Governor Walker Signs WHA Team-Based Care Bill

Act 119 clarifies Medicaid law regarding APNP orders

December 01, 2017

Gov. Scott Walker signed Assembly Bill 529 November 30 that provides clarification to Wisconsin health care providers that Wisconsin’s Medicaid program covers services ordered by physicians and non-physicians alike when the order is made within the provider’s scope of practice. The bill affirms that advanced practice nurse prescribers’ (APNP) and physician assistant (PA) orders may be covered by Medicaid without a physician co-signature and was one of WHA’s fall legislative session priorities.

“WHA began discussions with DHS and legislators months ago to identify solutions to address concerns about perceived limitations on APNP practice that this legislation resolves,” said WHA President/CEO Eric Borgerding. “WHA greatly appreciated DHS’s work on this bill to clarify that Medicaid policy is in alignment with modern team-based care delivery and supports advance practice providers practicing at the top of their licensed scope of practice.”

The Act does not change any provider’s scope of practice and maintains the already recognized Medicaid policy acknowledging valid orders made within a provider’s scope of practice under statutes, rules and regulations governing the provider’s practice.

In addition to its work with DHS and the legislative authors Sen. Leah Vukmir (R-Brookfield) and Rep. John Nygren (R-Marinette), WHA led a coalition memo and testified in support of the bill at both the Senate and Assembly hearings. The bill passed the Senate on a voice vote and was concurred by the Assembly on a voice vote.

The text of the Act can be found at

This story originally appeared in the December 01, 2017 edition of WHA Newsletter