AB700,20,1717
2. Establishing and reporting monitoring and evaluation results.
AB700,20,2018
3. Monitoring, or ensuring proper monitoring by the appropriate entity, of
19targeted case management and in-home activities under Medical Assistance, as
20defined in s. 49.43 (8), including record-keeping and billing processes.
AB700,20,2221
4. Assisting in developing and maintaining additional funding sources,
22including collaborative efforts with system partners.
AB700,20,2323
5. Assisting in the development and implementation of advocacy for families.
AB700, s. 47
24Section
47. 46.56 (7) of the statutes is amended to read:
AB700,21,8
146.56
(7) Eligibility of children and families. Children
with severe
2disabilities and their families shall be eligible for the
program. The initiative, except
3that the coordinating committee may establish specific additional criteria for
4eligibility for services and may establish certain target groups of children
with severe
5disabilities to receive services. If target groups are established, only children
with
6severe disabilities falling within the target groups
are eligible for may be enrolled in
7the
program initiative. Any eligibility criteria shall meet all of the following
8conditions:
AB700,21,109
(a) Be based on a community assessment that identifies areas of greatest need
10for
integrated coordinated services
for children with severe disabilities.
AB700,21,1611
(b) Give priority to children
with severe disabilities who are at risk of
12placement outside the home or who are in an institution and are not receiving
13integrated coordinated community-based services
based in the community and
14other resources, or who would be able to return to community placement or their
15homes from an institutional placement if
such the services
and other resources were
16provided.
AB700,21,1817
(c) Not exclude a child
with severe disabilities or
that child's his or her family
18from services
or other resources because of lack of ability to pay.
AB700, s. 48
19Section
48. 46.56 (8) (title) of the statutes is amended to read:
AB700,21,2120
46.56
(8) (title)
Referral, intake, assessment, case planning plan of care
21development, and service coordination.
AB700, s. 49
22Section
49. 46.56 (8) (a) to (g) and (h) (intro.), 2., 3., 4., 5. and 6. of the statutes
23are amended to read:
AB700,22,524
46.56
(8) (a) Referrals to the
program
initiative may come from
any county
25departments
, tribal agencies, agencies, school districts, cooperative educational
1service agencies, county children with disabilities education boards, technical
2college districts, courts assigned to exercise jurisdiction under chs. 48 and 938
, tribal
3courts, or any other organization
, or the child
with severe disabilities or his or her
4family may contact the administering agency or service coordination agency to
5request services
and resources.
AB700,22,146
(b) Upon referral, staff from the service coordination agency
or individuals who
7are designated by the coordinating committee shall screen the referral to determine
8if the child
with severe disabilities and
the child's his or her family appear to meet
9the eligibility criteria and any target
groups group requirements established by the
10coordinating committee. If the child
with severe disabilities and
the child's his or her 11family appear to be eligible, the staff shall
gather
assist the entity that made the
12referral under par. (a), and the parent or parents, in gathering information
from the
13child's family and any current service providers necessary to prepare an application
14for the
program initiative.
AB700,22,1915
(c) Consent for release of information and participation of a child
with severe
16disabilities and his or her family in the
program
initiative and in the
program 17initiative evaluation
must shall be obtained from the child's parent, or the child, if
18appropriate or required
by federal statute or regulation or state statute or rule, or
19by order of a court with appropriate jurisdiction.
AB700,23,220
(d) The service coordination agency
or individuals designated by the
21coordinating committee shall review the completed application
with the family, and,
22in light of the eligibility criteria in the interagency agreement and sub. (7), determine
23whether the child
with severe disabilities and
the child's his or her family are
eligible
24for and appropriate for
services through the program enrollment in the initiative.
25The service
coordination agency
or the individuals designated by the coordinating
1committee shall approve or disapprove each application within 30 days after the date
2on which the application was
received completed.
AB700,23,83
(e) If the child
with severe disabilities and
the child's his or her family are found
4to be ineligible,
or if it is determined that enrollment in the initiative is not the best
5method of meeting the needs of the child and his or her family, staff from the service
6coordination agency
or individuals designated by the coordinating committee shall
7assist
them the child and family in
obtaining identifying and accessing needed
8services
or resources from appropriate providers.
AB700,23,159
(f) If the child
with severe disabilities and
the child's his or her family are found
10to be eligible for
the program and are enrolled in the initiative, the agency shall
11assign a service coordinator who shall assemble
an interdisciplinary a coordinated
12services team to assess the
strengths and needs of the child
with severe disabilities 13and
the child's his or her family's need for treatment, education, care
, and support.
