application of the 5 percent income disregard under 42 CFR 435.603 (d).

AB43,1122 Section 1122. 49.471 (4) (a) 8. of the statutes is created to read:

AB43,,2661 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB43,,2662 a. The individual is an adult under the age of 65.

AB43,,2663 b. The adult has a family income that does not exceed 133 percent of the poverty line, except as provided in sub. (4g).

AB43,,2664 c. The adult is not otherwise eligible for the Medical Assistance program under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB43,1123 Section 1123. 49.471 (4g) of the statutes is created to read:

AB43,,2666 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For services provided to individuals described under sub. (4) (a) 8., the department shall comply with all federal requirements to qualify for the highest available enhanced federal medical assistance percentage. The department shall submit any amendment to the state medical assistance plan, request for a waiver of federal Medicaid law, or other approval request required by the federal government to provide services to the individuals described under sub. (4) (a) 8. and qualify for the highest available enhanced federal medical assistance percentage.

****Note: This is reconciled s. 49.471 (4g). This Section has been affected by drafts with the following LRB numbers: LRB-0696/P2 and LRB-1103/P2.

AB43,1124 Section 1124. 49.471 (6) (b) of the statutes is amended to read:

AB43,,2668 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits under sub. (4) remains eligible for benefits under sub. (4) for the balance of the pregnancy and to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls without regard to any change in the woman’s family income.