46.21 (1) (d) "Human services" means the total range of services to people, including mental illness treatment, developmental disabilities services, physical disabilities services, relief funded by a relief block grant under ch. 49, income maintenance, youth probation, extended supervision and parole services, alcohol and drug abuse services, services to children, youth and families, family counseling, early intervention services for children from birth to the age of 3, and manpower services. "Human services" does not include child welfare services under s. 48.48 (17) administered by the department in a county having a population of 500,000 or more.
28,839
Section
839. 46.21 (2) (j) of the statutes is amended to read:
46.21 (2) (j) May exercise approval or disapproval power over contracts and purchases of the director that are for $50,000 or more, except that the county board of supervisors may not exercise approval or disapproval power over any personal service contract or over any contract or purchase of the director which that relates to community living arrangements, adult family homes, or foster homes or treatment foster homes and which that was entered into pursuant to a contract under s. 46.031 (2g) or 301.031 (2g), regardless of whether the contract mentions the provider, except as provided in par. (m). This paragraph does not preclude the county board of supervisors from creating a central purchasing department for all county purchases.
46.215 (1) Creation; powers and duties. (intro.) In a county with a population of 500,000 or more the administration of welfare services, other than child welfare services under s. 48.48 (17) administered by the department and except as provided in s. ss. 49.155 (3g), 49.825, and 49.826, is vested in a county department of social services under the jurisdiction of the county board of supervisors under s. 46.21 (2m) (b) 1. a. Any reference in any law to a county department of social services under this section applies to a county department under s. 46.21 (2m) in its administration under s. 46.21 (2m) of the powers and duties of the county department of social services. Except as provided in s. ss. 49.155 (3g), 49.825, and 49.826, the county department of social services shall have the following functions, duties, and powers, and such other welfare functions as may be delegated to it:
28,840
Section
840. 46.215 (1) (d) of the statutes is amended to read:
46.215 (1) (d) To make investigations that relate to services under subchs. II, IV, and V of ch. 49 upon request by the department of health services, to make investigations that relate to juvenile delinquency-related services at the request of the department of corrections, and to make investigations that relate to programs under ch. 48 and subch. III of ch. 49 upon request by the department of children and families.
28,841
Section
841. 46.215 (1) (fm) of the statutes is repealed.
28,844
Section
844. 46.215 (1) (p) of the statutes is amended to read:
46.215 (1) (p) To establish and administer the child care program under s. 49.155, if the department of children and families contracts with the county department of social services to do so.
28,845d
Section 845d. 46.215 (2) (c) 3. of the statutes is amended to read:
46.215 (2) (c) 3. A county department of social services shall develop, under the requirements of s. 301.08 (2), plans and contracts for juvenile delinquency-related care and services to be purchased. The department of corrections may review the contracts and approve them if they are consistent with s. 301.08 (2) and if state or federal funds are available for such purposes. The joint committee on finance may require the department of corrections to submit the contracts to the committee for review and approval. The department of corrections may not make any payments to a county for programs included in a contract under review by the committee. The department of corrections shall reimburse each county for the contracts from the appropriations under s. 20.410 (3) (cd) and, (ko), and (o) as appropriate.
28,846
Section
846. 46.22 (1) (b) 1. d. of the statutes is amended to read:
46.22 (1) (b) 1. d. To submit a final budget in accordance with s. 46.031 (1) for services authorized in this section, except for the administration of and cost of aid granted under ss. 49.02, 49.19 and 49.45 to 49.471.
28,847
Section
847. 46.22 (1) (b) 1. h. of the statutes is repealed.
28,849
Section
849. 46.22 (1) (b) 2. fm. of the statutes is amended to read:
46.22 (1) (b) 2. fm. To establish and administer the child care program under s. 49.155, if the department of children and families contracts with the county department of social services to do so.
