AB68-ASA2-AA2,35,423 49.46 (2) (bv) The department shall determine those services under par. (b) 24.
24that contribute to the determinants of health. The department shall seek any
25necessary state plan amendment or request any waiver of federal Medicaid law to

1implement this paragraph. The department is not required to provide the services
2under this paragraph as a benefit under the Medical Assistance program if the
3federal department of health and human services does not provide federal financial
4participation for the services under this paragraph.

AB68-ASA2-AA2,35,126 49.46 (2) (bx) The department shall submit to the federal department of health
7and human services any request for a state plan amendment, waiver, or other federal
8approval necessary to provide reimbursement for the benefit under par. (b) 11m. If
9the federal department approves the request or if no federal approval is necessary,
10the department shall provide the benefit and reimbursement under par. (b) 11m. If
11the federal department disapproves the request, the department may not provide the
12benefit or reimbursement for the benefit described under par. (b) 11m.

AB68-ASA2-AA2,35,1614 49.47 (4) (ag) 2. Pregnant and the woman's pregnancy is medically verified
15Eligibility continues to the last day of the month in which the 60th 365th day after
16the last day of the pregnancy falls.

AB68-ASA2-AA2,35,1918 49.471 (1) (cr) “Enhanced federal medical assistance percentage" means a
19federal medical assistance percentage described under 42 USC 1396d (y) or (z).

AB68-ASA2-AA2,35,2321 49.471 (4) (a) 4. b. The individual's family income does not exceed 100 133
22percent of the poverty line before application of the 5 percent income disregard under
2342 CFR 435.603 (d).

AB68-ASA2-AA2,35,2525 49.471 (4) (a) 8. An individual who meets all of the following criteria:

AB68-ASA2-AA2,36,1

1a. The individual is an adult under the age of 65.

AB68-ASA2-AA2,36,32 b. The individual has a family income that does not exceed 133 percent of the
3poverty line, except as provided in sub. (4g).

AB68-ASA2-AA2,36,54 c. The individual is not otherwise eligible for the Medical Assistance program
5under this subchapter or the Medicare program under 42 USC 1395 et seq.

AB68-ASA2-AA2,36,167 49.471 (4g) Medicaid expansion; federal medical assistance percentage. For
8services provided to individuals described under sub. (4) (a) 8., the department shall
9comply with all federal requirements to qualify for the highest available enhanced
10federal medical assistance percentage. The department shall submit any
11amendment to the state medical assistance plan, request for a waiver of federal
12Medicaid law, or other approval request required by the federal government to
13provide services to the individuals described under sub. (4) (a) 8. and qualify for the
14highest available enhanced federal medical assistance percentage. Sections 20.940
15and 49.45 (2t) do not apply to a submission to the federal government under this
16subsection.

AB68-ASA2-AA2,36,2218 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits
19under sub. (4) remains eligible for benefits under sub. (4) for the balance of the
20pregnancy and to the last day of the month in which the 60th 365th day after the last
21day of the pregnancy falls without regard to any change in the woman's family
22income.

AB68-ASA2-AA2,37,924 49.471 (6) (L) The department shall request from the federal department of
25health and human services approval of a state plan amendment, a waiver of federal

1Medicaid law, or approval of a demonstration project to maintain eligibility for
2postpartum women to the last day of the month in which the 365th day after the last
3day of the pregnancy falls under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47 (4) (ag) 2.,
4and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. The department shall cover and
5provide reimbursement for services under ss. 49.46 (1) (a) 1m. and 9. and (j), 49.47
6(4) (ag) 2., and 49.471 (4) (a) 1g. and 1m., (6) (b), and (7) (b) 1. regardless of whether
7a state plan amendment, waiver of federal Medicaid law, or approval of a
8demonstration project related to coverage or reimbursement of these services is
9granted by the federal department of human services.

AB68-ASA2-AA2,37,2111 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent
12of the poverty line may become eligible for coverage under this section if the
13difference between the pregnant woman's family income and the applicable income
14limit under sub. (4) (a) is obligated or expended for any member of the pregnant
15woman's family for medical care or any other type of remedial care recognized under
16state law or for personal health insurance premiums or for both. Eligibility obtained
17under this subdivision continues without regard to any change in family income for
18the balance of the pregnancy and to the last day of the month in which the 60th 365th
19day after the last day of the woman's pregnancy falls. Eligibility obtained by a
20pregnant woman under this subdivision extends to all pregnant women in the
21pregnant woman's family.

AB68-ASA2-AA2,38,323 49.686 (3) (d) Has applied for coverage under and has been denied eligibility
24for medical assistance within 12 months prior to application for reimbursement
25under sub. (2). This paragraph does not apply to an individual who is eligible for

1benefits under the demonstration project for childless adults under s. 49.45 (23) or
2to an individual who is eligible for benefits under BadgerCare Plus under s. 49.471
3(4) (a) 8. or (11).

AB68-ASA2-AA2,38,75 49.79 (7r) (d) The department may expend from the appropriation under s.
620.435 (4) (bt) no more than $425,000 per fiscal year for the pilot program under this
7subsection.