Statutes Interpreted: Section 47.02, Stats. Statutory authority
Statutory Authority: Section 47.02 (5), Stats. Explanation of statutory authority
Chapter 47, Stats., governs the vocational rehabilitation program and adopts methods of administering the vocational rehabilitation program to maximize federal participation. Under s. 47.02 (5), Stats., any person aggrieved by a determination of eligibility or ineligibility for vocational rehabilitation services, or by the furnishing or denial of vocational rehabilitation services, may commence an appeal as provided under the rules promulgated by the department. Related statutes or rules
Wisconsin statutes and rules relating to the appeal procedures for vocational rehabilitation services are set forth in ch. 47, Stats., and ch. DWD 75, Wis. Admin. Code. Plain language analysis
The proposed rule will do all of the following:
Definitions and Terms
Updates the existing rule by creating and defining "administrator's representative," "contract administrator," "determination of ineligibility," "hearing officer," and "secretary" for clarity.
Repeals the definition "appellant," which is obsolete. The proposed rule incorporates the use of applicant or eligible individual, or representative of the applicant or eligible individual to be consistent with federal regulations.
Modifies the terms "appeal," "hearing," "hearing coordinator," "hearing request," "intent to review," "party," "representative," and "Wisconsin client assistance program" for clarity.
Replaces the term "IWRP" with "IPE" and "prehearing interview" with "prehearing conference."
Changes the definition of "order of selection" to be consistent with federal regulations.Representative of an Applicant or Eligible Individual
The proposed rule clarifies that a representative of an applicant or eligible individual may invoke the provisions under this chapter.
Right to a Hearing
Under s. DWD 75.04 an individual may appeal a decision concerning eligibility for services or the furnishing or denial of services. The proposed rules clarifies an applicant or eligible individual, or the representative of the applicant or eligible individual, may appeal a determination of ineligibility for services or the decision of furnishing or denial of services whenever vocational rehabilitation services for an individual are denied, reduced, suspended or terminated. Requesting a Hearing
The proposed rule clarifies, but does not change the time limits for requesting a hearing. The rule clarifies a request for hearing must be filed within 12 months after a determination of ineligibility for services or the decision of the furnishing or denial or services was mailed to the applicant or eligible individual, or the representative of the applicant or eligible individual.
The proposed rule updates the requirements for filing a written hearing request and requires the applicant or eligible individual, or representative of the applicant or eligible individual, to state the issues involved in the appeal and the desired outcome on a form provided by the department.
Time Limit for Holding a Hearing
Under s. DWD 75.07 a hearing shall be held within 45 days of the receipt of the hearing request. The proposed rule changes, from 45 days to 60 days, the time period in which a hearing must be held within receipt of a hearing request. Filing Motions Relative to a Hearing
Under s. DWD 75.08 (5), a motion for a substitute hearing officer shall be filed with the hearing coordinator and the hearing coordinator forwards the request with their recommendation to the administrator with a copy of any relevant comments regarding that hearing officer's performance. If the motion is granted, the hearing coordinator assigns a different hearing officer. The proposed rule repeals this portion of the rule and requires a motion for a substitute hearing officer be filed with the hearing officer. In addition, the proposed rule clarifies, but does not change, current rules related to the hearing coordinator acknowledging a hearing request.
Services While a Hearing Officer's Decision is Pending
Under s. DWD 75.11, the department may not suspend, reduce or terminate vocational rehabilitation services pending the decision of a hearing officer unless the services were obtained through fraud, misrepresentation, collusion or criminal conduct. The proposed rule expands this section to include that the department may not suspend, reduce or terminate vocational rehabilitation services pending the decision of a hearing officer unless requested by the applicant or eligible individual, or the representative of the applicant or individual Recording a Hearing and Transcripts of Hearings
Under s. DWD 75.16 (6), a hearing officer is required to tape record each hearing. The proposed rule eliminates that the method of recording be specifically by tape recording and creates a note with information on how to obtain a copy of the recorded hearing. The proposed rule also provides that a party may file a written request for a copy of the record in an alternate format if the free copy of the recording cannot be used by a party due to a disability. A note was created with information on how to file a written request of the hearing record.
Hearing Officer's Decision
Section DWD 75.17 is updated to clarify the hearing officer shall issue a written decision within 10 calendar days of a motion and within 30 calendar days of a hearing. The decision shall also state the decision is final unless the applicant or eligible individual, or representative of the applicant or eligible individual, requests a review of the decision within 20 calendar days after the decision was issued. The proposed rule also directs the hearing officer to send a copy of the notice to the administrator's representative and to the hearing coordinator for placement in the applicant or eligible individual's case record. Review and Modification of the Hearing Officer's Decision
Section DWD 75.19 (1) clarifies that the hearing officer's decision is the department's final decision unless any party decides to initiate a review. Under current rule, authority for modifying the decision of a hearing officer is conducted by the division administrator. The proposed rule requires the authority for modifying the hearing officer decision be conducted by the department secretary or the secretary's authorized designee. The proposed rule also provides that the division administrator conduct an initial review of the decision and submit a proposed review decision to the secretary or the secretary's designee for consideration. The secretary or secretary's designee will then conduct a review of the decision, the administrator's proposed review decision and issue a final review decision.
Technical Changes
Modifies current notes to reflect the department's website address and includes a toll-free telephone number.
Makes minor organizational, drafting and terminology changes.
Corrects erroneous cross-references to federal and state laws.