28,853d
Section 853d. 46.22 (1) (e) 3. c. of the statutes is amended to read:
46.22 (1) (e) 3. c. A county department of social services shall develop, under the requirements of s. 301.08 (2), plans and contracts for juvenile delinquency-related care and services to be purchased. The department of corrections may review the contracts and approve them if they are consistent with s. 301.08 (2) and to the extent that state or federal funds are available for such purposes. The joint committee on finance may require the department of corrections to submit the contracts to the committee for review and approval. The department of corrections may not make any payments to a county for programs included in the contract that is under review by the committee. The department of corrections shall reimburse each county for the contracts from the appropriations under s. 20.410 (3) (cd) and, (ko), and (o) as appropriate.
28,854
Section
854. 46.23 (2) (a) of the statutes is amended to read:
46.23 (2) (a) "Human services" means the total range of services to people including, but not limited to, health care, mental illness treatment, developmental disabilities services, relief funded by a block grant under ch. 49, income maintenance, probation, extended supervision and parole services, alcohol and drug abuse services, services to children, youth and aging, family counseling, special education services, and manpower services.
28,855
Section
855. 46.266 (1) (intro.) of the statutes is amended to read:
46.266 (1) (intro.) Notwithstanding s. 49.45 (6m) (ag) and except as provided in sub. (3), if before July 1, 1989, the federal health care financing administration or the department found a skilled nursing facility or intermediate care facility in this state that provides care to medical assistance recipients for which the facility receives reimbursement under s. 49.45 (6m) to be an institution for mental diseases, the department shall allocate funds from the appropriation account under s. 20.435 (7) (5) (be) for distribution under this section to a county department under s. 51.42 for the care, in the community or in a facility found to be an institution for mental diseases, of the following persons:
28,856
Section
856. 46.268 (1) (intro.) of the statutes is amended to read:
46.268 (1) (intro.) Notwithstanding s. 49.45 (6m) (ag), from the appropriation account under s. 20.435
(7) (5) (be), the department shall distribute not more than $830,000 in each fiscal year in order to provide funding of community services for an eligible individual, if all of the following apply:
28,858
Section
858. 46.281 (1n) (e) of the statutes is amended to read:
46.281
(1n) (e) Contract with a person to provide the advocacy services described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family care benefit who are under age 60 or to their families or guardians. The department may not contract under this paragraph with a county or with a person who has a contract with the department to provide services under s. 46.283 (3) and (4) as a resource center or to administer the family care benefit as a care management organization. The contract under this paragraph shall include as a goal that the provider of advocacy services provide one advocate for every 2,500 individuals under age 60 who receive the family care benefit
. The department shall allocate $190,000 for the contract under this paragraph in fiscal year 2007-08 and $525,000 in each subsequent fiscal year or who participates in the self-directed services option, which is operated under a waiver from the secretary of the federal department of health and human services under 42 USC 1396n (c).
28,859
Section
859. 46.281 (3) of the statutes is amended to read:
46.281 (3) Duty of the secretary. The secretary shall certify to each county, hospital, nursing home, community-based residential facility, adult family home, as defined in s. 50.01 (1) (a) or (b), and residential care apartment complex the date on which a resource center that serves the area of the county, hospital, nursing home, community-based residential facility, adult family home, or residential care apartment complex is first available to perform functional screenings and financial and cost-sharing screenings. To facilitate phase-in of services of resource centers, the secretary may certify that the resource center is available for specified groups of eligible individuals or for specified facilities in the county.
28,860
Section
860. 46.283 (4) (e) of the statutes is amended to read:
46.283 (4) (e) Provide information about the services of the resource center, including the services specified in sub. (3) (d), about assessments under s. 46.284 (4) (b) and care plans under s. 46.284 (4) (c), and about the family care benefit to all older persons and persons with a physical disability who are residents of nursing homes, community-based residential facilities, adult family homes, as defined in s. 50.01 (1) (a) or (b), and residential care apartment complexes in the area of the resource center.
