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.
(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.
(3)(a)#
An independent living center meeting the criteria to receive a grant under s. 46.96.
(3)(b)#
A county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437.
(3)(c)#
A federally recognized American Indian tribe or band certified to provide services to medical assistance beneficiaries.