SB210,21,3
11. Be The service coordination agency shall be selected based on the its
2experience of the service coordination agency or its staff in providing services; and
3resources.
SB210,21,44 2. Identify The service coordination agency shall do all of the following:
SB210,21,8 5a. Identify a specific individual to act as service coordinator for each child with
6severe disabilities
who is enrolled in the initiative and the child's his or her family
7to facilitate the implementation of the integrated service plan; coordinated services
8plan of care.
Note: Sets forth the requirements for and duties of the service coordination
agency. Under Section 20 , the service coordination agency is a county department, tribe,
agency, school district, cooperative educational service agency, or county children with
disabilities education board designated in an interagency agreement by the coordinating
committee to provide intake and service coordination for one or more target groups of
children and their families.
SB210, s. 44 9Section 44. 46.56 (6) (a) 3. of the statutes is renumbered 46.56 (6) (a) 2. b. and
10amended to read:
SB210,21,1211 46.56 (6) (a) 2. b. Provide or arrange for intake, assessment, case planning
12development of the plan of care, and service coordination under sub. (8); and.
SB210, s. 45 13Section 45 . 46.56 (6) (a) 4. of the statutes is renumbered 46.56 (6) (a) 2. c. and
14amended to read:
SB210,21,2015 46.56 (6) (a) 2. c. Act as a resource source for information about other services
16and resources for children with severe disabilities who are involved in 2 or more
17systems of care
and their families who are not eligible for the program initiative, if
18the coordinating committee determines that this service the service coordination
19agency
can be provided provide the information without interfering with the primary
20purpose of the program initiative.
Note: Sections 45 and 46 modify the duties of the service coordination agency.
SB210, s. 46 21Section 46 . 46.56 (6) (b) of the statutes is amended to read:
SB210,22,2
146.56 (6) (b) The service coordinator shall have the functions specified in sub.
2(8) (f) to (i) (h), (n), and (r).
SB210, s. 47 3Section 47 . 46.56 (6) (c) of the statutes is amended to read:
SB210,22,54 46.56 (6) (c) The interdisciplinary coordinated services team shall have has the
5functions specified under sub. (8) (f) and, (h), and (i).
Note: Sections 47 and 48 modify the provisions cross-referencing the functions
of the service coordinator and the coordinated services team.
SB210, s. 48 6Section 48 . 46.56 (6) (cr) of the statutes is created to read:
SB210,22,97 46.56 (6) (cr) Every county and tribe that operates any initiative shall develop
8written policies and procedures specifying the selection process for the initiative
9coordinator.
Note: Creates a requirement that every county and tribe that operates any
initiative develop written policies and procedures specifying the selection process for the
initiative coordinator.
SB210, s. 49 10Section 49. 46.56 (6) (d) of the statutes is created to read:
SB210,22,1311 46.56 (6) (d) The primary responsibility of the initiative coordinator is to
12promote collaborative relationships between systems of care. The initiative
13coordinator shall do all of the following:
SB210,22,1714 1. Bring together parents and relevant staff from various agencies and
15organizations to comprise the coordinating committee under sub. (3) (a) and (b), and
16support their activities, in order to ensure compliance with established policies and
17procedures specified in sub. (3) (d).
SB210,22,1918 2. Work with the coordinating committee to maintain and support agency
19participation as established in the interagency agreement.
SB210,22,2120 3. Work with the coordinating committee and service coordination agency to
21receive and review referrals.
SB210,23,3
14. Work with the coordinating committee and service coordination agency to
2assure provision of service coordination services for all groups of people working with
3the child and his or her family.
SB210,23,64 5. Guide the development of the coordinated service team working with the
5child and his or her family in order to ensure compliance with basic principles of the
6initiative core values.
SB210,23,97 6. Review plans of care, including crisis response plans, for consistency with
8the coordinated services team approach to providing services to a child and his or her
9family and core values.
