AB56,546,1413
49.471
(1) (cr) “Enhanced federal medical assistance percentage" means a
14federal medical assistance percentage described under
42 USC 1396d (y) or (z).
AB56,700
15Section 700
. 49.471 (4) (a) 4. b. of the statutes is amended to read:
AB56,546,1816
49.471
(4) (a) 4. b. The individual's family income does not exceed
100 133 17percent of the poverty line
before application of the 5 percent income disregard under
1842 CFR 435.603 (d).
AB56,701
19Section 701
. 49.471 (4) (a) 8. of the statutes is created to read:
AB56,546,2020
49.471
(4) (a) 8. An individual who meets all of the following criteria:
AB56,546,2121
a. The individual is an adult under the age of 65.
AB56,546,2322
b. The adult has a family income that does not exceed 133 percent of the poverty
23line, except as provided in sub. (4g).
AB56,546,2524
c. The adult is not otherwise eligible for the Medical Assistance program under
25this subchapter or the Medicare program under
42 USC 1395 et seq.
AB56,702
1Section
702. 49.471 (4g) of the statutes is created to read:
AB56,547,92
49.471
(4g) Medicaid expansion; federal medical assistance percentage. For
3services provided to individuals described under sub. (4) (a) 8., the department shall
4comply with all federal requirements to qualify for the highest available enhanced
5federal medical assistance percentage. The department shall submit any
6amendment to the state medical assistance plan, request for a waiver of federal
7Medicaid law, or other approval request required by the federal government to
8provide services to the individuals described under sub. (4) (a) 8. and qualify for the
9highest available enhanced federal medical assistance percentage.
AB56,703
10Section
703. 49.471 (6) (b) of the statutes is amended to read:
AB56,547,1511
49.471
(6) (b) A pregnant woman who is determined to be eligible for benefits
12under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
13pregnancy and to the last day of the month in which the 60th day
or, if approved by
14the federal government, the 365th day after the last day of the pregnancy falls
15without regard to any change in the woman's family income.
AB56,704
16Section
704. 49.471 (6) (L) of the statutes is created to read:
AB56,547,2217
49.471
(6) (L) The department shall request from the federal department of
18health and human services approval of a state plan amendment, a waiver of federal
19Medicaid law, or approval of a demonstration project to maintain eligibility for
20post-partum women to the last day of the month in which the 365th day after the
21last day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag)
222., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1.
AB56,705
23Section
705. 49.471 (7) (b) 1. of the statutes is amended to read:
AB56,548,924
49.471
(7) (b) 1. A pregnant woman whose family income exceeds 300 percent
25of the poverty line may become eligible for coverage under this section if the
1difference between the pregnant woman's family income and the applicable income
2limit under sub. (4) (a) is obligated or expended for any member of the pregnant
3woman's family for medical care or any other type of remedial care recognized under
4state law or for personal health insurance premiums or for both. Eligibility obtained
5under this subdivision continues without regard to any change in family income for
6the balance of the pregnancy and to the last day of the month in which the 60th day
7or, if approved by the federal government, the 365th day after the last day of the
8woman's pregnancy falls. Eligibility obtained by a pregnant woman under this
9subdivision extends to all pregnant women in the pregnant woman's family.
AB56,706
10Section
706. 49.472 (3) (b) of the statutes is amended to read:
AB56,548,1811
49.472
(3) (b) The individual's assets do not exceed $15,000. In determining
12assets, the department may not include assets that are excluded from the resource
13calculation under
42 USC 1382b (a), assets accumulated in an independence
14account, and, to the extent approved by the federal government, assets from
15retirement benefits accumulated from income or employer contributions while
16employed and receiving medical assistance under this section or state-funded
17benefits under s. 46.27
, 2017 stats. The department may exclude, in whole or in part,
18the value of a vehicle used by the individual for transportation to paid employment.
AB56,707
19Section
707. 49.472 (3) (f) of the statutes is amended to read:
AB56,548,2320
49.472
(3) (f) The individual maintains premium payments under sub. (4) (am)
21and, if applicable and to the extent approved by the federal government, premium
22payments calculated by the department in accordance with sub. (4) (bm), unless the
23individual is exempted from premium payments under sub. (4) (dm)
or (5).
AB56,708
24Section
708. 49.472 (4) (am) of the statutes is amended to read:
AB56,549,3
149.472
(4) (am) To the extent approved by the federal government and except
2as provided in pars. (dm) and (em)
and sub. (5), an individual who receives medical
3assistance under this section shall pay a monthly premium of $25 to the department.
AB56,709
4Section
709. 49.472 (5) of the statutes is repealed.
AB56,710
5Section 710
. 49.485 of the statutes is renumbered 20.9315 (19) and amended
6to read:
AB56,549,127
20.9315
(19) Whoever knowingly presents or causes to be presented to any
8officer, employee, or agent of this state a false claim for medical assistance shall
9forfeit not less than $5,000 nor more than $10,000, plus 3 times the amount of the
10damages that were sustained by the state or would have been sustained by the state,
11whichever is greater, as a result of the false claim. The attorney general may bring
12an action on behalf of the state to recover any forfeiture incurred under this section.
AB56,711
13Section 711
. 49.686 (3) (d) of the statutes is amended to read:
AB56,549,1914
49.686
(3) (d) Has applied for coverage under and has been denied eligibility
15for medical assistance within 12 months prior to application for reimbursement
16under sub. (2). This paragraph does not apply to an individual who is eligible for
17benefits under
the demonstration project for childless adults under s. 49.45 (23) 18BadgerCare Plus under s. 49.471 (4) (a) 8. or to an individual who is eligible for
19benefits under BadgerCare Plus under s. 49.471 (11).
AB56,712
20Section
712. 49.79 (1) (bg) of the statutes is repealed.