AB150-engrossed,796,1918
46.277
(1m) (a) "Medical assistance" means aid provided under
ss. 49.43 to
1949.47 subch. IV of ch. 49, except s. 49.468.
AB150-engrossed,796,2321
46.277
(1m) (b) "Program" means the community integration program for
22facilities certified as medical assistance providers, for which a waiver has been
23received under sub. (2).
AB150-engrossed,797,6
146.277
(2) (e) Review and approve or disapprove waiver requests under sub.
2(3) (c), review and approve or disapprove requests for exceptions under sub. (5) (d)
33. and provide technical assistance to a county that reaches or exceeds the annual
4allocation limit specified in sub. (3) (c) in order to explore alternative methods of
5providing long-term community support services for persons who are in group living
6arrangements in that county.
AB150-engrossed,797,168
46.277
(3) (a) Sections 46.27 (3) (b) and 46.275 (3) (a) and (c) to (e) apply to
9county participation in this program, except that services provided in the program
10shall substitute for care provided a person in a skilled nursing facility or
11intermediate care facility who meets the level of care requirements for medical
12assistance reimbursement to that facility rather than for care provided at a state
13center for the developmentally disabled. The number of persons who receive services
14provided by the program under this paragraph may not exceed the number of
15nursing home beds
, other than beds specified in sub. (5g) (b), that are delicensed as
16part of a plan submitted by the facility and approved by the department.
AB150-engrossed,797,2318
46.277
(3) (b) 2. Each county department participating in the program shall
19provide home or community-based care to persons eligible under this section, except
20that the number of persons who receive home or community-based care under this
21section may not exceed the number of nursing home beds
, other than beds specified
22in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and
23approved by the department.
AB150-engrossed,798,10
146.277
(3) (c) Beginning on January 1, 1996, from the annual allocation to the
2county for the provision of long-term community support services under sub. (5),
3annually establish a maximum total amount, not to exceed 25% of the annual
4allocation, that may be encumbered in a calendar year for services for eligible
5individuals in community-based residential facilities. If the total amount that is
6encumbered for services for individuals in community-based residential facilities
7who are receiving services under sub. (5) on January 1, 1996, exceeds 25% of the
8county's annual allocation, a county may request a waiver of the requirement under
9this paragraph from the department. The department need not promulgate as rules
10under ch. 227 the standards for granting a waiver request under this paragraph.
AB150-engrossed,798,1912
46.277
(4) (a) Any medical assistance recipient who meets the level of care
13requirements for medical assistance reimbursement in a skilled nursing facility or
14intermediate care facility is eligible to participate in the program, except that the
15number of participants may not exceed the number of nursing home beds
, other than
16beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the
17facility and approved by the department. Such a recipient may apply, or any person
18may apply on behalf of such a recipient, for participation in the program. Section
1946.275 (4) (b) applies to participation in the program.
AB150-engrossed,799,321
46.277
(4) (b) To the extent authorized under
42 USC 1396n, if a person
22discontinues participation in the program, a medical assistance recipient may
23participate in the program in place of the participant who discontinues if that
24recipient meets the level of care requirements for medical assistance reimbursement
25in a skilled nursing facility or intermediate care facility, except that the number of
1participants may not exceed the number of nursing home beds
, other than beds
2specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility
3and approved by the department.
AB150-engrossed,799,115
46.277
(5) (d) 3. If subd. 2. a. or b. applies, no county may use funds received
6under this section to pay for services provided to a person who resides or intends to
7reside in a community-based residential facility and who is initially applying for the
8services, if the projected cost of services for the person, plus the cost of services for
9existing participants, would cause the county to exceed the limitation under sub. (3)
10(c). The department may grant an exception to the requirement under this
11subdivision, under the conditions specified by rule, to avoid hardship to the person.
AB150-engrossed,799,1813
46.277
(5) (e) A county may use funds received under this subsection to provide
14supportive, personal or nursing services, as defined in rules promulgated under s.
1549.45 (2) (a) 23., to a person who resides in a certified assisted living facility, as
16defined in s. 50.01 (1d). Funding of the services may not exceed 85% of the statewide
17medical assistance daily cost of nursing home care, as determined by the
18department.
AB150-engrossed,799,2020
46.277
(5g) (title)
Limitation Limitations on service.
AB150-engrossed,800,223
46.277
(5g) (b) This section does not apply to the delicensure of a bed of an
24institution for mental diseases of an individual who is aged 21 to 64, who has a
1primary diagnosis of mental illness and who otherwise meets the requirements of s.
246.266 (1) (a), (b) or (c).
AB150-engrossed,800,64
46.277
(5r) Rule making. The department shall promulgate rules that specify
5conditions of hardship under which the department may grant an exception to the
6requirement of sub. (5) (d) 3.
AB150-engrossed,800,98
46.278
(1m) (b) "Medical assistance" means aid provided under
ss. 49.43 to
949.47 subch. IV of ch. 49, except s. 49.468.