14The service coordinator shall coordinate the operations of the coordinated services
15team.
AB700,23,2416
(g) The service coordinator shall assemble the results of all prior relevant
17assessments and evaluations documenting the
service
strengths and needs of the
18child
with severe disabilities and
the child's his or her family, including
19individualized education program team evaluations under s. 115.782 or independent
20educational evaluations, court-ordered evaluations under s. 48.295 or 938.295,
21family support program evaluations, community integration program or community
22options program assessments, and any other available medical, psychiatric,
23psychological, vocational or developmental educational, medical, vocational, and
24psychosocial evaluations.
AB700,24,9
1(h) (intro.) The
interdisciplinary coordinated services team, the
child's family
2of the child with severe disabilities, and the service coordinator shall, based on
a
3review of a summary of existing assessments
of strengths and needs that have been
4assembled and any additional evaluations
and plans that
they the team, the
5coordinator, or the family
find finds to be necessary, prepare
an integrated service 6a strength-based, gender-competent and culturally competent, family-centered,
7coordinated services plan
of care within 60 days after the date on which the
8application was
received approved. The
integrated service coordinated services plan
9of care shall include all of the following:
AB700,24,1210
2. The short-term and long-term goals
for treatment and support services for 11to address the needs of the child
with severe disabilities and
the child's his or her 12family.
AB700,24,1913
3. The services
and resources needed by the child
with severe disabilities and
14the child's his or her family, including the identity of each
individual and 15organization that will be responsible for providing
a portion of the treatment,
16education and support services to be offered to the child and the child's family, and
17the specific services that each organization will provide the services and other
18resources. The coordinated services plan of care shall place emphasis on services and
19resources that are available through community and informal sources.
AB700,24,2420
4. Criteria for measuring the effectiveness and appropriateness of the
21integrated service plan coordinated services plan of care so that it can be modified
22as needed to better meet the child's and the child's family's needs.
A coordinated
23services plan of care shall be oriented so as to produce meaningful outcomes and to
24provide services in the least restrictive setting possible.
AB700,25,5
15. Identification of any administrative or judicial procedures under ch. 48, 51,
255, 115, 118, or 938 that may be necessary in order to fully implement the
integrated
3service plan coordinated services plan of care and the identity of the individual or
4organization that will be responsible for initiating those procedures, if any are
5required.
AB700,25,106
6. Identification of available sources of funding to support the services
and
7other resources needed for the child
with severe disabilities and his or her family and
8an allocation of funding responsibility among organizations
where if more than one
9organization is responsible for the child's and
the child's his or her family's
10treatment, education and support services.
AB700, s. 50
11Section
50. 46.56 (8) (h) 7. and 8. of the statutes are created to read:
AB700,25,1512
46.56
(8) (h) 7. Clear statements articulating the specific needs of the child and
13family to be addressed. Needs may not be stated solely in terms of the need for
14services but may be stated in a strength-based manner with a response that is
15readily achievable.
AB700,25,1716
8. Plans for responding to possible crisis situations that may occur with the
17child and his or her family.
AB700, s. 51
18Section
51. 46.56 (8) (i) to (k) of the statutes are amended to read:
AB700,25,2119
46.56
(8) (i) If additional evaluations are needed, the
service coordination
20agency coordinated services team shall arrange for them or assist the child's family
21in obtaining them.
AB700,26,222
(j) The proposed
integrated service plan coordinated services plan of care shall
23be submitted to any service providers who would be included in the
integrated
24service plan and the court assigned to exercise jurisdiction under chs. 48 and 938 if
1participation in the program has been court ordered under s. 48.345 (6m) or 938.34
2(6m) plan of care.
AB700,26,103
(k) Upon written approval of the
integrated service plan coordinated services
4plan of care by the proposed service providers
and
, the child's family,
unless the
5child's involvement in the program is through court order under s. 48.355 or 938.355,
6in which case approval of the court may be substituted for that of the family, and the
7coordinated services team, the
integrated service plan plan of care shall be
8implemented by the service coordination agency and the
service providers 9individuals and organizations designated to provide services
and other resources 10under the
integrated service plan plan of care.
AB700, s. 52
11Section
52. 46.56 (8) (L) of the statutes is repealed.
AB700, s. 53
12Section
53. 46.56 (8) (m) to (o) of the statutes are amended to read:
AB700,26,1913
46.56
(8) (m) Each
organization or service provider designated to provide
14services
and other resources under the
integrated service coordinated services plan
15of care shall identify a specific
staff person individual who shall serve as the ongoing
16member of a treatment team contact person to ensure continuity and communication
17while services are being provided to the child
with severe disabilities and his or her
18family under the
integrated service plan
. The service coordinator shall coordinate
19the operations of the treatment team of care.
