Effective date text (b) The tribal governing body establishes written criteria to be used to determine dependency and reviews these written criteria at least annually.
Effective date text (c) The tribal governing body submits to the department a plan for the provision of services to be funded by the relief block grant. The plan shall include all of the following:
Effective date text 1. How the tribal governing body will determine eligibility and how these eligibility determinations may be appealed. The procedures for determining eligibility and for notice, fair hearing, and review shall be consistent with rules promulgated by the department under sub. (7m).
Effective date text 2. How the tribal governing body will determine which health care services are needed by a dependent person.
Effective date text 3. The cost containment mechanisms that will be used, including what limitations will be placed on the inappropriate use of emergency room care and what limitations will be placed on payments to providers contracted for under sub. (2).
Effective date text (d) The department has approved the plan under par. (c). The department shall approve or disapprove the plan within a reasonable period of time after the plan is submitted.
49.02(1e) (1e)Relief agencies. If a county or tribal governing agency is eligible to receive a relief block grant, the county or tribal governing body shall establish or designate a relief agency to administer relief under this section.
Effective date note NOTE: Sub. (1e) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (1e) Relief agencies. If a tribal governing body is eligible to receive a relief block grant, the tribal governing body shall establish or designate a relief agency to administer relief under this section.
49.02(2) (2)Contracting with private health care providers. A relief agency may use a relief block grant to provide health care services directly or, if the conditions in this subsection are met, by contracting with private health care providers, or by a combination of contracting with private health care providers and providing services directly. A relief agency may contract with a private health care provider to provide health care services under this subsection only if all of the following conditions are met:
49.02(2)(a) (a) The relief agency enters into a contract with the private health care provider to provide specified health care services.
49.02(2)(b) (b) The contract between the relief agency and the private health care provider provides that all records of the health care provider relating to the administration and provision of the health care services shall be open to inspection at all reasonable hours by authorized representatives of the county and the department.
Effective date note NOTE: Par. (b) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (b) The contract between the relief agency and the private health care provider provides that all records of the health care provider relating to the administration and provision of the health care services shall be open to inspection at all reasonable hours by authorized representatives of the tribal governing body and the department.
49.02(2)(d) (d) The contract limits payment for services under the contract to the amount payable by medical assistance for care for which a medical assistance rate exists.
49.02(2)(e) (e) The contract does not provide for payment for hospitalization or care provided as uncompensated services required under 42 USC 291c.
49.02(2)(f) (f) The contract prohibits the health care provider from holding an individual recipient of health care services funded under this section liable for the difference between the costs of the health care services and the amount paid to the health care provider by the county for the services.
Effective date note NOTE: Par. (f) is amended eff. 7-1-11 by 2009 Wis. Act 28 to read:
Effective date text (f) The contract prohibits the health care provider from holding an individual recipient of health care services funded under this section liable for the difference between the costs of the health care services and the amount paid to the health care provider by the tribal governing body for the services.
49.02(5) (5)Liability for health care services.
49.02(5)(b)(b) A relief agency is not liable for health care services provided to a dependent person if the hospital provides the health care services to the person as uncompensated services required under 42 USC 291c.
49.02(5)(bm) (bm) A relief agency shall limit its liability for health care services funded by a relief block grant to the amount payable by medical assistance under subch. IV for care for which a medical assistance rate exists.
49.02(6g) (6g)Liability of recipients. No individual who receives health care services funded by a relief block grant may be liable for the difference between the costs of the services charged by the health care provider and the amount paid by the relief agency.
49.02(7) (7)Notification requirement. Whenever the department or a relief agency has reason to believe that a person receiving relief is engaging in conduct or behavior prohibited in ch. 944 or ss. 940.225, 948.02, 948.025 or 948.06 to 948.11 the department or relief agency shall promptly notify the law enforcement officials of the county thereof, including facts relating to such person's alleged misconduct or illegal behavior.
49.02(7m) (7m)Rules. The department shall promulgate rules regarding use of relief block grants. The rules shall include all of the following:
49.02(7m)(a) (a) Procedures that relief agencies shall follow in making eligibility determinations.
49.02(7m)(b) (b) Procedures for appealing eligibility determinations under s. 49.015. These procedures shall provide for notice, fair hearing and review.
49.02(7m)(c) (c) Procedures that relief agencies shall follow to obtain relief block grants under sub. (1).
49.02(7m)(d) (d) Standards for a waiver of any eligibility requirement under s. 49.015.
49.02(11) (11)Department of transportation records. A relief agency may use vehicle registration information from the department of transportation in determining eligibility for relief.
49.02 Cross-reference Cross-reference: See also chs. DHS 250 and 251, Wis. adm. code.
49.025 49.025 Relief block grants to counties with a population of 500,000 or more; medical relief.
49.025(1) (1)Applicability. This section applies only to a county having a population of 500,000 or more.
49.025(2) (2)Amount of relief block grant.
