Except as provided under pars. (be), (bg), and (bj) and sub. (24), case management services under s. 49.46 (2) (b) 9. and (bm) are reimbursable under Medical Assistance only if provided to a Medical Assistance beneficiary who receives case management services from or through a certified case management provider in a county, city, village, or town that elects, under par. (b), to make the services available and who meets at least one of the following conditions: 1.
(1)#
Has a developmental disability, as defined under s. 51.01 (5) (a).
(2)#
Has a serious and persistent mental illness.
(3)#
Has Alzheimer’s disease, as defined under s. 46.87 (1) (a).
(4)#
Is an alcoholic, as defined under s. 51.01 (1h).
(5)#
Is drug dependent, as defined under s. 51.01 (8b).
(6)#
Is physically disabled, as defined by the department.
(7)#
Is a severely emotionally disturbed child.
(8)#
Is age 65 or over.
(9)#
Is a member of a family that has a child who is at risk of serious physical, mental or emotional dysfunction, as defined by the department.
(10)#
Has HIV infection, as defined in s. 252.01 (2).
(11)#
Is a child who is eligible for early intervention services under s. 51.44.
(12)#
Is infected with tuberculosis.
(13)#
Is a child with asthma.
(14)#
Is a woman who is aged 45 to 64 and who is not a resident of a nursing home or otherwise receiving case management services under this paragraph.