Personal care services.
(c)#
The department may charge a fee to certify a provider of personal care services described under par. (d) 3. e., except that no fee may be imposed on an individual who is eligible for the veterans fee waiver program under s. 45.44. Fees collected under this paragraph shall be credited to the appropriation account under s. 20.435 (6) (jm).
(d)#
Personal care services under s. 49.46 (2) (b) 6. j. provided to an individual are reimbursable under medical assistance only if all of the following conditions are met: 1. The provider of the personal care services receives prior authorization from the department for all personal care services that are provided to the individual in excess of 50 hours in a calendar year. 2. The individual is not eligible to receive home health services under medicare, as defined in sub. (3) (L) 1. b. 3. The provider of the personal care services is one of the following: a. An independent living center meeting the criteria to receive a grant under s. 46.96. b. A county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437. c. A federally recognized American Indian tribe or band certified to provide services to medical assistance beneficiaries. d. A home health agency licensed under s. 50.49. e. Any other entity certified under sub. (2) (a) 11. to provide personal care services under s. 49.46 (2) (b) 6. j.
(d)(1)#
The provider of the personal care services receives prior authorization from the department for all personal care services that are provided to the individual in excess of 50 hours in a calendar year.
(d)(2)#
The individual is not eligible to receive home health services under medicare, as defined in sub. (3) (L) 1. b.