49.72(3)(a)
(a) An aged infirm person is a person over the age of 65 years so incapacitated mentally by the degenerative processes of old age, or so incapacitated physically, as to require continuing infirmary care.
49.72(3)(b)
(b) A county infirmary is a county institution created pursuant to
sub. (1) or
(2) under the general supervision and inspection of the department pursuant to
ss. 46.16 and
46.17 as to adequacy of equipment and staff to treat, care for and maintain the physical and mental needs of aged infirm persons.
49.72(4)
(4) The uniform accounting system established by
s. 50.03 (10) shall be used by each county infirmary and shall be subject to the conditions enumerated therein.
49.72 History
History: 1971 c. 125;
1975 c. 413 s.
18;
1977 c. 26 s.
75;
1995 a. 27 ss.
2828 to
2834; Stats. 1995 s. 49.72.
49.723
49.723
County infirmaries, admissions; standards. 49.723(1)(1) The following standards shall apply to admissions to a county infirmary:
49.723(1)(a)
(a) The primary standard shall be need of infirmary care, rather than ability to pay for care, and no person shall be excluded from an infirmary solely because of ability or inability to pay for care.
49.723(1)(b)
(b) The person admitted must be an aged infirm individual, and it must be reasonably apparent that unless admitted the person will be without adequate care.
49.723(1)(cm)
(cm) Except as provided in
par. (d), any person who meets the standards for admission is eligible for admission.
49.723(1)(d)
(d) An applicant who has removed residence to Wisconsin from a state which requires that one who has removed residence from Wisconsin to that state reside in the latter more than one year before being eligible for a similar type of care shall be required to reside in this state for a like period before becoming eligible for admission.
49.723(2)
(2) The board of trustees of a county infirmary, subject to regulations approved by the county board, shall establish rules and regulations governing the admission and discharge of voluntary patients.
49.723(3)
(3) If it appears to the satisfaction of the circuit court for the county in which an infirmary is located, upon petition for commitment, that a person meets the standards under
sub. (1), it may, after affording the person an opportunity to be heard in person or by someone on his or her behalf, commit the person to a county infirmary. The power to commit includes persons who entered an infirmary voluntarily. The court may also, on petition and after a hearing, order the discharge of any patient, upon a showing that the patient is no longer in need of infirmary care, or that the patient can be adequately cared for elsewhere.
49.723(4)
(4) The board of trustees on receipt of an application for voluntary admission, or the circuit court on the filing of a petition for commitment, shall appoint a person licensed to practice medicine and surgery in this state to examine personally the applicant or the subject of the petition and to advise the board or court whether such person meets the standard prescribed by
sub. (1) (a).
49.723(5)
(5) The department shall prescribe and prepare the forms to be used for the voluntary admission or commitment of patients.
49.723(6)
(6) The circuit court in the case of a commitment, and the board of trustees in the case of a voluntary admission, shall pass on the economic status of the patient at the time of commitment or admission, and in all cases in which the patient has residence in another county shall notify the county of residence of the fact of such commitment or admission.
49.723 History
History: 1977 c. 449 ss.
130,
497;
1985 a. 29;
1989 a. 359;
1995 a. 27 s.
2835; Stats. 1995 s. 49.723;
1995 a. 225.
49.726
49.726
County infirmaries; cost of treatment, care and maintenance of patients. 49.726(1)
(1) In the first instance the county or counties operating an infirmary shall defray the actual per capita cost of treatment, care and maintenance. To the extent that a patient is a public charge, such county or counties shall be reimbursed for such expenditures, as determined from annual infirmary reports filed with the department under
s. 46.18 (8),
(9) and
(10), by the county of residence.
49.726(2)
(2) To the extent that a patient is not a public charge, such cost shall be charged and paid in advance for each calendar month, and payment may be enforced by the board of trustees.
49.726(4)
(4) The records and accounts of each county infirmary may be audited by the department. In addition to other findings, such audits shall ascertain compliance with the mandatory uniform cost record-keeping system requirements of
s. 46.18 (8),
(9) and
(10), and verify the actual per person cost of maintenance, care and treatment of patients.
