1.
(1)#
In this paragraph, “KU modifier” means a modifier used in the federal Medicare program related to an exemption from competitive bidding pricing.
(2)#
For dates of service beginning on March 24, 2024, the department shall, for healthcare common procedure coding system codes relating to complex rehabilitation technology wheelchair repair and accessories, apply a reimbursement rate under the Medical Assistance program equivalent to the maximum fee paid in Wisconsin under the federal Medicare program, including fees under the KU modifier, if applicable.
(3)#
Beginning July 1, 2025, and annually thereafter, the department shall submit to the chief clerk of each house of the legislature for distribution to the legislature under s. 13.172 (2) a report that includes all of the following information: a. The total number of units. b. The total number of claims. c. The total number of claims per provider. d. The average dollar amount of all paid claims. e. The average dollar amount of claims paid per provider. f. The total dollar amount paid per provider. g. A calculation of the amount paid to the provider compared to the amount paid to the provider if the reimbursement were through fee-for-service under the Medical Assistance program under this subchapter. h. The number of repairs done per unit during the last year.
(3)(a)#
The total number of units.
(3)(b)#
The total number of claims.
(3)(c)#
The total number of claims per provider.