28,861
Section
861. 46.283 (4) (g) of the statutes is amended to read:
46.283 (4) (g) Perform a functional screening and a financial and cost-sharing screening for any person seeking admission to a nursing home, community-based residential facility, residential care apartment complex, or adult family home, as defined in s. 50.01 (1) (a) or (b), if the secretary has certified that the resource center is available to the person and the facility and the person is determined by the resource center to have a condition that is expected to last at least 90 days that would require care, assistance, or supervision. A resource center may not require a financial and cost-sharing screening for a person seeking admission or about to be admitted on a private pay basis who waives the requirement for a financial and cost-sharing screening under this paragraph, unless the person is expected to become eligible for medical assistance within 6 months. A resource center need not perform a functional screening for a person seeking admission or about to be admitted for whom a functional screening was performed within the previous 6 months.
28,862
Section
862. 46.284 (3m) of the statutes is created to read:
46.284 (3m) Permit required. A care management organization that is described under s. 600.01 (1) (b) 10. a., to which s. 600.01 (1) (b) 10. b. does not apply and that is certified under sub. (3) shall apply for a permit with the office of the commissioner of insurance under ch. 648.
28,863
Section
863. 46.284 (4) (m) of the statutes is created to read:
46.284 (4) (m) Compensate providers, as defined in s. 46.2898 (1) (e), in accordance with any agreement under subch. V of ch. 111 relating to a provider hired directly by an enrollee and make any payroll deductions authorized by those agreements.
28,864
Section
864. 46.286 (1) (a) (intro.) and 1. (intro.) of the statutes are consolidated, renumbered 46.286 (1) (a) (intro.) and amended to read:
46.286 (1) (a) Functional eligibility. (intro.) A person is functionally eligible if any of the following applies the person's level of care need, as determined by the department or its designee: 1. (intro.) The person's level of care need, is either of the following:
28,865
Section
865. 46.286 (1) (a) 1. a. of the statutes is renumbered 46.286 (1) (a) 1m.
28,866
Section
866. 46.286 (1) (a) 1. b. of the statutes is renumbered 46.286 (1) (a) 2m.
28,867
Section
867. 46.286 (1) (a) 2. (intro.) of the statutes is repealed.
28,868
Section
868. 46.286 (1) (a) 2. a. of the statutes is renumbered 46.286 (3) (b) 2. a.
28,869
Section
869. 46.286 (1) (a) 2. b. of the statutes is renumbered 46.286 (3) (b) 2. b.
28,870
Section
870. 46.286 (1) (a) 2. c. of the statutes is renumbered 46.286 (3) (b) 2. c.
28,871
Section
871. 46.286 (1) (a) 2. d. of the statutes is renumbered 46.286 (3) (b) 2. d.
28,872
Section
872. 46.286 (1) (a) 2. e. of the statutes is renumbered 46.286 (3) (b) 2. e.
28,872k
Section 872k. 46.286 (1) (b) (intro.) (except 46.286 (1) (b) (title)) of the statutes is renumbered 46.286 (1) (b) 2m. (intro.).
28,873
Section
873. 46.286 (1) (b) 1c. of the statutes is created to read:
46.286 (1) (b) 1c. In this paragraph, "medical assistance" does not include coverage of the benefits under s. 49.471 (11).
28,874
Section
874. 46.286 (1) (b) 1m. of the statutes is renumbered 46.286 (1) (b) 2m. a.
28,875
Section
875. 46.286 (1) (b) 3. of the statutes is renumbered 46.286 (1) (b) 2m. b.
28,877
Section
877. 46.286 (3) (a) 4m. of the statutes is amended to read:
46.286 (3) (a) 4m. The person is financially eligible under sub. (1) (b) 1m. 2m. a., and fulfills any applicable cost-sharing requirements.