49.726 History
History: 1971 c. 108 ss.
5,
6;
1971 c. 125 s.
523;
1985 a. 29;
1995 a. 27 s.
2836; Stats. 1995 s. 49.726.
49.729
49.729
County infirmaries; fees and expenses of proceedings. The fees of examining physicians, witnesses and guardians ad litem and other expenses of proceedings under
ss. 49.72 to
49.726 shall be governed by
s. 51.20 (18).
49.729 History
History: 1975 c. 430 s.
80;
1977 c. 428 s.
115;
1995 a. 27 s.
2837; Stats. 1995 s. 49.729.
49.73
49.73
Residential care institutions; establishment. 49.73(1)(1) Any county or combination of counties may establish and staff a county residential care institution for the reception and care of dependent persons which shall be governed by the county board. The institution shall be licensed under
s. 50.03 by the department before receiving or caring for any dependent person.
49.73(2)
(2) Residential care institutions may be established and staffed by private vendors for the reception and care of dependent persons. The institution shall be licensed under
s. 50.03 by the department before receiving or caring for any dependent persons.
49.73(3)
(3) Any county operated or private residential care facility not certifiable as a Title XIX facility shall be licensed and governed under
s. 50.03 by the department before receiving or caring for any dependent persons.
49.73(4)
(4) The cost of care of such patients shall be determined by multiplying the per day patient rate for such facility as determined by applying the formula under
s. 49.45 (6m) (ag), except that interest on capital expenditures which are reimbursable under
s. 51.91 shall be excluded, times the number of days of care of such patients in the time period being considered. Any amounts received by the facility from the patient or resident shall be deducted from the costs determined under this subsection. This section shall not be construed to require that as a condition of reimbursement any facility must meet any skilled or intermediate care standards established by the department.
49.73(6)
(6) The care, services and supplies provided under this section shall be a liability against the patient's county of residence.
49.74
49.74
Institutions subject to chapter 150. Any institution created under the authority of
s. 49.70,
49.71,
49.72 or
49.73 is subject to
ch. 150.
49.74 History
History: 1977 c. 29;
1995 a. 27 s.
2850; Stats. 1995 s. 49.74.
49.77
49.77
State supplemental payments. 49.77(1)
(1)
Definition. In this section "secretary" means the secretary of the U.S. department of health and human services or the secretary of any other federal agency subsequently charged with the administration of federal Title XVI.
49.77(2)(a)(a) The following persons who meet the resource limitations and the nonfinancial eligibility requirements of the federal supplemental security income program under
42 USC 1381 to
1383d are entitled to receive supplemental payments under this section:
49.77(2)(a)1.
1. Any needy person or couple residing in this state who, as of December 31, 1973, was receiving benefits under s.
49.18, 1971 stats., s.
49.20, 1971 stats., or s.
49.61, 1971 stats., as affected by
chapter 90, laws of 1973.
49.77(2)(a)2.
2. Any needy person or couple residing in this state and receiving benefits under federal Title XVI.
49.77(2)(a)3.
3. Any needy person or couple residing in this state whose income, after deducting income excludable under federal Title XVI, is less than the combined benefit level available under federal Title XVI and this section, if at least one of the following requirements are met:
49.77(2)(a)3.a.
a. The person or couple was eligible for a state supplement under this section based on the last federal eligibility determination prior to January 1, 1996, but was not eligible to receive a payment under federal Title XVI on that date.
49.77(2m)
(2m) Supplemental payment levels. The department may submit a proposal to change the amount of supplemental payments under this section to the secretary of administration. If the secretary of administration approves the proposal, he or she shall submit it to the joint committee on finance for approval, modification or disapproval. Joint committee on finance approval of a change in the amount of supplemental payments will be considered to be given, if within 14 calendar days after the secretary of administration files a proposal with the joint committee on finance, the committee has not scheduled a public hearing or executive session to review the proposal. Payment changes approved by the joint committee on finance are subject to the approval of the governor. Following action by the joint committee on finance, the governor shall have 10 days, not including Sundays, to communicate approval or disapproval in writing. If no action is taken by the governor within that time, the decision of the joint committee on finance shall take effect. The procedures under
s. 13.10 do not apply to this subsection.
