Wisconsin SB 381: Relating to: complex rehabilitation technology for complex needs patients in the Medical Assistance program and requiring the exercise of rule-making authority. (FE)

Bill Text

Wisconsin Legislature: SB381: Bill Text 

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LRB-4030/1

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2017 - 2018 LEGISLATURE

2017 Senate BILL 381

August 3, 2017 - Introduced by Senators Vukmir, Testin, Petrowski and Vinehout, 
cosponsored by Representatives 
Jagler, Kleefisch, Ballweg, Kuglitsch, 
Ott, Sanfelippo and Wichgers. Referred to Committee on Health and Human 
Services.

SB381,1,3
1An Act to create 49.45 (9r) and 49.46 (2) (b) 6. dm. of the statutes; 
relating to: 
2complex rehabilitation technology for complex needs patients in the Medical 
3Assistance program and requiring the exercise of rule-making authority.

Analysis by the Legislative Reference Bureau

This bill requires the Department of Health Services to establish rules and 
policies for access to complex rehabilitation technology by complex needs patients 
who are recipients of Medical Assistance. Under the bill, a “complex needs patient” 
is an individual with a diagnosis or medical condition that results in significant 
physical impairment or functional limitation, and “complex rehabilitation 
technology” means items classified within Medicare as durable medical equipment 
that are individually configured for individuals to meet their specific and unique 
medical, physical, and functional needs and capacities for basic activities of daily 
living and instrumental activities of daily living identified as medically necessary. 
The bill requires the department to include in its rules certain provisions including, 
among other things: designation of billing codes as complex rehabilitation 
technology; establishment of specific supplier standards for companies and entities 
that provide complex rehabilitation technology and limiting reimbursement only to 
suppliers that are qualified complex rehabilitation technology suppliers; 
establishment and maintenance of payment rates for complex rehabilitation 
technology that are adequate to ensure complex needs patients have access to 
complex rehabilitation technology; and a requirement for contracts with the 
department that managed care plans providing services to Medical Assistance 
recipients comply with the rules promulgated by the department. Finally, the bill 
specifies that complex rehabilitation technology, as defined in the bill, is a benefit 
under the Medical Assistance program.

For further information see the state fiscal estimate, which will be printed as 
an appendix to this bill.

The people of the state of Wisconsin, represented in senate and assembly, do 
enact as follows:

SB381,1

1Section 
1. 49.45 (9r) of the statutes is created to read:

SB381,2,22
49.45 (9r) Complex rehabilitation technology. (a) In this subsection:

SB381,2,43
1. “Complex needs patient" means an individual with a diagnosis or medical 
4condition that results in significant physical impairment or functional limitation.

SB381,2,95
2. “Complex rehabilitation technology" means items classified within Medicare 
6as durable medical equipment that are individually configured for individuals to 
7meet their specific and unique medical, physical, and functional needs and ca