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DHS 68.02(3)(f) (f) Pick's disease;
DHS 68.02(3)(g) (g) Progressive supranuclear palsy;
DHS 68.02(3)(h) (h) Wilson's disease; or
DHS 68.02(3)(i) (i) An unspecified disease or condition resulting in irreversible dementia.
DHS 68.02(4) (4) "Caregiver" has the meaning prescribed in s. 46.87 (1) (b), Stats., namely, any person other than a paid provider who provides care for a person with Alzheimer's disease.
DHS 68.02(5) (5) "Community-based residential facility" or "CBRF" means a facility licensed under ch. DHS 83 in which 3 [5] or more unrelated adults reside and receive care and treatment or services above the level of room and board but not including nursing care.
DHS 68.02(6) (6) "County agency" means an agency designated by a county board under s. 46.87 (3) (c), Stats., to administer the program, namely, a county department of social services created under s. 46.215 or 46.22, Stats., a county department of community programs created under s. 51.42, Stats., a county department of developmental disabilities services created under s. 51.437, Stats., a county department of human services created under s. 46.23, Stats., or a county aging unit.
DHS 68.02(7) (7) "Department" means the Wisconsin department of health services.
DHS 68.02(8) (8) "Expand services" means to expand, after January 1, 1986, the staffing, size of physical plant or programming for an existing service offered by a service provider and included in a category listed under s. DHS 68.06 (2) (b) in order to increase by at least 10% over the number served prior to expansion the number of persons with Alzheimer's disease or their caregivers who are served by the provider, or to significantly improve, in the judgment of the administering agency contracting with the provider, the quality of services or service delivery for persons with Alzheimer's disease or for their caregivers. A service is no longer defined as "expanded" 3 years after the starting date of its expansion.
DHS 68.02(9) (9) "Goods and services" means, unless otherwise qualified, goods and services purchased or provided under any of the categories listed under s. DHS 68.06 (2) (b).
DHS 68.02(10) (10) "Household" means a person with Alzheimer's disease living alone or a person with Alzheimer's disease and the caregiver or caregivers with whom he or she lives, except that for purposes of determining financial eligibility under s. DHS 68.07 (3) and for purposes of determining ability to pay for the cost of program goods and services under s. DHS 68.08 (1) (c), "household"means only the person with Alzheimer's disease and his or her spouse.
DHS 68.02(11) (11) "Income" means gross earnings including money, wages or salary, net income from non-farm self-employment and net income from farm self-employment, and unearned income including social security, dividends, interest on savings or on money loaned, income from estates or trusts, net rental income or royalties, public assistance, pensions or annuities, unemployment compensation, worker's compensation, maintenance payments under s. 767.56, Stats., child support, family support, veterans' pensions, and educational grants given for living expenses.
DHS 68.02 Note Note: "Public assistance" includes but is not limited to programs such as aid to families with dependent children (AFDC) and supplemental security income (SSI).
DHS 68.02(12) (12) "Medical assistance" means the assistance program operated by the department under ss. 49.43 to 49.497, Stats.
DHS 68.02(13) (13) "New program" means any goods or services under one or more of the categories listed under s. DHS 68.06 (2) developed or offered for the first time on or after January 1, 1986, by a service provider under contract with an administering agency, to clients or beneficiaries, at least half of whom are persons with Alzheimer's disease or their caregivers. A program is no longer defined as "new" 3 years after its starting date.
DHS 68.02(14) (14) "Private nonprofit organization" has the meaning prescribed for"nonprofit organization" in s. 108.02 (19), Stats.
DHS 68.02(15) (15) "Program" means, unless otherwise qualified, the Alzheimer's family and caregiver support program under s. 46.87, Stats.
DHS 68.02(16) (16) "Residential facility" means an adult family home or a community-based residential facility.
DHS 68.02 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89; correction in (2) (b) made under s. 13.93 (2m) (b) 7., Stats., Register December 2004 No. 588; corrections in (2) (b), (5), (7) and (11) made under s. 13.92 (4) (b) 6. and 7., Stats., Register November 2008 No. 635.
DHS 68.03 DHS 68.03 Allocation of funds.
DHS 68.03(1)(1) The department shall allocate funds available under s. 20.435 (7) (b) and (o), Stats., for the program to each county by using the following equally weighted factors, except that no county may be allocated less than $4,000 in any calendar year:
DHS 68.03(1)(a) (a) Each county's proportion of the state's monthly average medical assistance caseload for a 12 month period;
DHS 68.03(1)(b) (b) Each county's ranking on an urban-rural scale which shall be determined by the county's percentage of population living in cities, towns and villages with populations of 2,500 or more;
DHS 68.03(1)(c) (c) Each county's ranking as determined by the ratio of the full value of all taxable property in the county as defined in s. 70.57, Stats., to the county's population; and
DHS 68.03(1)(d) (d) Each county's proportion of persons in the state who are 75 years of age or older.
DHS 68.03(2) (2) For the purpose of determining allocations under sub.(1), the department shall use the same statistical and data sources that are used in distributing funds under s. 20.435 (7) (b) and (o), Stats., for the purchase and provision of community social, mental health, developmental disabilities and alcoholism and drug abuse services.