49.77(3)
(3) Minimum supplemental payment in certain cases. The total monthly benefits received under this section and federal Title XVI by a person or couple described in
sub. (2) (a) 1. shall not be less than the total state cash assistance payment amount plus gross earned and unearned income, received by such person or couple for December of 1973.
49.77(3g)
(3g) Federal payments. If federal supplemental security income payments increase, the department may, with approval as provided under
sub. (2m), reduce payments under this section by all or part of the amount of the increase, subject to
42 USC 1382g.
49.77(3s)
(3s) Increased supplemental payment in certain cases. 49.77(3s)(a)(a) The department shall authorize the payment of an increased state supplement to a person receiving payments under this section who resides in a residential setting if the person needs at least 40 hours per month of supportive home care, daily living skills training or community support services.
49.77(3s)(b)1.1. If a person receiving payments under this section is a minor child residing with a parent, only services needed when the parent is away from the residence for purposes of employment count toward the 40-hour requirement in
par. (a).
49.77(3s)(b)2.
2. If a person receiving payments under this section resides with a spouse, only services needed either because the spouse is away from the residence for purposes of employment or because the spouse is physically or mentally unable to provide the care count toward the 40-hour requirement in
par. (a).
49.77(3s)(c)
(c) The department shall establish a uniform assessment process for determining eligibility under this subsection.
49.77(3s)(d)
(d) The amount payable under this subsection equals the amount of the state supplement under
sub. (2) (a) paid to persons living in nonmedical group homes.
49.77(4)
(4) Optional federal administration. 49.77(4)(a)(a) The department may enter into an agreement with the secretary under which the secretary will provide supplemental payments to all eligible persons on behalf of the state or any of its subdivisions. Under the agreement the department shall pay to the secretary an amount specified in accordance with agreed procedures. The department may make advance payments to the secretary if the agreement so provides.
49.77(4)(b)
(b) The department may enter into an agreement with the secretary under which the secretary may determine eligibility for medical assistance in the case of aged, blind or disabled individuals under the state plan approved under Title XIX of the social security act.
49.77(4)(c)
(c) Agreements made under this subsection or modifications to such agreements require prior approval or amendment by the joint committee on finance. Prior approval will be deemed to be given if within 21 calendar days following the department filing a proposed modification with the joint committee on finance, the committee has not scheduled a public hearing or executive session to review the proposed modification. Agreements or modifications to such agreements approved by the joint committee on finance shall be subject to the approval of the governor. Following action by the joint committee on finance, the governor shall have 10 days, not including Sundays, to communicate approval or disapproval in writing. If no action is taken by the governor within that time, the decision of the joint committee on finance shall take effect. The procedures under
s. 13.10 do not apply to this paragraph.
49.77(5)
(5) Income determination. In determining the amount of aid to be granted a person applying for supplemental payments under this section, income shall be disregarded to the extent allowed by federal regulations.
49.77(6)
(6) Authority to administer; rules. The department shall administer this section and
s. 49.775, and may promulgate rules to guide the administration of eligibility determinations and benefits payments.
49.77 Cross-reference
Cross Reference: See also ch.
HFS 2, Wis. adm. code.
49.77 Annotation
Because there is no statutory authority and DHFS had not properly promulgated a rule under ch. 227, administrative recovery of overpayments of benefits under this section was unauthorized. Mack v. DHFS,
231 Wis. 2d 644,
605 N.W.2d 651 (Ct. App. 1999),
99-0627.
49.775
49.775
Payments for the support of children of supplemental security income recipients. 49.775(2)
(2) Supplemental payments. Subject to
sub. (3), the department shall make a monthly payment in the amount specified in
sub. (4) to a custodial parent for the support of each dependent child of the custodial parent if all of the following conditions are met:
49.775(2)(a)
(a) The custodial parent is a recipient of supplemental security income under
42 USC 1381 to
1383c or of state supplemental payments under
s. 49.77, or both.