AB150-engrossed,800,1511
46.278
(6) (e) The department may provide enhanced reimbursement for
12services under the program for an individual who was relocated to the community
13by a county department from an intermediate care facility for the mentally retarded
14that closes under s. 50.03 (14). The enhanced reimbursement rate under this
15paragraph shall be determined under a formula that is developed by the department.
AB150-engrossed,800,2017
46.29
(1) (intro.) From the appropriation under s. 20.435 (6) (d), the
18department shall allocate up to
$12,000 $10,000 in each fiscal year for operation of
19the council on physical disabilities. The council on physical disabilities shall do all
20of the following:
AB150-engrossed,800,22
2246.293 (title)
Specialized programs for the blind and visually impaired.
AB150-engrossed,800,24
2446.295 (title)
Interpreters for the hearing-impaired.
AB150-engrossed,801,2
146.30
(3) (a) 1. Administer funds received
from the department under sub. (4)
2and funds from other sources provided to support a community action program.
AB150-engrossed,801,74
46.30
(4) (a) The department shall
allocate distribute the federal community
5services block grant funds received under
42 USC 9903 and deposited in the
6appropriations under s. 20.435
(4) (mc) and (md) and the state supplement under s.
720.435 (4) (cr) as provided in this subsection (6) (mc) and (7) (md).
AB150-engrossed,801,1610
49.32
(11) (title)
Community action agencies. The department shall
allocate 11distribute all of the funds under s.
20.435 (4) 20.445 (3) (cr) to community action
12agencies and organizations, including any of the 11 federally recognized tribal
13governing bodies in this state and limited-purpose agencies, in proportion to the
14share of funds actually allocated to these entities under
42 USC 1315 and from other
15federal and private foundation sources that provide funds for job creation and
16development for individuals with low incomes.
AB150-engrossed,801,2118
46.30
(4) (d) Before January 1 of each year the department shall contract with
19each agency and organization being funded, specifying the amount of money the
20organization will receive
under this section and the activities to be carried out by the
21organization.
AB150-engrossed, s. 2277b
22Section 2277b. 46.31 of the statutes, as affected by 1995 Wisconsin Act .... (this
23act), is renumbered 49.37, and 49.37 (1) (intro.) and (3), as renumbered, are amended
24to read:
AB150-engrossed,802,4
149.37
(1) (intro.) From the appropriation under s.
20.435 (4) 20.445 (3) (dk), the
2department shall allocate funds to new hope project, inc., for a demonstration project
3that will be conducted in 2 areas in the city of Milwaukee, if all of the following
4conditions are satisfied:
AB150-engrossed,802,8
5(3) The contract under sub. (1) (g) shall require an interim evaluation to be
6submitted to the department no later than January 1, 1993. New hope project, inc.,
7may not use funds appropriated under s.
20.435 (4)
20.445 (3) (dk) to fund the
8evaluation under sub. (1) (g).
AB150-engrossed,802,1010
46.31
(4) This section does not apply after June 30,
1995 1997.
AB150-engrossed,802,2014
46.40
(1) (a)
Within the limits of available federal funds and of the
15appropriations under s. 20.435 (7) (b) and (o), the department shall distribute funds
16for community social, mental health, developmental disabilities and alcohol and
17other drug abuse services
and for services under ss. 46.51, 46.87, 46.98 (2m), (3) and
18(4g), 46.985 and 51.421 to county departments under ss. 46.215, 46.22, 46.23, 51.42
19and 51.437, to county aging units and to private nonprofit organizations as
20authorized under s. 46.98 (2) (a), as provided in subs. (2) to
(12) (8).
AB150-engrossed,803,222
46.40
(2) Basic county allocation. For social services under s. 49.52 (1) (d) and
23services under s. 51.423 (2), the department shall distribute not more than
24$121,552,100 for the last 6 months of 1993, not more than $246,743,400 for 1994 and
1not more than $127,281,500 for the first 6 months of 1995
$292,368,400 for fiscal year
21995-96 and $292,109,500 for fiscal year 1996-97.
AB150-engrossed, s. 2281s
3Section 2281s. 46.40 (2) of the statutes, as affected by 1995 Wisconsin Act ....
4(this act), is amended to read:
AB150-engrossed,803,85
46.40
(2) Basic county allocation. For social services under s.
49.52 (1) (d) 646.495 (1) (d) and services under s. 51.423 (2), the department shall distribute not
7more than $292,368,400 for fiscal year 1995-96 and $292,109,500 for fiscal year
81996-97.
AB150-engrossed,803,1310
46.40
(2m) Federal block grant allocations. (a)
Prevention and treatment
11of substance abuse. For prevention and treatment of substance abuse under
42 USC
12300x-21 to
300x-35, the department shall distribute not more than $11,049,700 in
13fiscal year 1995-96 and not more than $11,247,700 in fiscal year 1996-97.
