1. Protecting and promoting the health and safety of the people of Wisconsin Volunteer Health Care Program Bejack Lor Provider Recruitment Coordinator June 30, 2015 Protecting and promoting the health and safety of the people of Wisconsin

2. Agenda Wis. Stat. § 146.89 –History, key points 2013 Wis. Act 344 –Additional health care professions 2013 Wis. Act 241 –Transfer of administration –Out-of-state providers –Annual report FAQ and time slot for other questions Renewal cycle Protecting and promoting the health and safety of the people of Wisconsin 2

3. Wis. Stat. § 146.89 Created in 1990. A person in a specified health care profession may submit a joint application, together with a participating school or nonprofit agency, to participate in the program. Participating volunteer health care providers are considered agents of the state for limited purposes. Protecting and promoting the health and safety of the people of Wisconsin 3

4. 2013 Wis. Act 344 2013 Wis. Act 344 adds several categories to the list of health care professionals eligible to participate in the volunteer health care provider program. The Act also makes changes regarding the administration of the program. The Act went into effect in April 2014. Protecting and promoting the health and safety of the people of Wisconsin 4

5. Health Care Professionals Eligible to Participate –State-licensed physicians –Dentists –Dental hygienists –Registered nurses –Practical nurses –Nurse-midwives –Optometrists –Physician assistants –Pharmacists –Chiropractors –Podiatrists Protecting and promoting the health and safety of the people of Wisconsin 5

6. Health Care Professionals Eligible to Participate –Physical therapists –State-certified dietitians –Certain nurse practitioners –People who perform certain functions of pharmacy technicians Protecting and promoting the health and safety of the people of Wisconsin 6

7. Health Care Professionals Eligible to Participate Protecting and promoting the health and safety of the people of Wisconsin After 2013 Wis. Act 344, additional categories –Licensed psychologists –Social workers who hold state social worker certificates –Licensed marriage and family therapists –Licensed professional counselors –Advanced practice nurses who are certified to issue prescription orders 7

8. Protecting and promoting the health and safety of the people of Wisconsin 2013 Wis. Act 241: Transfer of Administration 2013 Wis. Act 344 transfers the primary administration of the VHCP from the Department of Administration (DOA) to the Department of Health Services (DHS) Online database and management system: https://dhsapps.health.wisconsin.gov/VHCP https://dhsapps.health.wisconsin.gov/VHCP 8 Protecting and promoting the health and safety of the people of Wisconsin

9. 2013 Wis. Act 344 and 241: Credentialing All nonprofit agencies must assume the responsibility for approving individuals to be volunteer health care providers All nonprofit agencies must research and validate an individual’s credentials before submitting the joint application to be a volunteer health care provider 9

10. Protecting and promoting the health and safety of the people of Wisconsin 2013 Wis. Act 241: Out-of-State Providers Allows health care providers who are properly licensed, certified, or registered in another state or territory to participate in Wisconsin’s VHCP if they meet certain requirements No out-of-state provider may provide services under the VHCP for more than 60 days in any 90-day period No out-of-state dentists or dental hygienists may participate in the VHCP 10

11. Protecting and promoting the health and safety of the people of Wisconsin Wis. Stat. § 146.89(3)(i) requires nonprofit agencies to prepare and submit an annual report Reports will be entered into the VHCP every January Nonprofit agencies will include the types and number of health care services (total number of visits and/or number of patients) they provided 2013 Wis. Act 241: Annual Report 11

12. Protecting and promoting the health and safety of the people of Wisconsin Volunteer participants will include the types of service provided, the total number of hours of service, and whether there will be a change in hours (increase, decrease, or remain the same) the following year Registered Volunteer Health Care Program agency contacts may prepare and submit the volunteer reports, in place of the provider 2013 Wis. Act 241: Annual Report 12

13. Protecting and promoting the health and safety of the people of Wisconsin Primarily is defined as having “more than half” (Note: if you have more uninsured patients than insured patients, you fall under primarily uninsured patients) Uninsured is defined as “not having any health insurance” and should not be confused with underinsured (Note: patients who have BadgerCare or a high deductible plan are considered insured) Frequently Asked Questions: Terminology 13

14. Protecting and promoting the health and safety of the people of Wisconsin Underinsured is defined as having insurance, but the insurance is inadequate to cover certain health needs Scope of practice is the description of procedures, actions, and processes that the health care profession is permitted to perform according to the terms of the health care profession’s license Frequently Asked Questions: Terminology 14

15. Protecting and promoting the health and safety of the people of Wisconsin Out-of-state providers with sufficient liability coverage are not eligible for the VHCP coverage Wis. Stat. § 893.82: –provides the attorney general with adequate time to investigate claims that might result in judgments to be paid by the state –places a limit ($250,000) on the amounts recoverable in civil actions or civil proceedings against any state officer, employee, or agent Frequently Asked Questions: Liability Coverage 15

16. Protecting and promoting the health and safety of the people of Wisconsin Frequently Asked Questions: Schools Wis. Stat. § 146.89(3r)(c)4 states that any school in the VHCP would not be able to provide any contraceptive article (e.g., drug, medicine, mixture, instrument, or device used to prevent a pregnancy) Out-of-state providers are not covered for schools 16

17. Protecting and promoting the health and safety of the people of Wisconsin Annual Renewal Cycle The renewal cycle is January 1 to January 31 annually You may register volunteers at any time but will renew their coverage every January –Example: You register volunteer John in October of 2015. In January of 2016, you renew all your volunteers, including John. 17

18. Protecting and promoting the health and safety of the people of Wisconsin Questions “The only bad question is a question not asked.” Bejack Lor Primary Care Office: DHSPrimaryCareOffice@dhs.wisconsin.gov VHCP contact: DHSVHCP@dhs.wisconsin.gov 18