49.025(2)(a)(a) If a county is eligible to receive a relief block grant in a year, the department shall pay to the county, in accordance with s. 49.031, from the appropriation under s. 20.435 (4) (bt), an amount for that year determined as follows:
49.025(2)(a)1. 1. The department shall determine the lesser of the following:
49.025(2)(a)1.a. a. For 1996, $17,600,000, and for each year thereafter, $16,600,000.
49.025(2)(a)1.b. b. For any year, 45% of the total amount expended by the county in that year as relief for health care services provided to dependent persons, including the amount transferred to the appropriation account under s. 20.435 (4) (h) in that year and the amount estimated to be received from the federal government as a match to the funds expended from the appropriation account under s. 20.435 (4) (h).
49.025(2)(a)2. 2. The department shall subtract from the amount determined under subd. 1. amounts paid to hospitals in that county under s. 49.45 (6y) and (6z) in that year and amounts paid on behalf of individuals in that county under the demonstration project under s. 49.45 (23) in that year. If the amount determined under this subdivision is less than zero, the amount of the relief block grant is $0.
49.025(2)(b) (b) In calculating the total amount expended by the county under par. (a), the department may exclude any amount expended as a result of a waiver determined to be inappropriate under rules promulgated by the department under s. 49.02 (7m) (d).
49.025(3) (3)Use of relief block grant funds. A county may use moneys received as a relief block grant only for the purpose of providing health care services to dependent persons.
Effective date note NOTE: This section is repealed eff. 7-1-11 by 2009 Wis. Act 28.
49.025 History History: 1995 a. 27; 1997 a. 27, 35; 1999 a. 9; 2007 a. 20; 2009 a. 28.
49.027 49.027 Relief block grants to counties having a population of less than 500,000; medical and nonmedical relief.
49.027(1)(1) A pplicability. This section applies only to a county having a population of less than 500,000.
49.027(2) (2)Amount of relief block grant.
49.027(2)(a)(a) If a county is eligible to receive a relief block grant in a year, the department shall pay to the county, in accordance with s. 49.031 and subject to par. (c), from the appropriation under s. 20.435 (4) (bt), an amount for that year determined as follows:
49.027(2)(a)2. 2. The department shall calculate the sum of the following:
49.027(2)(a)2.a. a. For any year, 50% of the total costs incurred by the county for health care services provided to dependent persons as relief in that year.
49.027(2)(a)2.b. b. For any year, 40% of the total costs incurred by the county for cash benefits, and for services other than health care services, provided to dependent persons as relief in that year.
49.027(2)(a)4. 4. From the amount determined under subd. 2., the department shall subtract amounts paid to hospitals in that county under s. 49.45 (6y) and (6z) for that calendar year.
49.027(2)(b) (b) In calculating the total costs incurred by the county under par. (a) 2., the department may exclude any amount expended as relief by the county in that year as a result of a waiver determined by the department to be inappropriate under rules promulgated by the department under s. 49.02 (7m) (d).
49.027(2)(c) (c) If sufficient funds are not available to pay all of the relief block grants calculated under par. (a), the department shall prorate the available funds among the eligible counties in proportion to the amounts calculated under par. (a).
49.027(3) (3)Use of relief block grant funds. A county may use moneys received as a relief block grant to provide services only as follows:
49.027(3)(a) (a) To provide health care services to dependent persons.
49.027(3)(b) (b) If the county provides health care services to dependent persons, to provide cash benefits, or services other than health care services, to dependent persons.
49.027(4) (4)Work component. If a county provides cash benefits, or services other than health care services, as relief, the county may include a work component as part of its relief program funded under this section. If a county includes a work component under this subsection, the county may require a dependent person to participate in the work component as a condition for receiving cash benefits, or services other than health care services.
Effective date note NOTE: This section is repealed eff. 7-1-11 by 2009 Wis. Act 28.
49.027 History History: 1995 a. 27, 417; 1997 a. 27; 1999 a. 9; 2001 a. 16; 2009 a. 28.
49.029 49.029 Block grants to tribal governing bodies; medical relief.
49.029(1)(1)Applicability. This section applies only to tribal governing bodies.
49.029(2) (2)Amount and distribution of relief block grant. From the appropriation under s. 20.435 (4) (kb), the department shall distribute a relief block grant to each eligible tribal governing body in an amount and in a manner determined in accordance with rules promulgated by the department. The department shall promulgate the rules after consulting with all tribal governing bodies eligible for a relief block grant. In promulgating rules under this section, the department shall consider each tribe's economic circumstances and need for health care services.
49.029(3) (3)Use of relief block grant funds. A tribal governing body may use moneys received as a relief block grant only for the purpose of providing health care services to dependent persons. Notwithstanding s. 49.01 (2g), health care services may include treatment services for alcohol and other drug abuse and mental health services.
49.029 History History: 1995 a. 27, 216; 1997 a. 27; 1999 a. 9, 185; 2007 a. 20.
49.029 Cross-reference Cross-reference: See also ch. DHS 250, Wis. adm. code.
49.031 49.031 Payment of relief block grants to counties.