AB150-engrossed,803,1714
(b)
Community mental health services. For community mental health services
15under
42 USC 300x to
300x-9, the department shall distribute not more than
16$2,513,400 in fiscal year 1995-96 and not more than $2,513,400 in fiscal year
171996-97.
AB150-engrossed,804,223
46.40
(1) (b) Notwithstanding s. 46.49, if the department receives any federal
24moneys under
42 USC 670 to
679a in reimbursement of moneys allocated under
sub.
1(1) par. (a) for the provision of foster care, the department shall distribute those
2federal moneys for services and projects to assist children and families.
AB150-engrossed,804,96
46.40
(4m) Low-income child care allocation. For low-income and at-risk
7child care, the department shall distribute under s. 46.98 (2) not more than
8$21,404,100 in fiscal year 1995-96 and not more than $21,504,800 in fiscal year
91996-97.
AB150-engrossed,804,1713
46.40
(7) (title)
Family support programs allocation. For family support
14programs for the families of disabled children under s. 46.985, the department shall
15distribute not more than
$1,506,600 for the last 6 months of 1993, not more than
16$4,339,800 for 1994 and not more than $2,169,900 for the first 6 months of 1995 17$4,339,800 in each fiscal year.
AB150-engrossed,804,2319
46.40
(8) (title)
Alzheimer's family and caregiver support allocation. For
20services to persons with Alzheimer's disease and their caregivers under s. 46.87, the
21department shall distribute not more than
$938,500 for the last 6 months of 1993,
22not more than $1,877,000 for 1994 and not more than $938,500 for the first 6 months
23of 1995 $1,877,000 for each fiscal year.
AB150-engrossed,805,83
46.40
(14m) County community aids budgets. Before December 1 of each year,
4each county department under ss. 46.215, 46.22, 46.23, 51.42 and 51.437 and each
5tribal governing body shall submit to the department a proposed budget for the
6expenditure of funds allocated under this section. The proposed budget shall be
7submitted on a form developed by the department and approved by the department
8of administration.
AB150-engrossed,805,17
1046.45 Carry-over of community aids funds. (intro.) Funds allocated by
11the department under ss.
46.495 (1) (d), 46.87 (3) (c) 4. and (4), 46.98 (2) (a)
, 4
9.52
12(1) (d) and 51.423 (2) but not spent or encumbered by counties, governing bodies of
13federally recognized American Indian tribes or private nonprofit organizations by
14December 31 of each year and funds recovered under ss.
49.52 (2) (b) 46.495 (2) (b) 15and 51.423 (15) and deposited in the appropriation under s. 20.435 (7) (b) lapse to the
16general fund on the succeeding January 1 unless carried forward to the next calendar
17year under s. 20.435 (7) (b) or as follows:
AB150-engrossed,805,2019
46.45
(1) The department shall carry forward funds allocated for child care
20under s. 46.98 (2) (a) as provided under s. 20.435
(6)
(3) (jg) and (n).
AB150-engrossed,806,1622
46.45
(3) (a) Except as provided in par. (b), at the request of a county, tribal
23governing body or private nonprofit organization, the department shall carry
24forward up to 3% of the total amount allocated to the county, tribal governing body
25or nonprofit organization for a calendar year
, except for funds allocated for child care
1under s. 46.98 (2) (a), for use by the county, tribal governing body or nonprofit
2organization in the following calendar year. The department may not carry forward
3more than 25% of the amount distributed to a county, tribal governing body or
4nonprofit organization for any allocation under s. 46.40 (3) (a), (3m) and (5) to (12).
5The department may permit a county department or nonprofit organization to carry
6forward amounts allocated under s. 46.40 (4) (a) for child care services under s. 46.98
7(3), as provided in s. 46.40 (4) (b). All funds carried forward for a tribal governing
8body or nonprofit organization, all federal child welfare funds under
42 USC 620 to
9626, federal alcohol, drug abuse and mental health block grant funds under 42 USC
10300x to 300x-9 and all child care funds under s. 46.98 (2) (a)
and all funds allocated
11under s. 46.40 (2m) carried forward for a county shall be used for the purpose for
12which the funds were originally allocated. Except as provided under par. (am), other
13funds carried forward may be used for any purpose under s. 20.435 (7) (b).
If a county
14match was required by s. 49.52 (1) (d) or 51.423 (2) when funds carried forward were
15originally distributed, the county match requirement applies to the funds in the
16following calendar year.
AB150-engrossed,807,2
1946.47 Community aids performance standards. The department,
with the
20assistance of representatives from counties and human services advocates, after
21consultation with the department of administration and with county departments
22under ss. 46.215, 46.22, 46.23, 51.42 and 51.437, shall develop performance
23standards for
mental health and juvenile justice services funded
by community aids
24funds allocated under s. 46.40.
These performance standards shall require a
25performance evaluation of any private sector human service provider receiving
1community aids funds allocated under s. 46.40. The department shall implement the
2performance standards no later than July 1, 1996.