1.
(1)#
In this paragraph: a. “Designated health service” has the meaning given in 42 USC 1395nn (h) (6). b. “Medicare” means coverage under Part A or Part B of Title XVIII of the federal social security act, 42 USC 1395 to 1395ccc. c. “Physician” has the meaning given in s. 448.01 (5). d. “Referral” has the meaning given in 42 USC 1395nn (h) (5).
(1)(a)#
“Designated health service” has the meaning given in 42 USC 1395nn (h) (6).
(1)(b)#
“Medicare” means coverage under Part A or Part B of Title XVIII of the federal social security act, 42 USC 1395 to 1395ccc.
(1)(c)#
“Physician” has the meaning given in s. 448.01 (5).
(1)(d)
(2)#
The department may not pay a provider for a designated health service that is authorized under this section or s. 49.46, 49.47, or 49.471, that is provided as the result of a referral made to the provider by a physician and that, under 42 USC 1396b (s), if made on behalf of a beneficiary of medicare under the requirements of 42 USC 1395nn, as amended to August 10, 1993, would result in the denial of payment for the service under 42 USC 1395nn.
(3)#
A provider shall submit to the department information concerning the ownership arrangements of the provider or the entity of which the provider is a part that corresponds to the information required of providers under 42 USC 1395nn (f), as amended to August 10, 1993.
(4)#
Any person who fails to comply with subd. 3. may be required to forfeit not more than $10,000. Each day of continued failure to comply constitutes a separate offense.
(5)#
The department shall administer this paragraph consistently with 42 USC 1395nn and 42 USC 1396b (s).