49.775(2)(b)
(b) If the dependent child has 2 custodial parents, each custodial parent receives supplemental security income under
42 USC 1381 to
1383c or state supplemental payments under
s. 49.77, or both.
49.775(2)(bm)
(bm) The custodial parent assigns to the state any right of the custodial parent or of the dependent child to support from any other person. No amount of support that begins to accrue after the individual ceases to receive payments under this section may be considered assigned to the state. Any money that is received by the department of workforce development under an assignment to the state under this paragraph and that is not the federal share of support shall be paid to the custodial parent. The department of workforce development shall pay the federal share of support assigned under this paragraph as required under federal law or waiver.
49.775(2)(c)
(c) The dependent child of the custodian parent meets the eligibility criteria under the aid to families with dependent children program under
s. 49.19 (1) to
(19) or would meet the eligibility criteria under
s. 49.19 but for the application of
s. 49.19 (20).
49.775(2)(e)
(e) The custodial parent meets any of the following conditions:
49.775(2)(e)1.
1. The custodial parent is ineligible for aid under
s. 49.19 solely because he or she receives supplemental security income under
42 USC 1381 to
1383c or state supplemental payments under
s. 49.77.
49.775(3)
(3) Two-parent families. In the case of a dependent child who has 2 custodial parents, the department may not make more than one payment under
sub. (2) per month for the support of that dependent child.
49.775(4)(a)(a) The payment under
sub. (2) is $250 per month for one dependent child and $150 per month for each additional dependent child.
49.775 Cross-reference
Cross Reference: See also ch.
HFS 2, Wis. adm. code.
49.78
49.78
Income maintenance administration. 49.78(1)
(1)
Definitions. In this section:
49.78(1)(b)
(b) "Income maintenance program" means the Medical Assistance program under
subch. IV of ch. 49, the Badger Care health care program under
s. 49.665, the food stamp program under
7 USC 2011 to
2036, or the cemetery, funeral, and burial expenses program under
s. 49.785.
49.78(1)(cr)
(cr) "Tribal governing body" means an elected governing body of a federally recognized American Indian tribe.
49.78(2)
(2) Contracts. Annually, the department shall contract with county departments under
ss. 46.215,
46.22, and
46.23, and may contract with tribal governing bodies, to reimburse the county departments and tribal governing bodies for the reasonable cost of administering income maintenance programs.
49.78(3)
(3) Rules. The department shall promulgate rules establishing standards of competency, including training requirements, for income maintenance workers.
49.78(4)
(4) Rules; merit system. The department of workforce development shall promulgate rules for the efficient administration of aid to families with dependent children in agreement with the requirement for federal aid, including the establishment and maintenance of personnel standards on a merit basis. The provisions of this section relating to personnel standards on a merit basis supersede any inconsistent provisions of any law relating to county personnel. This subsection shall not be construed to invalidate the provisions of
s. 46.22 (1) (d).
49.78(5)
(5) Personnel examinations. Statewide examinations to ascertain qualifications of applicants in any county department administering aid to families with dependent children shall be given by the administrator of the division of merit recruitment and selection in the office of state employment relations. The office of state employment relations shall be reimbursed for actual expenditures incurred in the performance of its functions under this section from the appropriations available to the department of health and family services for administrative expenditures.
49.78(6)
(6) Personnel lists. All persons who are qualified as a result of examinations shall be certified to the counties in which they reside at the time of examination; if there are no resident qualified persons for any class of positions on the list certified to the county, appointments shall be made from available lists without regard to residence within the county.
49.78(7)
(7) County personnel systems. Pursuant to rules promulgated under
sub. (4), the department of workforce development where requested by the county shall delegate to that county, without restriction because of enumeration, any or all of the department of workforce development's authority under
sub. (4) to establish and maintain personnel standards including salary levels.
