Statement of Scope
DEPARTMENT OF HEALTH SERVICES
Relating to: | Adult Day Care Centers |
Type of Statement of Scope:
Original
1. Finding/nature of emergency:
Not applicable.
2. Detailed description of the objective of the proposed rule:
The objective is to comply with s. 49.45 (2) (a) 11., Stats., by promulgating a rule to certify Medical Assistance (MA) providers that wish to be reimbursed for adult day care services provided to MA recipients. 3. Description of the existing policies relevant to the rule, new policies proposed to be included in the rule, and an analysis of policy alternatives:
4. Detailed explanation of statutory authority for the rule (including the statutory citation and language):
The Department’s authority to promulgate rules is as follows:
Paragraphs 49.45 (47) (a) and (b), Stats, read:
(a) In this subsection, “adult day care center” means an entity that provides services for part of a day in a group setting to adults who need an enriched health−supportive or social experience and who may need assistance with activities of daily living, supervision or protection.
(b) No person may receive reimbursement under s. 46.27 (11) for the provision of services to clients in an adult day care center unless the adult day care center is certified by the department under sub. (2) (a) 11. as a provider of medical assistance. Subdivision 49.45 (2) (a) 11. Stats., reads:
(a)
The department shall:
11. 49.45(2)(a)11.a.a. Establish criteria for certification of providers of medical assistance and, except as provided in par. (b) 6m. and s. 49.48, and subject to par. (b) 7. and 8., certify providers who meet the criteria. 5. Estimate of amount of time that state employees will spend developing the rule and of other resources necessary to develop the rule:
The Department estimates that approximately 500 hours of staff time will be required to promulgate the proposed rule.
6. List with description of all entities that may be affected by the proposed rule:
The proposed rule will affect ADCCs seeking certification as MA providers, as well as individuals receiving care from these entities.
7. Summary and preliminary comparison with any existing or proposed federal regulation that is intended to address the activities to be regulated by the proposed rule:
There appears to be no existing or proposed federal regulation that addresses the criteria for certification of ADCCs to be established by the proposed rule.