SB210,23,1210 7. Assist the coordinating committee and coordinated services teams in
11establishing consistent measures for the development, implementation, evaluation,
12and monitoring of the initiative and its outcomes.
SB210,23,1413 8. Facilitate public education and awareness of issues and programs for
14children who are involved in 2 or more systems of care and their families.
SB210,23,1715 9. Ensure provision of ongoing support and training that is related to the
16coordinated services team process for families, service coordinators, and providers
17and ensure orientation for coordinated services team members.
SB210,23,2018 10. Support service providers in developing strategies to enhance existing
19programs, to increase resources, and to establish new resources relevant to project
20goals and objectives.
SB210,23,2221 11. Ensure that local and state agencies submit data and reports in an accurate
22and timely manner.
SB210,23,2423 12. If directed to do so by the coordinating committee, perform any of the duties
24set forth in sub. (3) (e).

Note: Provides that the primary responsibility of the initiative coordinator is to
promote collaborative relationships in the systems of care, as defined in Section 23, and
sets forth the duties of the initiative coordinator.
SB210, s. 50 1Section 50. 46.56 (7) of the statutes is amended to read:
SB210,24,102 46.56 (7) Eligibility of children and families. Children with severe
3disabilities
who are involved in 2 of more systems of care and their families shall be
4eligible for the program. The initiative, except that the coordinating committee may
5establish specific additional criteria for eligibility for services and may establish
6certain target groups of children with severe disabilities who are involved in 2 or
7more systems of care
to receive services. If target groups are established, only
8children with severe disabilities falling within the target groups are eligible for may
9be enrolled in
the program initiative. Any eligibility criteria shall meet all of the
10following conditions:
SB210,24,1211 (a) Be based on a community assessment that identifies areas of greatest need
12for integrated coordinated services for children with severe disabilities.
SB210,24,1813 (b) Give priority to children with severe disabilities who are at risk of
14placement outside the home or who are in an institution and are not receiving
15integrated coordinated community-based services based in the community and
16other resources
, or who would be able to return to community placement or their
17homes from an institutional placement if such the services and other resources were
18provided.
SB210,24,2019 (c) Not exclude a child with severe disabilities or that child's his or her family
20from services or other resources because of lack of ability to pay.
Note: Modifies the provisions relating to eligibility of children and families.
SB210, s. 51 21Section 51. 46.56 (8) (title) of the statutes is amended to read:
SB210,25,2
146.56 (8) (title) Referral, intake, assessment, case planning plan of care
2development,
and service coordination.
SB210, s. 52 3Section 52. 46.56 (8) (a) to (g) and (h) (intro.), 2., 3., 4., 5. and 6. of the statutes
4are amended to read:
SB210,25,125 46.56 (8) (a) Referrals to the program initiative may come from any county
6departments, tribal agencies, agencies, school districts, cooperative educational
7service agencies, county children with disabilities education boards, technical
8college districts, courts assigned to exercise jurisdiction under chs. 48 and 938, tribal
9courts,
or any other organization, or the a child with severe disabilities who is
10involved in 2 or more systems of care
or his or her family may contact the
11administering agency or service coordination agency to request services and
12resources
.
SB210,25,2113 (b) Upon referral, staff from the service coordination agency or individuals
14designated by the coordinating committee
shall screen the referral to determine if
15the child with severe disabilities and the child's his or her family appear to meet the
16eligibility criteria and any target groups group requirements established by the
17coordinating committee. If the child with severe disabilities and the child's his or her
18family appear to be eligible, the staff shall gather assist the entity that made the
19referral under par. (a), and the parent or parents, in gathering
information from the
20child's family and any current service providers
necessary to prepare an application
21for the program initiative.
SB210,26,222 (c) Consent for release of information and participation of relating to a child
23with severe disabilities and his or her family in the program and in the program
24evaluation must shall be obtained from the child's parent, or the child, if appropriate

1or required by federal statute or regulation or state statute or rule, or by order of a
2court with appropriate jurisdiction.