AB700,26,2320
(n) The service coordinator shall advocate for the child
with severe disabilities 21and
the child's his or her family and ensure that they are provided the opportunity
22to participate in assessment, planning
, and ongoing review of services to the fullest
23extent possible.
AB700,27,224
(o) Services
and other resources under this section shall be provided in the
25community
, preferably in the child's home or home community, in the least restrictive
1and least intrusive setting and manner
which
that meets the best interests of the
2child
with severe disabilities.
AB700, s. 54
3Section
54. 46.56 (8) (p) and (q) of the statutes are repealed.
AB700, s. 55
4Section
55. 46.56 (8) (r) and (s) of the statutes are amended to read:
AB700,27,185
46.56
(8) (r)
The On a regular basis, and at least every 3 months, the service
6coordinator shall
, when necessary and at least every 6 months, assemble the
7treatment coordinated services team, the family of the child
with severe disabilities,
8the child
with severe disabilities, where if appropriate, and any counsel, guardian
9ad litem
, or other person advocating for the interests of the child
with severe
10disabilities or
the child's his or her family to review the
integrated service, plan
of
11care and progress toward the goals of the
integrated service plan
of care, establish
12new goals, request the inclusion of new participating organizations
or individuals,
13or otherwise modify the
integrated service coordinated services plan
of care to better
14meet the needs of the child
with severe disabilities and
the child's his or her family.
15Decisions to amend the
integrated service coordinated services plan
of care must be
16approved by the service coordinator, the
treatment
coordinated services team, the
17family and,
where if the
integrated service plan
of care is being provided under a
18court order,
by the court.
AB700,28,519
(s)
Services under the integrated service plan may be terminated The
20coordinated services team process may be ended by the agreement of all participants
21on the coordinated services team that the goals of treatment and support have been
22met
and that an integrated service plan is no longer needed, by order of the court if
23services are being provided under court order, or are being met; by withdrawal of the
24family of the child
with severe disabilities unless participation is court ordered, or; 25by the service coordination agency upon a recommendation from the service
1coordinator and the
treatment, that further services are not in the child's best
2interests, or that coordinated services team; by the family's refusal to participate in
3the process; if the child
with severe disabilities and
child's his or her family no longer
4meet the eligibility criteria for the
program coordinated services team; or by court
5order, if services are being provided under court order.
AB700, s. 56
6Section
56. 46.56 (9) of the statutes is amended to read:
AB700,28,127
46.56
(9) Immediate care. Individual county departments,
tribal agencies,
8other agencies
, and other service providers
may shall provide immediate services
9and other resources as necessary and appropriate to children
with severe disabilities 10and their families who have been referred for
participation an evaluation of
11eligibility for and appropriateness of enrollment in the
program initiative while
12assessment and planning take place.
AB700, s. 57
13Section
57. 46.56 (10) to (13) of the statutes are amended to read:
AB700,28,2214
46.56
(10) Relation to family other support program programs. In any county
15or for a tribe that has a family support program under s. 46.985
, or other support
16programs, including comprehensive community services or office of justice
17assistance programs, the
integrated service program initiative shall coordinate its
18activities with the
family support
program. The administering agency for the family
19support program may act as a service coordination agency for the integrated service
20program and the family support program advisory committee may act as the
21coordinating committee if the requirements of this section are met and the
22department gives its approval programs.
AB700,29,3
23(11) Informal conflict
Conflict management. The department,
24administering agency, service coordination agencies
, and service coordinators shall
25establish and use informal means for conflict management, including consultation,
1mediation
, and independent assessment, whenever possible.
A formal conflict
2management policy shall be established in writing by the coordinating committee for
3use by families, providers, and other individuals involved in the initiative.
AB700,29,11
4(12) Administrative appeals. Decisions by the service coordination agency
5regarding eligibility,
enrollment, denial, termination, reduction
, or appropriateness
6of services
and decisions by the individuals designated by the coordinating
7committee regarding eligibility, enrollment, or denial may be appealed to the
8coordinating committee by a child
with severe disabilities who is a service applicant
9or recipient or
by the parent or guardian or guardian ad litem of the applicant or
10recipient. Decisions of the coordinating committee may be appealed to the
11department under ch. 227.