DHS 68.03 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89; corrections made under s. 13.93 (2m) (b) 7., Stats., Register, October, 2000, No. 538; corrections in (1) (intro.) and (2) made under s. 13.93 (2m) (b) 7., Stats., Register December 2004 No. 588.
DHS 68.04 DHS 68.04 Selection and reporting responsibilities of administering agencies.
DHS 68.04(1) (1)Program administration.
DHS 68.04(1)(a)(a) The program shall be administered in each county by a county agency or, if the county board is not participating in the program, by a private nonprofit organization selected by the department under sub.(3).
DHS 68.04(1)(b) (b) The department may suspend the requirement in par. (a) for a county in which a care management organization is under contract with the department to deliver the family care benefit under ch. DHS 10.
DHS 68.04(2) (2)County agencies. A county board that wishes to participate in the program shall submit to the department a letter of intent to participate, except that a county board which submitted a letter of intent prior to the effective date of this chapter and which continues to participate in the program each year is not required to submit an additional letter. If the county board terminates participation in the program and in a subsequent year wishes to renew participation, it shall submit to the department another letter of intent to participate. The letter of intent shall include a statement signed by the county board chairperson indicating the county's intent to participate in the program, identifying the county agency, naming that agency's responsible contact person, estimating the number of households and residents of residential facilities to be enrolled and served in the next calendar year, identifying the maximum amount payable in a calendar year to or on behalf of any participating person with Alzheimer's disease, describing the goods and services related to Alzheimer's disease, describing the goods and services related to Alzheimer's disease which the county intends to develop or expand, and stating the policy which the county intends to use in placing applicants on and taking them off a waiting list. The categories of information required in the letter of intent shall constitute the criteria for the approval of a county board's proposed program pursuant to s. 46.87 (3) (b) and (4), Stats. The department may reject a county's participation in the program if it determines that the information provided by the county board in the letter of intent is insufficient or inconsistent with the purposes and procedures of the program as defined in s. 46.87, Stats., and this chapter.
DHS 68.04(3) (3)Private nonprofit organization. If a county board does not submit a letter of intent or if it notifies the department of its decision to terminate participation in the program, the department shall:
DHS 68.04(3)(a) (a) Solicit applications from private nonprofit organizations to administer the program in the county for the calendar year; and
DHS 68.04(3)(b) (b) Select from the application or applications submitted under par. (a) a private nonprofit organization to be the administering agency for the county based on the adequacy of the organization's program budget submitted under s. DHS 68.05 (2), the organization's demonstrated knowledge of Alzheimer's disease, the organization's demonstrated ability to manage supportive service programs and the organization's experience in assessing and meeting the needs of persons with Alzheimer's disease and their caregivers.
DHS 68.04(4) (4)Change of administering agency. If a county board that is not participating in the program submits a letter of intent to participate under sub.(2), the private nonprofit organization selected to administer the program under sub.(3) shall continue as the administering agency for the remainder of the calendar year.
DHS 68.04(5) (5)Notification to the department of changes. Pursuant to s. 46.87 (7), Stats., the county board or the private nonprofit organization selected under sub.(3) to administer the program shall notify the department in writing within 15 working days after any of the following occurs:
DHS 68.04(5)(a) (a) The county board designates a new county agency;
DHS 68.04(5)(b) (b) The county board or private nonprofit organization selected under sub.(3) to administer the program decides to terminate participation in the program; or
DHS 68.04(5)(c) (c) The county board or private nonprofit organization selected under sub.(3) to administer the program decides to make a change in the program or services which would result in a substantial difference from the description of the county's program and services contained in the letter of intent most recently submitted by a county board or in the application most recently submitted by the private nonprofit organization. The county board or private nonprofit organization selected under sub.(3) shall notify the department when it decides to:
DHS 68.04(5)(c)1. 1. Contract with a service provider to develop a new program or expand services;
DHS 68.04(5)(c)2. 2. Discontinue providing, purchasing, or making payments for goods and services under one or more categories listed in s. DHS 68.06 (2) (b);
DHS 68.04(5)(c)3. 3. Change its waiting list policy;
DHS 68.04(5)(c)4. 4. Establish a maximum payment of less than $4,000 in a calendar year for each person with Alzheimer's disease who is participating in the program; or
DHS 68.04(5)(c)5. 5. Change the agency it contracts with to provide goods and services under any of the categories listed under s. DHS 68.06 (2) (b).
DHS 68.04(6) (6)Notice to participants of changes. The administering agency shall notify each affected caregiver in writing of any change identified under sub. (5) (b) or (c) 2. or 5. at least 10 working days prior to implementing that change.
DHS 68.04(7) (7)Records and reports. The administering agency shall maintain program records and submit reports as required by the department.
DHS 68.04 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89; am. (1), Register, October, 2000, No. 538, eff. 11-1-00; correction in (1) (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DHS 68.05 DHS 68.05 Program budget requirement.
DHS 68.05(1)(1)County agency.