SB210,26,103 (d) The service coordination agency or individuals designated by the
4coordinating committee
shall review the completed application with the family, and,
5in light of the eligibility criteria in the interagency agreement and sub. (7), determine
6whether the child with severe disabilities and the child's his or her family are eligible
7for and
appropriate for services through the program enrollment in the initiative.
8The service coordination agency or the individuals designated by the coordinating
9committee
shall approve or disapprove each application within 30 days after the date
10on which the application was received completed.
SB210,26,1711 (e) If the child with severe disabilities who is involved in 2 or more systems of
12care
and the child's his or her family are found to be ineligible, or if it is determined
13that enrollment in the initiative is not the best method of meeting the needs of the
14child and his or her family,
staff from the service coordination agency or individuals
15designated by the coordinating committee
shall assist them the child and family in
16obtaining identifying and accessing needed services or resources from appropriate
17providers.
SB210,26,2418 (f) If the child with severe disabilities and the child's his or her family are found
19to be eligible for the program and are enrolled in the initiative, the agency shall
20assign a service coordinator who shall assemble an interdisciplinary a coordinated
21services
team to assess the strengths and needs of the child with severe disabilities
22and the child's his or her family's need for treatment, education, care, and support.
23The service coordinator shall coordinate the operations of the coordinated services
24team.
SB210,27,9
1(g) The service coordinator shall assemble the results of all prior relevant
2assessments and evaluations documenting the service strengths and needs of the a
3child with severe disabilities enrolled in the initiative and the child's his or her
4family, including individualized education program team evaluations under s.
5115.782 or independent educational evaluations, court-ordered evaluations under
6s. 48.295 or 938.295, family support program evaluations, community integration
7program or community options program assessments, and any other available
8medical, psychiatric, psychological, vocational or developmental
educational,
9medical, vocational, and psychosocial
evaluations.
SB210,27,1810 (h) (intro.) The interdisciplinary coordinated services team, the family of the
11child with severe disabilities enrolled in the initiative, and the service coordinator
12shall, based on a review of a summary of existing assessments of strengths and needs
13that have been assembled and any additional evaluations and plans that they the
14team, the coordinator,
or the family find finds to be necessary, prepare an integrated
15service
a strength-based, gender-competent and culturally competent,
16family-centered, coordinated services
plan of care within 60 days after the date on
17which the application was received approved. The integrated service coordinated
18services
plan of care shall include all of the following:
SB210,27,2119 2. The short-term and long-term goals for treatment and support services for
20to address the needs of the child with severe disabilities and the child's his or her
21family.
SB210,28,322 3. The services and resources needed by the child with severe disabilities and
23the child's his or her family, including the identity of each individual and
24organization that will be responsible for providing a portion of the treatment,
25education and support services to be offered to the child and the child's family, and

1the specific services that each organization will provide
the services and other
2resources. The coordinated services plan of care shall place emphasis on services and
3resources that are available through community and informal sources
.
SB210,28,84 4. Criteria for measuring the effectiveness and appropriateness of the
5integrated service plan coordinated services plan of care so that it can be modified
6as needed to better meet the child's and the child's family's needs. A coordinated
7services plan of care shall be oriented so as to produce meaningful outcomes and to
8provide services in the least restrictive setting possible.
SB210,28,139 5. Identification of any administrative or judicial procedures under ch. 48, 51,
1055, 115, 118, or 938 that may be necessary in order to fully implement the integrated
11service plan
coordinated services plan of care and the identity of the individual or
12organization that will be responsible for initiating those procedures, if any are
13required.
SB210,28,1814 6. Identification of available sources of funding to support the services and
15other resources
needed for the child with severe disabilities and his or her family and
16an allocation of funding responsibility among organizations where if more than one
17organization is responsible for the child's and the child's his or her family's
18treatment, education and support services.
