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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;
DHS 68.06(2)(b)5. 5. Community organization and awareness, including all activities designed to start or support Alzheimer's support groups;
DHS 68.06(2)(b)6. 6. Community support;
DHS 68.06(2)(b)7. 7. Congregate meals;
DHS 68.06(2)(b)8. 8. Counseling and therapeutic resources;
DHS 68.06(2)(b)9. 9. Crisis intervention;
DHS 68.06(2)(b)10. 10. Daily living skills training;
DHS 68.06(2)(b)11. 11. Day center services or treatment;
DHS 68.06(2)(b)12. 12. Health screening and accessibility;
DHS 68.06(2)(b)13. 13. Home-delivered meals;
DHS 68.06(2)(b)14. 14. Housing and energy assistance;
DHS 68.06(2)(b)15. 15. Information and referral;
DHS 68.06(2)(b)16. 16. Inpatient treatment;
DHS 68.06(2)(b)17. 17. Intake and assessment;
DHS 68.06(2)(b)18. 18. Interpreter services and adaptive equipment;
DHS 68.06(2)(b)19. 19. Outreach;
DHS 68.06(2)(b)20. 20. Protective payment or guardianship;
DHS 68.06(2)(b)21. 21. Recreation and alternative activities;
DHS 68.06(2)(b)22. 22. Respite care;
DHS 68.06(2)(b)23. 23. Shelter care;
DHS 68.06(2)(b)24. 24. Specialized transportation and escort;
DHS 68.06(2)(b)25. 25. Supportive home care;
DHS 68.06(2)(b)26. 26. Work-related services; and
DHS 68.06(2)(b)27. 27. Any other goods and services that are necessary to maintain the person with Alzheimer's disease as a member of the household.
DHS 68.06(3) (3)Administration. Administering agencies may use program funds to pay for the cost of administering the program only if the costs are incurred under one or both of the following categories:
DHS 68.06(3)(a) (a) Training and development; or
DHS 68.06(3)(b) (b) Agency and systems management.
DHS 68.06 Note Note: For descriptions of the categories listed under subs.(2) and (3), write the Division of Disability and Elder Services, Bureau on Aging and Long-Term Care Resources, P.O. Box 7851, Madison, Wisconsin 53707.
DHS 68.06 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89.
DHS 68.07 DHS 68.07 Client eligibility. In accordance with s. 46.87 (5), Stats., the administering agency in each county shall determine the eligibility of each household or person living in a residential facility in that county who applies to participate in that county's program by establishing that the household or person meets all of the following conditions:
DHS 68.07(1) (1)Diagnosis of condition. At least one member of the household or the person who lives in a residential facility has received a final, tentative or preliminary written diagnosis of Alzheimer's disease from a physician;
DHS 68.07(2) (2)County of residence.
DHS 68.07(2)(a)(a) The person in the household who has Alzheimer's disease or that person's caregiver resides in the county; or
DHS 68.07(2)(b) (b) The person with Alzheimer's disease lives in a residential facility located in the county; and
DHS 68.07(3) (3)Household income. The person with Alzheimer's disease and that person's spouse are expected to have a joint income of no more than $40,000 for the 12-month period immediately following application for the program, except that in determining the income of a household with a joint gross income of more than $40,000, the administering agency shall subtract any expenses attributable to the Alzheimer's-related needs of the person with Alzheimer's disease or of the person's caregiver. If the net income determined by subtracting Alzheimer's-related expenses for a household is $40,000 or less, the household shall be considered as having met the household income eligibility condition.
DHS 68.07 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89.
DHS 68.08 DHS 68.08 Payment calculation.
DHS 68.08(1)(1)Determination of need. For the purpose of calculating the funds to be paid to or expended for a household or individual participating in the program, the administering agency in the county shall determine:
DHS 68.08(1)(a) (a) The goods and services needed by the household to enable it to maintain the person with Alzheimer's disease as a member of the household, or the goods and services needed by a person with Alzheimer's disease living in a residential facility;
DHS 68.08(1)(b) (b) The cost of each good and service that is needed; and
DHS 68.08(1)(c) (c) The ability of the household to pay for the goods and services identified under par. (a), using as the basis for this determination the uniform system of fees for services established by the department under s. 46.03 (18), Stats., and ch. DHS 1, except that in determining income of eligible households with gross incomes of more than $40,000 the administering agency shall use gross income and not net income as the basis for determining ability to pay.
DHS 68.08(2) (2)Cost sharing. If the administering agency determines under sub.(1) (c) that an applicant household or person with Alzheimer's disease is able to pay for goods and services identified under sub.(1) (a), the administering agency:
DHS 68.08(2)(a) (a) Shall require as a condition of participation that the household or person pay for all or a portion of the costs of goods and services to accomplish the purposes under s. DHS 68.06 (1) (a). The amount of payment shall be determined according to the uniform system of fees for services established by the department under s. 46.03 (18), Stats., and ch. DHS 1; and
DHS 68.08(2)(b) (b) May require the household or person to pay for all or a portion of the costs of goods and services to accomplish the purposes under s. DHS 68.06 (1) (b). The amount of payment shall be determined according to the uniform system of fees for services established by the department under s. 46.03 (18), Stats., and ch. DHS 1.
DHS 68.08(3) (3)Application of revenues. If revenues are received by an administering agency from cost-sharing payments, these revenues may only be used for the non-administrative purposes under s. DHS 68.06 (1) (a) to (d) and only for the goods and services under s. DHS 68.06 (2).
DHS 68.08(4) (4)Limit. The administering agency in each county may pay to or expend on behalf of a participating household or on behalf of a person with Alzheimer's disease living in a residential facility the costs of any goods and services identified under sub.(1) (a) minus the amount the household or person with Alzheimer's disease is able to pay, as determined under sub.(1) (c), except that the amount paid or expended may not exceed $4,000 in any calendar year for each person with Alzheimer's disease in the household or for each person with Alzheimer's disease living in a residential facility.
DHS 68.08 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89; corrections in (1) (c), (2) (a) and (b) made under s. 13.92 (4) (b) 7. Stats., Register November 2008 No. 635.
DHS 68.09 DHS 68.09 Method of payment. The payment by an administering agency for goods and services shall be made using one or more of the following methods:
DHS 68.09(1) (1) Payment made to a service provider on behalf of the person with Alzheimer's disease or of the person's caregiver;
DHS 68.09(2) (2) Payment made to a service provider under contract with the administering agency to develop new programs or to expand services;
DHS 68.09(3) (3) Payment made to the household of a person with Alzheimer's disease pursuant to accounting requirements set forth by the administering agency; or
DHS 68.09(4) (4) Payment made to the manager of a residential facility in which a person with Alzheimer's disease resides for the purchase of goods or services, or both, pursuant to accounting requirements set forth by the administering agency.
DHS 68.09 History History: Cr. Register, March, 1989, No. 399, eff. 4-1-89.
DHS 68.10 DHS 68.10 Hearing.
DHS 68.10(1)(1)Jurisdiction. Any household or individual participating in the program or caregiver may appeal the following actions by an administering agency:
DHS 68.10(1)(a) (a) Denial of an application to participate in a county's program;
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