AB700,29,16
12(13) Review of actions by individual agencies. Nothing in this section shall
13limit, modify
, or expand the rights, remedies
, or procedures established in federal
14statutes or regulations or state
law
statutes or rules for individuals or families
15receiving services provided by individual organizations that are participating in the
16integrated service coordinated services plan
of care.
AB700, s. 58
17Section
58. 46.56 (14) (a) of the statutes is amended to read:
AB700,30,1118
46.56
(14) (a) In order to support the development of a comprehensive
service 19system of coordinated care for children
with severe disabilities and their families, the
20department shall establish a
statewide state advisory committee with
21representatives of county departments
and tribal governing bodies, the department
22of public instruction, educational agencies,
the department of corrections, the
23juvenile correctional system, professionals experienced in the provision of services
24to children
with severe disabilities, and their families
with children with severe
25disabilities, advocates for
such families and their children, the subunit of the
1department of workforce development that administers
economic support programs
2and vocational rehabilitation,
a representative of the local workforce development
3board established under 29 USC 2832, a representative of the philanthropy
4community, the technical college system, health care providers, courts assigned to
5exercise jurisdiction under chs. 48 and 938,
the subunit of the department that
6administers child welfare, child welfare officials, and other appropriate persons as
7selected by the department. The department may use an existing committee for this
8purpose if it has representatives from the listed groups and is willing to perform the
9required functions. This committee shall monitor the development of
programs 10initiatives throughout the state and support communication and mutual assistance
11among operating
programs initiatives as well as those that are being developed.
AB700, s. 59
12Section
59
. 46.56 (14) (a) of the statutes, as affected by 2007 Wisconsin Act ....
13(this act), is amended to read:
AB700,31,714
46.56
(14) (a) In order to support the development of a comprehensive service
15system of coordinated care for children and their families, the department shall
16establish a state advisory committee with representatives of county departments
17and tribal governing bodies, the department of public instruction, educational
18agencies, the department of corrections, the juvenile correctional system,
19professionals experienced in the provision of services to children and their families,
20advocates for families and their children, the subunit of the department of workforce
21development that administers economic support programs and vocational
22rehabilitation, a representative of the local workforce development board
23established under
29 USC 2832, a representative of the philanthropy community, the
24technical college system, health care providers, courts assigned to exercise
25jurisdiction under chs. 48 and 938, the
subunit of the department
that administers
1child welfare of children and families, child welfare officials, and other appropriate
2persons as selected by the department. The department may use an existing
3committee for this purpose if it has representatives from the listed groups and is
4willing to perform the required functions. This committee shall monitor the
5development of
coordinated services team initiatives throughout the state and
6support communication and mutual assistance among operating initiatives as well
7as those that are being developed.
AB700, s. 60
8Section
60. 46.56 (14) (b) (intro.) of the statutes is amended to read:
AB700,31,119
46.56
(14) (b) (intro.) The department shall provide, either directly or through
10purchase of services, the following support services to the counties
and tribes that
11elect to participate in the
program coordinated services team initiative:
AB700, s. 61
12Section
61. 46.56 (14) (b) 1. and 3. of the statutes are amended to read:
AB700,31,1513
46.56
(14) (b) 1. Consultation in the areas of developing
and maintaining 14individual
integrated service plans initiatives,
and finding appropriate resources
,
15and establishing and maintaining local programs.
AB700,31,1916
3. Assessment resources for cases where no local evaluation resource is
17available or sufficient to enable development of an effective
integrated service plan 18coordinated services plan of care. These
resources may be provided directly through
19state-operated programs or by referral to private service providers.
AB700, s. 62
20Section
62. 46.56 (14) (c) (intro.) and 1. of the statutes are amended to read:
AB700,31,2421
46.56
(14) (c) (intro.) The department shall evaluate the
programs initiatives 22funded under this section. All organizations participating in the
program initiatives 23shall cooperate with the evaluation. The evaluation shall include information about
24all of the following:
AB700,32,4
11. The number of days that children
with severe disabilities served in the
2programs enrolled in the initiative spent in out-of-home placement compared to
3other children
with severe disabilities in the target group who are not enrolled in the 4initiative and the costs associated with these placements.
AB700, s. 63
5Section
63. 46.56 (14) (c) 2. of the statutes is repealed and recreated to read:
AB700,32,66
46.56
(14) (c) 2. A systems change and sustainability plan under sub. (3) (d) 10.
AB700, s. 64
7Section
64. 46.56 (14) (c) 3. and 4. of the statutes are amended to read:
AB700,32,108
46.56
(14) (c) 3. A comparison between any changes in problem behaviors of
9participants enrollees before and after
participation enrollment in the
program 10initiative.