Note: Modifies the provisions relating to referrals to the coordinated services
initiative, screening of children and families referred to the initiative, consent for release
of information, review of completed applications with the child's family, assistance to
families found to be ineligible, enrollment in the initiative and assignment of a
coordinated services team, assembling results of prior assessments and evaluations
documenting the strengths and needs of the child, and preparation of a coordinated
services plan of care.
SB210, s. 53 19Section 53. 46.56 (8) (cm) of the statutes is created to read:
SB210,29,3
146.56 (8) (cm) Consent for participation of a child and his or her family in the
2initiative and in the initiative evaluation shall be obtained from the child's parent
3or, if appropriate, the child.
Note: Creates a separate provision relating to consent for participation in a CST
initiative. This language is deleted from s. 46.56 (8) (c), stats., in the bill.
SB210, s. 54 4Section 54. 46.56 (8) (h) 7. and 8. of the statutes are created to read:
SB210,29,85 46.56 (8) (h) 7. Clear statements articulating the specific needs of the child and
6family that are to be addressed. Needs may not be stated solely in terms of the need
7for services but may be described in a strength-based manner with a response that
8is readily achievable.
SB210,29,109 8. Plans for responding to possible crisis situations that may occur with the
10child and his or her family.
Note: Creates additional information that must be included in the coordinated
services plan of care.
SB210, s. 55 11Section 55. 46.56 (8) (i) to (k) of the statutes are amended to read:
SB210,29,1412 46.56 (8) (i) If additional evaluations are needed, the service coordination
13agency
coordinated services team shall arrange for them or assist the child's family
14in obtaining them.
SB210,29,1915 (j) The proposed integrated service plan coordinated services plan of care shall
16be submitted to any service providers who would be are included in the integrated
17service plan and the court assigned to exercise jurisdiction under chs. 48 and 938 if
18participation in the program
has been court ordered under s. 48.345 (6m) or 938.34
19(6m)
proposed plan of care.
SB210,30,520 (k) Upon written approval of the integrated service plan coordinated services
21plan of care
by the proposed service providers and , the child's family, unless the
22child's involvement in the program is through court order under s. 48.355 or 938.355,

1in which case approval of the court may be substituted for that of the family,
and the
2coordinated services team,
the integrated service plan plan of care shall be
3implemented by the service coordination agency and the service providers
4individuals and organizations designated to provide services and other resources
5under the integrated service plan plan of care.
Note: Modifies provisions relating to arranging for additional evaluations of the
child, submitting the coordinated services plan of care to any service provider included
in the plan of care, and implementing the plan of care.
SB210, s. 56 6Section 56. 46.56 (8) (L) of the statutes is repealed.
Note: Repeals a provision under which the service coordination agency and the
designated service providers must include in the integrated service plan all individuals
who are active in the care of the child with severe disabilities, including members of the
child's family, foster parents, and other individuals who by close and continued
association with the child have come to occupy significant roles in the care and treatment
of the child.
SB210, s. 57 7Section 57. 46.56 (8) (m) to (o) of the statutes are amended to read:
SB210,30,148 46.56 (8) (m) Each organization or service provider designated to provide
9services and other resources under the integrated service coordinated services plan
10of care shall identify a specific staff person individual who shall serve as the ongoing
11member of a treatment team contact person to ensure continuity and communication
12while services are being provided to the child with severe disabilities and his or her
13family under the integrated service plan. The service coordinator shall coordinate
14the operations of the treatment team
of care.
SB210,30,1815 (n) The service coordinator shall advocate for the child with severe disabilities
16and the child's his or her family and ensure that they are provided the opportunity
17to participate in assessment, planning, and ongoing review of services to the fullest
18extent possible.
SB210,31,219 (o) Services and other resources under this section shall be provided in the
20community, 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.
