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2023 - 2024 LEGISLATURE
2023 SENATE BILL 476
September 29, 2023 - Introduced by Senators TESTIN, BALLWEG, COWLES and QUINN,
cosponsored by Representatives SCHUTT, DONOVAN, GUSTAFSON, KITCHENS,
MURPHY, MURSAU and RETTINGER. Referred to Committee on Health.
***AUTHORS SUBJECT TO CHANGE***
AN ACT to create 49.45 (61m) of the statutes; relating to: provision of health
services through telehealth by out-of-state providers under the Medical
Assistance program.
Analysis by the Legislative Reference Bureau
Under current administrative code, out-of-state health care providers that
regularly provide services to Wisconsin Medical Assistance recipients and that
provide services to Wisconsin Medical Assistance recipients through telehealth may
apply for certification as a Medical Assistance provider in Wisconsin regardless of
the provider's location. This bill codifies this administrative code provision by
prohibiting the Department of Health Services from requiring a health care provider
that is licensed, certified, registered, or otherwise authorized to provide health care
services in this state and that exclusively offers health care services in this state
through telehealth to maintain a physical address or site in this state to be eligible
for enrollment as a certified provider under the Medical Assistance program.
Additionally, this bill prohibits DHS from requiring a provider group with health
care providers that are licensed, certified, registered, or otherwise authorized to
provide health care services in this state and that exclusively offer health care
services in this state through telehealth to maintain a physical address or site in this
state to be eligible for enrollment as a provider group under the Medical Assistance
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SENATE BILL 476
program. The Medical Assistance program is a joint state and federal program that
provides health services to individuals who have limited financial resources.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SECTION 1. 49.45 (61m) of the statutes is created to read:
49.45 (61m) SERVICES PROVIDED THROUGH TELEHEALTH BY OUT-OF-STATE
PROVIDERS. (a) In this subsection, “telehealth” has the meaning given in sub. (61) (a)
4.
(b) The department may not require a health care provider that is licensed,
certified, registered, or otherwise authorized to provide health care services in this
state and that exclusively offers health care services in this state through telehealth
to maintain a physical address or site in this state to be eligible for enrollment as a
certified provider under the Medical Assistance program.
(c) The department may not require a provider group with health care
providers that are licensed, certified, registered, or otherwise authorized to provide
health care services in this state and that exclusively offer health care services in this
state through telehealth to maintain a physical address or site in this state to be
eligible for enrollment as a provider group under the Medical Assistance program.
(END)
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