49.031(1)(1)Filing of relief block grant report. Each county that is eligible for a relief block grant under s. 49.02 (1) in a year shall prepare a report, in accordance with rules promulgated by the department under s. 49.02 (7m) (c), detailing the costs incurred for relief provided to dependent persons in that year. The report shall be filed with the department by March 1 of the year immediately following the year in which the costs were incurred.
49.031(2) (2)Deadline for payment of relief block grants. The department shall pay a relief block grant to each eligible county by July 31 of the year immediately following the year for which the relief block grant is made or within 30 days after the effective date of the act that provides funding, for that year, for the appropriation from which relief block grant moneys are paid, whichever is later.
Effective date note NOTE: This section is repealed eff. 7-1-11 by 2009 Wis. Act 28.
49.031 History History: 1995 a. 27; 2009 a. 28.
49.08 49.08 Recovery of relief and other assistance. If any person is the owner of property at the time of receiving general relief under ch. 49, 1993 stats., relief funded by a relief block grant or other assistance as an inmate of any county or municipal institution in which the state is not chargeable with all or a part of the inmate's maintenance or as a tuberculosis patient provided for in ss. 252.07 to 252.10, or at any time thereafter, or if the person becomes self-supporting, the authorities charged with the care of the dependent, or the board in charge of the institution, may sue for the value of the relief or other assistance from the person or the person's estate. Except as otherwise provided in this section, the 10-year statute of limitations may be pleaded in defense in an action to recover relief or other assistance. Where the recipient of relief or other assistance is deceased, a claim may be filed against the decedent's estate and the statute of limitations specified in s. 859.02 shall be exclusively applicable. The court may refuse to render judgment or allow the claim in any case where a parent, spouse, surviving spouse or child is dependent on the property for support. The court in rendering judgment shall take into account the current family budget requirement as fixed by the U.S. department of labor for the community or as fixed by the authorities of the community in charge of public assistance. The records kept by the municipality, county or institution are prima facie evidence of the value of the relief or other assistance furnished.
49.08 Annotation A dependent of a relief applicant incurs no liability to repay any portion of relief granted under the application. Claims against the recipient's estate are not limited to recovery of relief granted less than 10 years prior to death. In re Estate of Bundy, 81 Wis. 2d 32, 259 N.W.2d 701 (1977).
subch. III of ch. 49 SUBCHAPTER III
CHILDREN AND FAMILY SUPPORT SERVICES
49.11 49.11 Definitions. In this subchapter:
49.11(1) (1) "Department" means the department of children and families.
49.11(2) (2) "Secretary" means the secretary of children and families.
49.11 History History: 1995 a. 27 ss. 2770, 9130 (4); 1997 a. 3; 2007 a. 20.
49.114 49.114 Contract powers of the department.
49.114(1)(1)Religious organizations; legislative purpose. The purpose of this section is to allow the department to contract with, or award grants to, religious organizations, under any program administered by the department, on the same basis as any other nongovernmental provider without impairing the religious character of such organizations, and without diminishing the religious freedom of beneficiaries of assistance funded under such program.
49.114(2) (2)Nondiscrimination against religious organizations. If the department is authorized under ch. 16 to contract with a nongovernmental entity, or is authorized to award grants to a nongovernmental entity, religious organizations are eligible, on the same basis as any other private organization, as contractors under any program administered by the department so long as the programs are implemented consistent with the First Amendment of the U.S. Constitution and article I, section 18, of the Wisconsin Constitution. Except as provided in sub. (10), the department may not discriminate against an organization that is or applies to be a contractor on the basis that the organization has a religious character.
49.114(3) (3)Religious character and freedom.
49.114(3)(a)(a) The department shall allow a religious organization with which the department contracts or to which the department awards a grant to retain its independence from state and local governments, including the organization's control over the definition, development, practice and expression of its religious beliefs.
49.114(3)(b) (b) The department may not require a religious organization to alter its form of internal governance or to remove religious art, icons, scripture or other symbols in order to be eligible for a contract or grant.
49.114(4) (4)Rights of beneficiaries of assistance. If an individual has an objection to the religious character of the organization or institution from which the individual receives, or would receive, assistance funded under any program administered by the department, the department shall provide such individual, if otherwise eligible for such assistance, within a reasonable period of time after the date of the objection with assistance from an alternative provider that is accessible to the individual. The value of the assistance offered by the alternative provider may not be less than the value of the assistance which the individual would have received from the religious organization.
49.114(5) (5)Employment practices. To the extent permitted under federal law, a religious organization's exemption provided under 42 USC 2000e-la regarding employment practices is not affected by its participation in, or receipt of funds from, programs administered by the department.
49.114(6) (6)Nondiscrimination against beneficiaries. A religious organization may not discriminate against an individual in regard to rendering assistance funded under any program administered by the department on the basis of religion, a religious belief or refusal to actively participate in a religious practice.
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This is an archival version of the Wis. Stats. database for 2009. See Are the Statutes on this Website Official?