If a county board does not submit an application under sub. (3) (a)
by January 1, 1986, the department shall make that county's allocation available to a private nonprofit organization, as defined under s. 108.02 (19)
, to administer the program created under this section and shall select the organization according to criteria promulgated by rule. An organization selected as the administering agency under this subsection shall continue to be eligible to receive the county's allocation unless the county board subsequently submits to the department a letter of intent to participate and receives approval of its proposed program.
The administering agency in each county may use the funds allocated to it to do any or all of the following:
Provide or contract for the provision of services and goods or make payments for services to households that meet all of the following conditions:
At least one member of the household must be a person who has been diagnosed by a physician as having Alzheimer's disease.
Either the person with Alzheimer's disease or the person's caregiver resides in the county to which the household applies for participation in the program.
The household meets financial eligibility requirements specified by the department by rule, and persons in the household are ineligible for the family care benefit under s. 46.286
in a county in which a care management organization under s. 46.284
Provide or contract for the provision of services and goods or make payments for services to a person with Alzheimer's disease living in a residential facility in the county who meets financial eligibility requirements specified by the department by rule and is ineligible for the family care benefit under s. 46.286
in a county in which a care management organization under s. 46.284
Maintain a contract in effect on June 30, 1987, with a service provider under funds allocated under sub. (2)
Contract with service providers to develop new programs or expand services, under this section, as defined by the department by rule.
Provide outreach or other activities designed to develop public awareness of Alzheimer's disease.
For the purpose of distributing funds allocated under this section to households or individuals participating in the program, the administering agency shall determine all of the following:
The services and goods needed by the household to enable it to maintain the person with Alzheimer's disease as a member of the household, or the services or goods needed by a person with Alzheimer's disease living in a residential facility, and the cost of each service or good that is needed.
The ability of the household or of the person to pay for the services and goods identified under subd. 1.
, using as the basis for the determination the uniform fee schedule established by the department under s. 46.03 (18)
An administering agency may pay to or expend on behalf of a participating household or individual person the cost of any goods and services identified under par. (a) 1.
, less any amount paid under subd. 2.
, except that the amount paid or expended may not exceed $4,000 in any calendar year for each person with Alzheimer's disease in the household or for an individual person living in a residential facility.
Shall require that the household or person with Alzheimer's disease pay, if able as determined under par. (a) 2.
, for services and goods provided under sub. (5) (a)
unless the contract is determined to be a contract under sub. (5) (c)
May require that the household or person with Alzheimer's disease pay, if able as determined under par. (a) 2.
, for services and goods provided under sub. (5) (c)
The county board shall notify the department if any of the following occurs:
The administering agency in the county is replaced by another.
The county board intends to terminate participation in the program.
The county's program and services related to Alzheimer's disease contain a substantial difference, as defined by rule, from the description of the county's program and services contained in the county board's letter of intent most recently submitted to the department under sub. (3) (a)
The department shall collect and analyze information about persons with Alzheimer's disease who are served under this section and about caregivers.
See also ch. DHS 68
, Wis. adm. code.
Elder abuse reporting system. 46.90(1)
In this section:
"Bodily harm" means physical pain or injury, illness, or any impairment of physical condition.
"Caregiver" means a person who has assumed responsibility for all or a portion of an individual's care voluntarily, by contract, or by agreement, including a person acting or claiming to act as a legal guardian.
"Case management" means an assessment of need for direct services, development of a direct service plan and coordination and monitoring of the provision of direct services.
"Direct services" includes temporary shelter, relocation assistance, housing, respite care, emergency funds for food and clothing and legal assistance.
"Elder adult at risk" means any person age 60 or older who has experienced, is currently experiencing, or is at risk of experiencing abuse, neglect, self-neglect, or financial exploitation.
"Elder-adult-at-risk agency" means the agency designated by the county board of supervisors under sub. (2)
to receive, respond to, and investigate reports of abuse, neglect, self-neglect, and financial exploitation under sub. (4)
"Emotional abuse" means language or behavior that serves no legitimate purpose and is intended to be intimidating, humiliating, threatening, frightening, or otherwise harassing, and that does or reasonably could intimidate, humiliate, threaten, frighten, or otherwise harass the individual to whom the conduct or language is directed.
"Financial exploitation" means any of the following:
Obtaining an individual's money or property by deceiving or enticing the individual, or by forcing, compelling, or coercing the individual to give, sell at less than fair market value, or in other ways convey money or property against his or her will without his or her informed consent.
The substantial failure or neglect of a fiscal agent to fulfill his or her responsibilities.
