AB56-SA2,27,106 2. During the hospital's fiscal year, the inpatient days in the hospital's acute
7care pediatric units and intensive care pediatric units totaled more than 12,000 days,
8not including neonatal intensive care units. For purposes of this subsection, the
9hospital's fiscal year is the hospital's fiscal year that ended in the 2nd calendar year
10preceding the beginning of the state fiscal year.

AB56-SA2,27,1511 (b) Notwithstanding par. (a), from the appropriations under s. 20.435 (4) (b),
12(o), and (w), the department may, using a method determined by the department,
13distribute an additional total sum of $10,000,000 in each state fiscal year to hospitals
14that are free-standing pediatric teaching hospitals located in Wisconsin that have
15a percentage calculated under s. 49.45 (3m) (b) 1. a. greater than 45 percent.

AB56-SA2,27,1817 49.45 (19) (title) Assigning Establishing paternity and assigning medical
18support rights.

AB56-SA2,28,220 49.45 (19) (a) As Except as provided in par. (c), as a condition of eligibility for
21medical assistance, a person shall, notwithstanding other provisions of the statutes,
22be deemed to have assigned to the state, by applying for or receiving medical
23assistance, any rights to medical support or other payment of medical expenses from
24any other person, including rights to unpaid amounts accrued at the time of

1application for medical assistance as well as any rights to support accruing during
2the time for which medical assistance is paid.

AB56-SA2,28,114 49.45 (19) (am) As a condition of eligibility for medical assistance, a person
5shall cooperate in good faith with efforts directed at establishing the paternity of a
6nonmarital child and obtaining support payments or any other payments or property
7to which the person and the dependent child or children may have rights. This
8cooperation shall be in accordance with federal law and regulations applying to
9paternity establishment and collection of support payments and may not be required
10if the person has good cause for refusing to cooperate, as determined by the
11department in accordance with federal law and regulations.

AB56-SA2,28,1713 49.45 (19) (c) If the mother of a child was enrolled in a health maintenance
14organization or other prepaid health care plan under medical assistance at the time
15of the child's birth, The state may not seek recovery of birth expenses that may be
16recovered by the state under this subsection are the birth expenses incurred by the
17health maintenance organization or other prepaid health care plan.

AB56-SA2,28,2522 49.45 (24L) Critical access reimbursement payments to dental providers. (a)
23Based on the criteria in pars. (b) and (c), the department shall increase
24reimbursements to dental providers that meet quality of care standards, as
25established by the department.

AB56-SA2,29,2

1(b) In order to be eligible for enhanced reimbursement under this subsection,
2the provider must meet one of the following qualifications:

AB56-SA2,29,53 1. For a nonprofit or public provider, 50 percent or more of the individuals
4served by the provider are individuals who are without dental insurance or are
5enrolled in the Medical Assistance program.

AB56-SA2,29,76 2. For a for-profit provider, 5 percent or more of the individuals served by the
7provider are enrolled in the Medical Assistance program.

AB56-SA2,29,188 (c) For dental services rendered on or after January 1, 2020, by a qualified
9nonprofit critical access dental provider, the department shall increase
10reimbursement by 50 percent above the reimbursement rate that would otherwise
11be paid to that provider. For dental services rendered on or after January 1, 2020,
12by a qualified for-profit critical access dental provider, the department shall increase
13reimbursement by 30 percent above the reimbursement rate that would otherwise
14be paid to that provider. For dental providers rendering services to individuals in
15managed care under the Medical Assistance program, for services rendered on or
16after January 1, 2020, the department shall increase reimbursement to pay an
17additional amount on the basis of the rate that would have been paid to the dental
18provider had the individual not been enrolled in managed care.

AB56-SA2,29,2119 (d) If a provider has more than one service location, the thresholds described
20under par. (b) apply to each location, and payment for each service location would be
21determined separately.”.

AB56-SA2,30,10

1“49.45 (29w) (b) 1. b. “Telehealth" is means a service provided from a remote
2location using a combination of interactive video, audio, and externally acquired
3images through a networking environment between an individual or a provider at
4an originating site and a provider at a remote location with the service being of
5sufficient audio and visual fidelity and clarity as to be functionally equivalent to
6face-to-face contact; or, in circumstances determined by the department, an
7asynchronous transmission of digital clinical information through a secure
8electronic communications system from one provider to another provider.
9“Telehealth" does not include telephone conversations or Internet-based
10communications between providers or between providers and individuals.”.

AB56-SA2,30,1614 49.45 (30y) Certified doula services; pilot project. (a) In this subsection,
15“certified doula" means an individual who has received certification from a doula
16certifying organization recognized by the department.

AB56-SA2,30,1917 (b) For purposes of this subsection, services provided by certified doulas include
18continuous emotional and physical support during labor and birth of a child and
19intermittent services during the prenatal and postpartum periods.

AB56-SA2,30,2420 (c) Subject to par. (d), the department shall reimburse under the Medical
21Assistance program benefits as provided under this subsection for pregnant women
22enrolled in the Medical Assistance program who reside in the counties of Brown,
23Dane, Milwaukee, Rock, or Sheboygan, or another county as determined by the
24department.