AB 630

Under current law, the Department of Health Services uses a standardized

coding system produced by the federal Centers for Medicare and Medicaid Services

to describe certain products, supplies, and services for those submitting claims for

reimbursement under the Medical Assistance program, which is known as the

Healthcare Common Procedure Coding System (HCPCS). This bill requires DHS,

for HCPCS codes relating to complex rehabilitation technology wheelchair repair

and accessories, to apply a reimbursement rate under the Medical Assistance

program equivalent to the maximum fee paid in Wisconsin under the federal

Medicare program, including fees under the KU modifier, if applicable. Under the

bill, “KU modifier” means a modifier used in the federal Medicare program related

to an exemption from competitive bidding pricing. The Medical Assistance program

is a joint federal and state program administered by DHS that provides health

services to individuals who have limited financial resources.