AB700,32,1211
4. A comparison between school attendance and performance of
participants 12enrollees before and after
participation enrollment in the
program initiative.
AB700, s. 65
13Section
65. 46.56 (14) (c) 6. and 7. of the statutes are amended to read:
AB700,32,1414
46.56
(14) (c) 6. Parent and child satisfaction with the
program initiative.
AB700,32,1715
7. Types of services provided to children
with severe disabilities and their
16families
in the program through the
integrated service plan initiative and the cost
17of these services.
AB700, s. 66
18Section
66. 46.56 (14) (c) 8. of the statutes is repealed.
AB700, s. 67
19Section
67. 46.56 (14) (d) of the statutes is amended to read:
AB700,33,220
46.56
(14) (d) Notwithstanding
sub. (1) (c) (intro.) the limitations under this
21section to services to children and their families, if the state is funding the
program 22initiative in a particular county
or for a tribe under sub. (15), the department may
23permit the county
or tribe to serve
under this section any individual who has
a severe
24disabilities disability and who has not attained 22 years of age
, and his or her family, 25if the individual's mental, physical, sensory, behavioral, emotional
, or developmental
1disabilities disability or whose combination of multiple disabilities meets the
2requirements specified in sub. (1)
(c) (om) 1. to 4.
AB700, s. 68
3Section
68. 46.56 (15) (a) and (b) (intro.) of the statutes are amended to read:
AB700,33,94
46.56
(15) (a) From the appropriation
account under s. 20.435 (7) (co), the
5department shall make available funds to implement
programs. The funds may be
6used to pay for the intake, assessment, case planning and service coordination
7provided under sub. (8) and for expanding the capacity of the county to provide
8community-based care and treatment for children with severe disabilities 9initiatives under this section.
AB700,33,1110
(b) (intro.) In order to apply for funds under this
section subsection the county
11board of supervisors
or tribe shall do all of the following:
AB700, s. 69
12Section
69. 46.56 (15) (b) 1r. of the statutes is created to read:
AB700,33,1613
46.56
(15) (b) 1r. Demonstrate that the coordinating services team approach
14to providing services to children and families will be followed, and principles and core
15values, as outlined by the advisory committee established by the department, will
16be adhered to.
AB700, s. 70
17Section
70. 46.56 (15) (b) 2. to 4. of the statutes are amended to read:
AB700,33,2018
46.56
(15) (b) 2. Establish
children with severe emotional disturbances to be 19the priority target group
to be served by the
program initiative to be severely
20emotionally disturbed children.
AB700,33,2221
3. Submit a plan to the department for implementation of the
integrated
22service program initiative in accordance with the requirements of this section.
AB700,34,323
4. Submit a description of the existing services
and other resources in the
24county
or tribe for children
with severe disabilities, an assessment of any gaps in
25services, and a plan for using the funds under this
program initiative or
funds from
1other
funding sources to develop or expand
any needed community-based services
2such as in-home treatment, treatment foster care, day treatment, respite care or
3crisis services the initiative.
AB700, s. 71
4Section
71. 46.56 (15) (b) 5. of the statutes is created to read:
AB700,34,55
46.56
(15) (b) 5. Agree to comply with this section.
AB700, s. 72
6Section
72. 46.56 (15) (c) and (d) of the statutes are amended to read:
AB700,34,137
46.56
(15) (c) In order
for a county or tribe to obtain funds under this section,
8all of the participating agencies and organizations shall provide matching funds
9that, in total, equal
to 20% of the requested funding
shall be provided by the
10participating county departments and school districts. All of the participating 11county departments and school districts shall participate in providing the. The 12match
, which may be cash or in-kind. The department shall determine what may
13be used as in-kind match.
AB700,34,1914
(d) In order to apply for funding,
at least one school district, cooperative
15educational service agency or county children with disabilities education board
16serving children with severe disabilities in the county must participate in the
17program a county or tribe shall have a coordinating committee that meets the
18requirements under sub. (3) (a) and (b), that will carry out the responsibilities under
19sub. (3) (d).
AB700, s. 73
20Section
73. 46.56 (15) (e) of the statutes is repealed.
AB700, s. 74
21Section
74. 46.56 (15) (f) of the statutes is amended to read:
AB700,34,2422
46.56
(15) (f) Funds allocated under this subsection may not be used to replace
23any other state and federal funds or any county funds that are being used to fund
24services for children
with severe disabilities.
AB700, s. 75
1Section
75. 48.02 (9s) of the statutes is renumbered 48.02 (2f) and amended
2to read: