SB1, s. 909 3Section 909. 46.27 (5) (j) of the statutes is created to read:
SB1,524,74 46.27 (5) (j) Within the time period specified by the department, offer
5counseling, that is specified by the department, concerning public and private
6benefit programs to prospective residents of community-based residential facilities
7who are referred to the county department or aging unit under s. 50.035 (4n).
SB1, s. 910 8Section 910. 46.27 (6) (a) 3. of the statutes is amended to read:
SB1,524,179 46.27 (6) (a) 3. In each participating county, except in counties in which the
10department has contracted with an entity under s. 46.281 (1) (e) 1. 46.284 (2),
11assessments shall be conducted for those persons and in accordance with the
12procedures described in the county's community options plan. The county may elect
13to establish assessment priorities for persons in target groups identified by the
14county in its plan regarding gradual implementation. If a person who is already
15admitted to a nursing home requests an assessment and if funds allocated for
16assessments under sub. (7) (am) are available, the county shall conduct the
17assessment.
SB1, s. 911 18Section 911. 46.27 (6g) (intro.) of the statutes is amended to read:
SB1,524,2319 46.27 (6g) Fiscal responsibility. (intro.) Except as provided in s. 51.40, and
20within the limitations under sub. (7) (b), the fiscal responsibility of a county for an
21assessment, unless the assessment is performed by an entity under a contract as
22specified under s. 46.281 (1) (e) 1. 46.284 (2), case plan, or services provided to a
23person under this section is as follows:
SB1, s. 912 24Section 912. 46.27 (6u) (c) 1. a. of the statutes is amended to read:
SB1,525,2
146.27 (6u) (c) 1. a. Eligible for medical assistance under s. 49.46, 49.468 or,
249.47, or 49.471 (4) (a).
SB1, s. 913 3Section 913. 46.27 (6u) (d) (intro.) of the statutes is amended to read:
SB1,525,94 46.27 (6u) (d) (intro.) In determining financial eligibility under par. (c) 1. and
5in calculating the amount under par. (c) 2., the county department or aging unit shall
6include as the assets for any person, except those persons who are eligible for medical
7assistance under s. 49.46, 49.468 or, 49.47, or 49.471 (4) (a), any portion of assets that
8the person or the person's spouse has, after August 12, 1993, transferred to another
9as specified in par. (b), unless one of the following conditions applies:
SB1, s. 914 10Section 914. 46.27 (7) (am) of the statutes is amended to read:
SB1,525,1911 46.27 (7) (am) From the appropriation under s. 20.435 (7) (bd), the department
12shall allocate funds to each county or private nonprofit agency with which the
13department contracts to pay assessment and case plan costs under sub. (6) not
14otherwise paid by fee or under s. 49.45 or 49.78 (2). The department shall reimburse
15counties for the cost of assessing persons eligible for medical assistance under s.
1649.46, 49.468, or 49.47, or 49.471 (4) (a) as part of the administrative services of
17medical assistance, payable under s. 49.45 (3) (a). Counties may use unspent funds
18allocated under this paragraph to pay the cost of long-term community support
19services and for a risk reserve under par. (fr).
SB1, s. 915 20Section 915. 46.27 (7) (b) of the statutes is amended to read:
SB1,526,921 46.27 (7) (b) From the appropriations under s. 20.435 (7) (bd) and (im), the
22department shall allocate funds to each county to pay the cost of providing long-term
23community support services under sub. (5) (b) not otherwise paid under s. 49.45 to
24persons eligible for medical assistance under s. 49.46 or , 49.47, or 49.471 (4) (a) or
25to persons whom the county department or aging unit administering the program

1finds likely to become medically indigent within 6 months by spending excess income
2or assets for medical or remedial care. The average per person reimbursement under
3this paragraph may not exceed the state share of the average per person payment
4rate the department expects under s. 49.45 (6m). The county department or aging
5unit administering the program may spend funds received under this paragraph
6only in accordance with the case plan and service contract created for each person
7receiving long-term community support services. Counties may use unspent funds
8allocated under this paragraph from the appropriation under s. 20.435 (7) (bd) for a
9risk reserve under par. (fr).
SB1, s. 916 10Section 916. 46.27 (7) (cj) 3. a. of the statutes is repealed.
SB1, s. 917 11Section 917. 46.27 (7) (fr) 3. c. of the statutes is amended to read:
SB1,526,1312 46.27 (7) (fr) 3. c. If approved by a resolution of the county board of supervisors,
13to transfer funds to a family long-term care district.
SB1, s. 918 14Section 918. 46.27 (9) (a) of the statutes is amended to read:
SB1,526,2315 46.27 (9) (a) The department may select up to 5 counties that volunteer to
16participate in a pilot project under which they will receive certain funds allocated for
17long-term care. The department shall allocate a level of funds to these counties
18equal to the amount that would otherwise be paid under s. 20.435 (4) (b), (gp), or (w),
19or (xd) to nursing homes for providing care because of increased utilization of nursing
20home services, as estimated by the department. In estimating these levels, the
21department shall exclude any increased utilization of services provided by state
22centers for the developmentally disabled. The department shall calculate these
23amounts on a calendar year basis under sub. (10).
SB1, s. 919 24Section 919. 46.27 (9) (c) of the statutes is amended to read:
SB1,527,6
146.27 (9) (c) All long-term community support services provided under this
2pilot project in lieu of nursing home care shall be consistent with those services
3described in the participating county's community options plan under sub. (4) (c) 1.
4and provided under sub. (5) (b). Unless the department has contracted under s.
546.281 (1) (e) 1. 46.284 (2) with an entity other than the county department, each
6county participating in the pilot project shall assess persons under sub. (6).
SB1, s. 920 7Section 920. 46.27 (10) (a) 1. of the statutes is amended to read:
SB1,527,138 46.27 (10) (a) 1. The department shall determine for each county participating
9in the pilot project under sub. (9) a funding level of state medical assistance
10expenditures to be received by the county. This level shall equal the amount that the
11department determines would otherwise be paid under s. 20.435 (4) (b), (gp), or (w),
12or (xd), or because of increased utilization of nursing home services, as estimated by
13the department.
SB1, s. 921 14Section 921. 46.27 (11) (c) 5n. a. of the statutes is repealed.
SB1, s. 922 15Section 922. 46.275 (1m) (a) of the statutes is amended to read:
SB1,527,1716 46.275 (1m) (a) "Medical assistance" means aid provided under subch. IV of ch.
1749, except s. ss. 49.468 and 49.471.
SB1, s. 923 18Section 923. 46.275 (5) (a) of the statutes is amended to read:
SB1,527,2419 46.275 (5) (a) Medical Assistance reimbursement for services a county, or the
20department under sub. (3r), provides under this program is available from the
21appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (w), and (xd). If 2 or more
22counties jointly contract to provide services under this program and the department
23approves the contract, Medical Assistance reimbursement is also available for
24services provided jointly by these counties.
SB1, s. 924 25Section 924. 46.275 (5) (c) of the statutes is amended to read:
SB1,528,7
146.275 (5) (c) The total allocation under s. 20.435 (4) (b), (gp), (o), and (w), and
2(xd)
to counties and to the department under sub. (3r) for services provided under
3this section may not exceed the amount approved by the federal department of health
4and human services. A county may use funds received under this section only to
5provide services to persons who meet the requirements under sub. (4) and may not
6use unexpended funds received under this section to serve other developmentally
7disabled persons residing in the county.
SB1, s. 926 8Section 926. 46.277 (1m) (a) of the statutes is amended to read:
SB1,528,109 46.277 (1m) (a) "Medical assistance" means aid provided under subch. IV of ch.
1049, except s. ss. 49.468 and 49.471.
SB1, s. 927 11Section 927. 46.277 (3) (d) of the statutes is created to read:
SB1,528,1612 46.277 (3) (d) The county department or aging unit that administers the
13program under this section shall, within the time period specified by the department,
14offer counseling, that is specified by the department, concerning public and private
15benefit programs to prospective residents of community-based residential facilities
16who are referred to the county department or aging unit under s. 50.035 (4n).
SB1, s. 928 17Section 928. 46.277 (5) (d) 1n. a. of the statutes is repealed.
SB1, s. 930 18Section 930. 46.278 (1m) (b) of the statutes is amended to read:
SB1,528,2019 46.278 (1m) (b) "Medical assistance" means aid provided under subch. IV of ch.
2049, except s. ss. 49.468 and 49.471.
SB1, s. 931 21Section 931. 46.278 (6) (d) of the statutes is amended to read:
SB1,529,222 46.278 (6) (d) If a county makes available nonfederal funds equal to the state
23share of service costs under a waiver received under sub. (3), the department may,
24from the appropriation under s. 20.435 (4) (o), provide reimbursement for services
25that the county provides under this section to persons who are in addition to those

1who may be served under this section with funds from the appropriation account
2under s. 20.435 (4) (b) or, (w), or (xd).
SB1, s. 932 3Section 932. 46.2785 (5) (a) of the statutes is amended to read:
SB1,529,64 46.2785 (5) (a) Medical assistance reimbursement for services a county or
5private agency contracts for or provides under the waiver program shall be made
6from the appropriation accounts under s. 20.435 (4) (b) and , (o), and (xd).
SB1, s. 933 7Section 933. 46.28 (1) (f) of the statutes is amended to read:
SB1,529,98 46.28 (1) (f) "Victim of domestic abuse" means an individual who has
9encountered domestic abuse, as defined in s. 46.95 49.165 (1) (a).
SB1, s. 934 10Section 934. 46.2803 (2) of the statutes is created to read:
SB1,529,1711 46.2803 (2) Notwithstanding s. 46.27 (7), a county in which a care management
12organization is operating pursuant to a contract under s. 46.284 (2) or a county in
13which a program described under s. 46.2805 (1) (a) or (b) is administered may use
14funds appropriated under 20.435 (7) (bd) and allocated to the county under s. 46.27
15(7) to provide community mental health or substance abuse services and supports for
16persons with mental illness or persons in need of services or supports for substance
17abuse and to provide services under the Family Support Program under s. 46.985.
SB1, s. 935 18Section 935. 46.2804 (title) of the statutes is amended to read:
SB1,529,20 1946.2804 (title) Managed care programs for Client management of
20managed care
long-term care services benefit.
SB1, s. 936 21Section 936. 46.2804 (1) of the statutes is repealed.
SB1, s. 937 22Section 937. 46.2804 (2) of the statutes is renumbered 46.2804.
SB1, s. 938 23Section 938. 46.2805 (5) of the statutes is renumbered 46.2805 (7r) and
24amended to read:
SB1,530,2
146.2805 (7r) "Family Long-term care district" means a special purpose district
2created under s. 46.2895 (1).
SB1, s. 939 3Section 939. 46.2805 (6) of the statutes is renumbered 46.2805 (7u) and
4amended to read:
SB1,530,65 46.2805 (7u) "Family Long-term care district board" means the governing
6board of a family long-term care district.
SB1, s. 940 7Section 940. 46.2805 (6m) of the statutes is created to read:
SB1,530,108 46.2805 (6m) "Family member" means a spouse or an individual related by
9blood, marriage, or adoption within the 3rd degree of kinship as computed under s.
10990.001 (16).
SB1, s. 941 11Section 941. 46.2805 (6r) of the statutes is created to read:
SB1,530,1412 46.2805 (6r) "Financial and cost-sharing screening" means a screening to
13determine financial eligibility under s. 46.286 (1) (b) and cost-sharing under s.
1446.286 (2) using a uniform tool prescribed by the department.
SB1, s. 942 15Section 942. 46.2805 (6v) of the statutes is created to read:
SB1,530,1916 46.2805 (6v) "Frail elder" means an individual who is 65 years of age or older
17and has a physical disability or irreversible dementia that restricts the individual's
18ability to perform normal daily tasks or that threatens the capacity of the individual
19to live independently.
SB1, s. 943 20Section 943. 46.2805 (7) of the statutes is amended to read:
SB1,530,2421 46.2805 (7) "Functional and financial screen screening" means a screen
22prescribed by the department that is used screening to determine functional
23eligibility under s. 46.286 (1) (a) and financial eligibility under s. 46.286 (1) (b) using
24a uniform tool prescribed by the department
.
SB1, s. 944 25Section 944. 46.2805 (7m) of the statutes is repealed.
SB1, s. 944r
1Section 944r. 46.281 (title) of the statutes is amended to read:
SB1,531,3 246.281 (title) Powers and duties of the department and the, secretary ,
3and counties
; long-term care.
SB1, s. 945 4Section 945. 46.281 (1) (intro.) of the statutes is renumbered 46.281 (1n)
5(intro.), and 46.281 (1n) (title), as renumbered, is amended to read:
SB1,531,66 46.281 (1n) (title) Duties Other duties of the department.
SB1, s. 946 7Section 946. 46.281 (1) (c) of the statutes is renumbered 46.281 (1d) and
8amended to read:
SB1,531,169 46.281 (1d) Waiver request. Request The department shall request from the
10secretary of the federal department of health and human services any waivers of
11federal medicaid laws necessary to permit the use of federal moneys to provide the
12family care benefit to recipients of medical assistance. The department shall
13implement any waiver that is approved and that is consistent with ss. 46.2805 to
1446.2895. Regardless of whether a waiver is approved, the department may
15implement operation of resource centers, care management organizations , and the
16family care benefit.
SB1, s. 947m 17Section 947m. 46.281 (1) (d) of the statutes is renumbered 46.281 (1g) (b) and
18amended to read:
SB1,533,219 46.281 (1g) (b) In geographic areas in which, in the aggregate, resides no more
20than 29 percent of the state population that is eligible for the family care benefit,
21contract with a county, a family care district, a tribe or band, the Great Lakes
22Inter-Tribal Council, Inc., or with 2 or more of these entities to manage all long-term
23care programs and administer the family care benefit as care management
24organizations.
If the department proposes to contract with these entities to
25administer care management organizations the family care benefit in geographic

1areas in which, in the aggregate, resides more than 29 percent but less than 50
2percent
of the state population that is eligible for the family care benefit, the
3department shall first notify the joint committee on finance in writing of the
4proposed contract. The notification shall include the contract proposal; and an
5estimate of the fiscal impact of the proposed addition that demonstrates that the
6addition will be cost neutral, including startup, transitional, and ongoing
7operational costs and any proposed county contribution. The notification shall also
8include, for each county affected by the proposal, documentation that the county
9consents to administration of the family care benefit in the county, the amount of the
10county's payment or reduction in community aids under s. 46.281 (4), and a proposal
11by the county for using any savings in county expenditures on long-term care that
12result from administration of the family care benefit in the county.
If the
13cochairpersons of the committee do not notify the department within 14 working
14days after the date of the department's notification that the committee has scheduled
15a meeting for the purpose of reviewing the proposed contract, the department may
16enter into the proposed contract. If within 14 working days after the date of the
17department's notification the cochairpersons of the committee notify the department
18that the committee has scheduled a meeting for the purpose of reviewing the
19proposed contract, the department may enter into the proposed contract only upon
20approval of
if the committee. The department may contract with these entities to
21administer care management organizations in geographic areas in which, in the
22aggregate, resides 50 percent or more of the state population that is eligible for the
23family care benefit only if specifically authorized by the legislature and if the
24legislature appropriates necessary funding
approves the proposed contract or if the

1committee fails to act on the proposed contract within 59 working days after the date
2of the department's notification
.
SB1, s. 948 3Section 948. 46.281 (1) (e) of the statutes is repealed.
SB1, s. 949 4Section 949. 46.281 (1) (f) of the statutes is renumbered 46.281 (1n) (a).
SB1, s. 950 5Section 950. 46.281 (1) (g) of the statutes is renumbered 46.281 (1n) (b).
SB1, s. 951 6Section 951. 46.281 (1) (h) of the statutes is renumbered 46.281 (1n) (c).
SB1, s. 952 7Section 952. 46.281 (1) (i) of the statutes is repealed.
SB1, s. 952m 8Section 952m. 46.281 (1g) (title) of the statutes is created to read:
SB1,533,109 46.281 (1g) (title) Contracting for resource centers and care management
10organizations.
SB1, s. 953 11Section 953. 46.281 (1g) (a) of the statutes is created to read:
SB1,533,1612 46.281 (1g) (a) Subject to par. (b), the department may contract with entities
13as provided under s. 46.283 (2) to provide the services under s. 46.283 (3) and (4) as
14resource centers in any geographic area in the state, and may contract with entities
15as provided under s. 46.284 (2) to administer the family care benefit as care
16management organizations in any geographic area in the state.
SB1, s. 954 17Section 954. 46.281 (1n) (d) of the statutes is created to read:
SB1,533,2018 46.281 (1n) (d) 1. Establish regions for long-term care advisory committees
19under s. 46.2825, periodically review the boundaries of the regions, and, as
20appropriate, revise the boundaries.
SB1,533,2521 2. Specify the number of members that each governing board of a resource
22center shall appoint to a regional long-term care advisory committee. The total
23number of committee members shall not exceed 25, and the department shall allot
24committee membership equally among the governing boards of resource centers
25operating within the boundaries of the regional long-term care advisory committee.
SB1,534,2
13. Provide information and staff assistance to assist regional long-term care
2advisory committees in performing the duties under s. 46.2825 (2).
SB1, s. 954m 3Section 954m. 46.281 (1n) (e) of the statutes is created to read:
SB1,534,144 46.281 (1n) (e) Contract with a person to provide the advocacy services
5described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family
6care benefit who are under age 60 or to their families or guardians. The department
7may not contract under this paragraph with a county or with a person who has a
8contract with the department to provide services under s. 46.283 (3) and (4) as a
9resource center or to administer the family care benefit as a care management
10organization. The contract under this paragraph shall include as a goal that the
11provider of advocacy services provide one advocate for every 2,500 individuals under
12age 60 who receive the family care benefit. The department shall allocate $190,000
13for the contract under this paragraph in fiscal year 2007-08 and $525,000 in each
14subsequent fiscal year.
SB1, s. 954mb 15Section 954mb. 46.281 (1n) (f) of the statutes is created to read:
SB1,534,1916 46.281 (1n) (f) From the appropriation under s. 20.435 (7) (b), provide $75,000
17annually to Grant County to provide, with respect to issues concerning family care
18benefits, liaison services between the county and a managed care organization and
19advocacy services on behalf of the county.
SB1, s. 955 20Section 955. 46.281 (2) (title) of the statutes is amended to read:
SB1,534,2121 46.281 (2) (title) Powers Other powers of the department.
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