28,878
Section
878. 46.286 (3) (b) 2. of the statutes is renumbered 46.286 (3) (b) 2. (intro.) and amended to read:
46.286 (3) (b) 2. (intro.) If the contract between the care management organization and the department is canceled or not renewed. If this circumstance occurs, the department shall assure that enrollees continue to receive needed services through another care management organization or through the medical assistance fee-for-service system or any of the following programs specified under sub. (1) (a) 2. a. to d.:
28,879
Section
879. 46.286 (3) (c) of the statutes is amended to read:
46.286 (3) (c) Within each county and for each client group, par. (a) shall first apply on the effective date of a contract under which a care management organization accepts a per person per month payment to provide services under the family care benefit to eligible persons in that client group in the county. Within 24 36 months after this date, the department shall assure that sufficient capacity exists within one or more care management organizations to provide the family care benefit to all entitled persons in that client group in the county.
28,880
Section
880. 46.288 (2) (intro.) of the statutes is amended to read:
46.288 (2) (intro.) Criteria and procedures for determining functional eligibility under s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost sharing under s. 46.286 (2) (a). The rules for determining functional eligibility under s. 46.286 (1) (a) 1. a.
1m. shall be substantially similar to eligibility criteria for receipt of the long-term support community options program under s. 46.27. Rules under this subsection shall include definitions of the following terms applicable to s. 46.286:
28,881
Section
881. 46.288 (2) (a) of the statutes is repealed.
28,882
Section
882. 46.288 (2) (b) of the statutes is repealed.
28,883
Section
883. 46.288 (2) (c) of the statutes is repealed.
28,883x
Section 883x. 46.2897 of the statutes is created to read:
46.2897 Self-directed services option; advocacy services. The department shall allow a participant in the self-directed services option that is operated under a waiver from the secretary of the federal department of health and human services under
42 USC 1396n (c) to access the advocacy services contracted for by the department under s. 46.281 (1n) (e).
28,884
Section
884. 46.2898 of the statutes is created to read:
46.2898 Quality home care. (1) Definitions. In this section:
(a) "Authority" means the Wisconsin Quality Home Care Authority.
(b) "Care management organization" has the meaning given in s. 46.2805 (1).
(cm) "Consumer" means an adult who receives home care services and who meets all of the following criteria:
1. Is a resident of any of the following:
a. A county that has acted under sub. (2) (a).
b. A county in which the Family Care Program under s. 46.286 is available.
c. A county in which the Program of All-Inclusive Care for the Elderly under
42 USC 1396u-4 is available.
d. A county in which the self-directed services option program under
42 USC 1396n (c) is available or in which a program operated under an amendment to the state medical assistance plan under
42 USC 1396n (j) is available.
2. Self-directs all or part of his or her home care services and is an employer listed on the provider's income tax forms.
3. Is eligible to receive a home care benefit under one of the following:
a. The Family Care Program under s. 46.286.
b. The Program of All-Inclusive Care for the Elderly, under
42 USC 1396u-4.
c. A program operated under a waiver from the secretary of the federal department of health and human services under
42 USC 1396n (c) or
42 USC 1396n (b) and (c) or the self-directed services option operated under
42 USC 1396n (c).
d. A program operated under an amendment to the state medical assistance plan under
42 USC 1396n (j).
(dm) "Home care" means supportive home care, personal care, and other nonprofessional services of a type that may be covered under a medical assistance waiver under
42 USC 1396n (c) and that are provided to individuals to assist them in meeting their daily living needs, ensuring adequate functioning in their homes, and permitting safe access to their communities.
(e) "Provider" means an individual who is hired by a consumer to provide home care to the consumer but does not include any of the following:
1. A person, while he or she is providing services in the capacity of an employee of any of the following entities:
a. A home health agency licensed under s. 50.49.
b. A personal care provider agency.
c. A company or agency providing supportive home care.
d. An independent living center, as defined in s. 46.96 (1) (ah).
e. A county agency or department under s. 46.215, 46.22, 46.23, 51.42, or 51.437.