DHS 68.05(1)(a)(a) A county agency shall annually prepare a distinct budget for this program and shall submit the budget to the department each year by September 30. This distinct budget shall be part of either the proposed budget required under s. 46.031, Stats., or the plan for older people required by the department and prepared by the county aging unit under s. 46.87 (3) (c) 4., Stats. The budget shall include at least the following information:
DHS 68.05(1)(a)1. 1. The total amount of allocated funds anticipated for the program for the calendar year;
DHS 68.05(1)(a)2. 2. The number of households anticipated to be enrolled and served for the calendar year;
DHS 68.05(1)(a)3. 3. The planned distribution of allocated funds by purpose under s. DHS 68.06 (1);
DHS 68.05(1)(a)4. 4. The method or methods for paying for goods and services under s. DHS 68.09;
DHS 68.05(1)(a)5. 5. The maximum amount payable in a calendar year to or on behalf of any participating person with Alzheimer's disease, if that amount is less than $4,000;
DHS 68.05(1)(a)6. 6. A brief description of any limitations on goods and services that are to be provided, purchased or contracted for;
DHS 68.05(1)(a)7. 7. Brief descriptions of any new programs or expanded services;
DHS 68.05(1)(a)8. 8. A summary of the waiting list policy; and
DHS 68.05(1)(a)9. 9. The name and phone number of the principal contact person at the county agency for the program.
DHS 68.05(1)(b) (b) The department may terminate a county's participation in the program if it determines that the information provided by a county agency in the distinct budget is insufficient or inconsistent with the purposes and procedures of the program as defined in s. 46.87, Stats., and this chapter, or the county agency does not submit the distinct budget by September 30.
DHS 68.05(1)(c) (c) The county's contract with the department under s. 46.031 (2g) (a), Stats., shall include the name of the county agency and the amount of the allocation for the contract year.
DHS 68.05(2) (2)Private nonprofit organization.
DHS 68.05(2)(a)(a) A private nonprofit organization applying to be an administering agency shall submit with its application and annually thereafter a program budget that includes:
DHS 68.05(2)(a)1. 1. The total amount of allocated funds anticipated for the program for the calendar year;
DHS 68.05(2)(a)2. 2. The number of households anticipated to be enrolled and served for the calendar year;
DHS 68.05(2)(a)3. 3. The planned distribution of allocated funds by purpose under s. DHS 68.06 (1);
DHS 68.05(2)(a)4. 4. The method or methods for paying for goods and services under s. DHS 68.09;
DHS 68.05(2)(a)5. 5. The maximum amount payable in a calendar year to or on behalf of any participating person with Alzheimer's disease, if that amount is less than $4,000;
DHS 68.05(2)(a)6. 6. A brief description of any limitations on goods and services that are to be provided, purchased or contracted for;
DHS 68.05(2)(a)7. 7. Brief descriptions of any new programs or expanded services;
DHS 68.05(2)(a)8. 8. A summary of the waiting list policy; and
DHS 68.05(2)(a)9. 9. The name and phone number of the principal contact person for the program at the private nonprofit organization.
DHS 68.05(2)(b) (b) The department may terminate an organization's participation in the program if it determines that the information provided by the organization in the budget is insufficient or inconsistent with the purposes and procedures of the program as defined in s. 46.87, Stats., and this chapter or the organization does not submit the budget by the required date or the county board of the county in which the organization is operating the program submits a letter of intent to participate for the subsequent calendar year.
DHS 68.05 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89.
DHS 68.06 DHS 68.06 Allowable use of funds.
DHS 68.06(1) (1)Purposes. As permitted by s. 46.87 (5), Stats., the administering agency in each county may use allocated funds for the following purposes:
DHS 68.06(1)(a) (a) To pay for the cost of goods and services provided to or purchased for or by households and for or by persons living in residential facilities who are found eligible to participate in the program under s. DHS 68.07;
DHS 68.06(1)(b) (b) To contract with service providers to develop new programs or expand services;
DHS 68.06(1)(c) (c) To provide outreach, that is, to search out persons in need of support by the program, or to provide activities designed to develop or enhance public awareness of Alzheimer's disease;
DHS 68.06(1)(d) (d) To develop or assist support groups for persons with Alzheimer's disease or their caregivers; or
DHS 68.06(1)(e) (e) To pay for program administration, except that no more than 10% of funds allocated for the program may be used for this purpose.
DHS 68.06(2) (2)Goods and services.
DHS 68.06(2)(a)(a) A household or a person living in a residential facility who is participating in the program may not be restricted from purchasing goods and services listed under this subsection and identified under s. DHS 68.08 (1) (a) from providers who are located outside of the county to which application is made.
DHS 68.06(2)(b) (b) The administering agency at the time of need determination under s. DHS 68.08 (1) (a) shall enumerate to households and individuals participating in the program the goods or services that may be purchased or provided to accomplish the purposes listed under sub. (1), which shall be limited to goods and services that can be provided under the following categories:
DHS 68.06(2)(b)1. 1. Adult family home;
DHS 68.06(2)(b)2. 2. Advocacy and legal assistance;
DHS 68.06(2)(b)3. 3. Case management or service coordination;
DHS 68.06(2)(b)4. 4. Community-based care or treatment facility;
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