Unauthorized use of an individual's personal identifying information or documents, as prohibited in s. 943.201
Unauthorized use of an entity's identifying information or documents, as prohibited in s. 943.203
"Fiscal agent" includes any of the following:
A conservatorship under the U.S. department of veterans affairs.
"Investigative agency" means a law enforcement or a city, town, village, county, or state governmental agency or unit with functions relating to protecting health, welfare, safety, or property, including an agency concerned with animal protection, public health, building code enforcement, consumer protection, or insurance or financial institution regulation.
"Neglect" means the failure of a caregiver, as evidenced by an act, omission, or course of conduct, to endeavor to secure or maintain adequate care, services, or supervision for an individual, including food, clothing, shelter, or physical or mental health care, and creating significant risk or danger to the individual's physical or mental health. "Neglect" does not include a decision that is made to not seek medical care for an individual, if that decision is consistent with the individual's previously executed declaration or do-not-resuscitate order under ch. 154
, a power of attorney for health care under ch. 155
, or as otherwise authorized by law.
"Physical abuse" means the intentional or reckless infliction of bodily harm.
"Self-neglect" means a significant danger to an individual's physical or mental health because the individual is responsible for his or her own care but fails to obtain adequate care, including food, shelter, clothing, or medical or dental care.
"State official" means any law enforcement officer employed by the state or an employee of one of the following:
A state governmental agency other than those specified in subds. 1.
with functions relating to protecting health and safety.
"Treatment without consent" means the administration of medication to an individual who has not provided informed consent, or the performance of psychosurgery, electroconvulsive therapy, or experimental research on an individual who has not provided informed consent, with the knowledge that no lawful authority exists for the administration or performance.
"Unreasonable confinement or restraint" includes the intentional and unreasonable confinement of an individual in a locked room, involuntary separation of an individual from his or her living area, use on an individual of physical restraining devices, or the provision of unnecessary or excessive medication to an individual, but does not include the use of these methods or devices in entities regulated by the department if the methods or devices are employed in conformance with state and federal standards governing confinement and restraint.
(2) Elder-adult-at-risk agency designation.
Each county board shall designate an agency in the county as the elder-adult-at-risk agency for the purposes of this section.
(3) Elder-adult-at-risk agency duties. 46.90(3)(a)(a)
Each elder-adult-at-risk agency shall develop a policy for notifying other investigative agencies, including law enforcement officials in appropriate cases, and shall establish an elder abuse reporting system to carry out the purposes of this section. Each elder-adult-at-risk agency shall enter into a memorandum of understanding regarding the operation of the system with the county department under s. 46.215
and with any private or public agency, including a county department under s. 51.42
, within the county that is participating in the elder abuse reporting system. The memorandum of understanding shall, at a minimum, identify the agencies that are responsible for the investigation of reports of abuse, financial exploitation, neglect, or self-neglect of elder adults at risk and for the provision of specific direct services.
Each elder-adult-at-risk agency shall receive reports of abuse, financial exploitation, neglect, or self-neglect of elder adults at risk.
Each elder-adult-at-risk agency shall publicize the existence of an elder abuse reporting system in the county and shall provide a publicized telephone number that can be used by persons wishing to report suspected cases of abuse, financial exploitation, neglect, or self-neglect of elder adults at risk. Each elder-adult-at-risk agency shall also provide a telephone number that can be used to make reports after the elder-adult-at-risk agency's regular business hours.
The following persons shall file reports as specified in par. (ad)
An employee of any entity that is licensed, certified, or approved by or registered with the department.
A social worker, professional counselor, or marriage and family therapist certified under ch. 457
Except as provided in par. (ae)
, a person specified in par. (ab)
who has seen an elder adult at risk in the course of the person's professional duties shall file a report with the county department, the elder-adult-at-risk agency, a state or local law enforcement agency, the department, or the board on aging and long-term care if the elder adult at risk has requested the person to make the report, or if the person has reasonable cause to believe that any of the following situations exist:
The elder adult at risk is at imminent risk of serious bodily harm, death, sexual assault, or significant property loss and is unable to make an informed judgment about whether to report the risk.
An elder adult at risk other than the subject of the report is at risk of serious bodily harm, death, sexual assault, or significant property loss inflicted by a suspected perpetrator.
A person specified in par. (ab)
to whom any of the following applies is not required to file a report as provided in par. (ad)
If the person believes that filing a report would not be in the best interest of the elder adult at risk. If the person so believes, the person shall document the reasons for this belief in the case file that the person maintains on the elder adult at risk.
If a health care provider provides treatment by spiritual means through prayer for healing in lieu of medical care in accordance with his or her religious tradition and his or her communications with patients are required by his or her religious denomination to be held confidential.