Reimbursement under the Medical Assistance program for complex rehabilitation technology wheelchair repairs and accessories. (FE)

What it does

Summary by the Legislative Reference Bureau, the Legislature's nonpartisan drafting office. It's their wording, not ours.

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.

Who's behind it

6 senators are its authors⁠. 5 are Republicans and 1 is a Democrat.

13 more lawmakers signed on in support⁠.

What it would cost

State agencies filed a cost estimate. Each opens as a PDF from the Legislature.

• Fiscal Estimate From DHS

Versions and amendments

Every text the Legislature printed for this bill, including proposed changes. Each opens on the Legislature's site.

• Amendment Histories
• LC Amendment Memo