Note: Modifies provisions relating to identifying an ongoing contact person from
each organization or service provider designated to provide services under the plan of
care, requiring that the service provider advocate for the child and his or her family and
ensure they are participating in planning and other activities to the fullest extent
possible, and requiring that services and other resources be provided in the least
restrictive and least intrusive setting and manner.
SB210, s. 58 3Section 58. 46.56 (8) (p) and (q) of the statutes are repealed.
Note: Repeals provisions under which an integrated service plan may not be used
to place or accomplish the placement of a child outside of his or her home and that an
integrated service plan may not modify a individualized education program.
SB210, s. 59 4Section 59. 46.56 (8) (r) and (s) of the statutes are amended to read:
SB210,31,185 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.
SB210,32,1019 (s) Services under the integrated service plan may be terminated Coordination
20of services by a coordinated services team may be ended
by the agreement of all

1participants on the coordinated services team that the goals of treatment and
2support have been met and that an integrated service plan is no longer needed, by
3order of the court if services are being provided under court order,
or are being met;
4by withdrawal of the family of the child with severe disabilities unless participation
5is court ordered, or
; by the service coordination agency upon a recommendation from
6the service coordinator and the treatment, that further services are not in the child's
7best interests, or that
coordinated services team; by the family's refusal to
8participate in the process; if
the child with severe disabilities and child's his or her
9family no longer meet the eligibility criteria for the program coordinated services
10team; or by court order, if services are being provided under court order
.
Note: Modifies provisions relating to review of and amendments to plans of care
and termination of the coordinated services team process.
SB210, s. 60 11Section 60. 46.56 (9) of the statutes is amended to read:
SB210,32,1712 46.56 (9) Immediate care. Individual county departments, tribal agencies,
13other
agencies, and other service providers may shall provide immediate services
14and other resources as necessary and appropriate to children with severe disabilities
15who are involved in 2 or more systems of care and their families who have been
16referred for participation an evaluation of eligibility for and appropriateness of
17enrollment
in the program initiative while assessment and planning take place.
Note: Modifies the provision relating to providing immediate services and other
resources as necessary.
SB210, s. 61 18Section 61. 46.56 (10) to (13) of the statutes are amended to read:
SB210,33,519 46.56 (10) Relation to family other support program programs. In any county
20or for a tribe that has a family support program under s. 46.985, or other support
21programs, including comprehensive community services or office of justice
22assistance programs,
the integrated service program initiative shall coordinate its

1activities with the family support program. The administering agency for the family
2support program may act as a service coordination agency for the integrated service
3program and the family support program advisory committee may act as the
4coordinating committee if the requirements of this section are met and the
5department gives its approval
programs.
SB210,33,11 6(11) Informal conflict Conflict management. The department,
7administering agency, service coordination agencies, and service coordinators shall
8establish and use informal means for conflict management, including consultation,
9mediation, and independent assessment, whenever possible. A formal conflict
10management policy shall be established in writing by the coordinating committee for
11use by families, providers, and other individuals involved in the initiative.
SB210,33,19 12(12) Administrative appeals. Decisions by the service coordination agency
13regarding eligibility, enrollment, denial, termination, reduction, or appropriateness
14of services and decisions by the individuals designated by the coordinating
15committee regarding eligibility, enrollment, or denial
may be appealed to the
16coordinating committee by a child with severe disabilities who is a service applicant
17or recipient or by the parent or guardian or guardian ad litem of the applicant or
18recipient. Decisions of the coordinating committee may be appealed to the
19department under ch. 227.
SB210,33,24 20(13) Review of actions by individual agencies. Nothing in this section shall
21limit, modify, or expand the rights, remedies, or procedures established in federal
22statutes or regulations or state law statutes or rules for individuals or families
23receiving services provided by individual organizations that are participating in the
24integrated service coordinated services plan of care.

Note: Modifies the provision requiring the coordinated services initiative to
coordinate its activities with other support programs, conflict management,
administrative appeals, and review of actions by individual organizations participating
in the plan of care.
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