46.56 (8) (title) Referral, intake, assessment, case planning plan of care development, and service coordination.
334,52
Section
52. 46.56 (8) (a) to (g) and (h) (intro.), 2., 3., 4., 5. and 6. of the statutes are amended to read:
46.56 (8) (a) Referrals to the program
initiative may come from any county departments, tribal agencies, agencies, school districts, cooperative educational service agencies, county children with disabilities education boards, technical college districts, courts assigned to exercise jurisdiction under chs. 48 and 938, tribal courts, or any other organization, or the
a child with severe disabilities who is involved in 2 or more systems of care or his or her family may contact the administering agency or service coordination agency to request services and resources.
(b) Upon referral, staff from the service coordination agency or individuals designated by the coordinating committee shall screen the referral to determine if the child with severe disabilities and the child's his or her family appear to meet the eligibility criteria and any target groups group requirements established by the coordinating committee. If the child with severe disabilities and the child's his or her family appear to be eligible, the staff shall gather assist the entity that made the referral under par. (a), and the parent or parents, in gathering information from the child's family and any current service providers necessary to prepare an application for the program initiative.
(c) Consent for release of information and participation of relating to a child with severe disabilities and his or her family in the program and in the program evaluation must shall be obtained from the child's parent, or the child, if appropriate or required by federal statute or regulation or state statute or rule, or by order of a court with appropriate jurisdiction.
(d) The service coordination agency or individuals designated by the coordinating committee shall review the completed application with the family, and, in light of the eligibility criteria in the interagency agreement and sub. (7), determine whether the child with severe disabilities and the child's his or her family are eligible for and appropriate for services through the program enrollment in the initiative. The service coordination agency or the individuals designated by the coordinating committee shall approve or disapprove each application within 30 days after the date on which the application was received completed.
(e) If the child with severe disabilities who is involved in 2 or more systems of care and the child's his or her family are found to be ineligible, or if it is determined that enrollment in the initiative is not the best method of meeting the needs of the child and his or her family, staff from the service coordination agency or individuals designated by the coordinating committee shall assist them the child and family in obtaining identifying and accessing needed services or resources from appropriate providers.
(f) If the child with severe disabilities and the child's his or her family are found to be eligible for the program and are enrolled in the initiative, the agency shall assign a service coordinator who shall assemble an interdisciplinary a coordinated services team to assess the strengths and needs of the child with severe disabilities and the child's his or her family's need for treatment, education, care, and support. The service coordinator shall coordinate the operations of the coordinated services team.
(g) The service coordinator shall assemble the results of all prior relevant assessments and evaluations documenting the service strengths and needs of the a child with severe disabilities enrolled in the initiative and the child's his or her family, including individualized education program team evaluations under s. 115.782 or independent educational evaluations, court-ordered evaluations under s. 48.295 or 938.295, family support program evaluations, community integration program or community options program assessments, and any other available medical, psychiatric, psychological, vocational or developmental educational, medical, vocational, and psychosocial evaluations.
(h) (intro.) The interdisciplinary coordinated services team, the family of the child with severe disabilities enrolled in the initiative, and the service coordinator shall, based on a review of a summary of existing assessments of strengths and needs that have been assembled and any additional evaluations and plans that they the team, the coordinator, or the family find finds to be necessary, prepare an integrated service a strength-based, gender-competent and culturally competent, family-centered, coordinated services plan of care within 60 days after the date on which the application was received approved. The integrated service
coordinated services plan of care shall include all of the following:
2. The short-term and long-term goals for treatment and support services for to address the needs of the child with severe disabilities and the child's his or her family.
3. The services and resources needed by the child with severe disabilities and the child's his or her family, including the identity of each individual and organization that will be responsible for providing a portion of the treatment, education and support services to be offered to the child and the child's family, and the specific services that each organization will provide the services and other resources. The coordinated services plan of care shall place emphasis on services and resources that are available through community and informal sources.
4. Criteria for measuring the effectiveness and appropriateness of the integrated service plan coordinated services plan of care so that it can be modified as needed to better meet the child's and the child's family's needs. A coordinated services plan of care shall be oriented so as to produce meaningful outcomes and to provide services in the least restrictive setting possible.
5. Identification of any administrative or judicial procedures under ch. 48, 51, 55, 115, 118, or 938 that may be necessary in order to fully implement the integrated service plan coordinated services plan of care and the identity of the individual or organization that will be responsible for initiating those procedures, if any are required.
6. Identification of available sources of funding to support the services and other resources needed for the child with severe disabilities and his or her family and an allocation of funding responsibility among organizations where if more than one organization is responsible for the child's and the child's his or her family's treatment, education and support services.
334,53
Section
53. 46.56 (8) (cm) of the statutes is created to read:
46.56 (8) (cm) Consent for participation of a child and his or her family in the initiative and in the initiative evaluation shall be obtained from the child's parent or, if appropriate, the child.
334,54
Section
54. 46.56 (8) (h) 7. and 8. of the statutes are created to read:
46.56 (8) (h) 7. Clear statements articulating the specific needs of the child and family that are to be addressed. Needs may not be stated solely in terms of the need for services but may be described in a strength-based manner with a response that is readily achievable.
8. Plans for responding to possible crisis situations that may occur with the child and his or her family.
334,55
Section
55. 46.56 (8) (i) to (k) of the statutes are amended to read:
46.56 (8) (i) If additional evaluations are needed, the service coordination agency coordinated services team shall arrange for them or assist the child's family in obtaining them.
(j) The proposed integrated service plan coordinated services plan of care shall be submitted to any service providers who would be are included in the integrated service plan and the court assigned to exercise jurisdiction under chs. 48 and 938 if participation in the program has been court ordered under s. 48.345 (6m) or 938.34 (6m) proposed plan of care.
(k) Upon written approval of the integrated service plan coordinated services plan of care by the proposed service providers and, the child's family, unless the child's involvement in the program is through court order under s. 48.355 or 938.355, in which case approval of the court may be substituted for that of the family, and the coordinated services team, the integrated service plan plan of care shall be implemented by the service coordination agency and the service providers individuals and organizations designated to provide services and other resources under the integrated service plan plan of care.
334,57
Section
57. 46.56 (8) (m) to (o) of the statutes are amended to read:
46.56 (8) (m) Each organization or service provider designated to provide services and other resources under the integrated service coordinated services plan of care shall identify a specific staff person individual who shall serve as the ongoing member of a treatment team contact person to ensure continuity and communication while services are being provided to the child with severe disabilities and his or her family under the integrated service plan. The service coordinator shall coordinate the operations of the treatment team of care.
(n) The service coordinator shall advocate for the child with severe disabilities and the child's his or her family and ensure that they are provided the opportunity to participate in assessment, planning, and ongoing review of services to the fullest extent possible.
(o) Services and other resources under this section shall be provided in the community, preferably in the child's home or home community, in the least restrictive and least intrusive setting and manner which that meets the best interests of the child with severe disabilities.
334,58
Section
58. 46.56 (8) (p) and (q) of the statutes are repealed.
334,59
Section
59. 46.56 (8) (r) and (s) of the statutes are amended to read:
46.56 (8) (r) The On a regular basis, and at least every 3 months, the service coordinator shall, when necessary and at least every 6 months, assemble the treatment coordinated services team, the family of the child with severe disabilities, the child with severe disabilities, where if appropriate, and any counsel, guardian ad litem, or other person advocating for the interests of the child with severe disabilities or the child's his or her family to review the integrated service, plan of care and progress toward the goals of the integrated service plan of care, establish new goals, request the inclusion of new participating organizations or individuals, or otherwise modify the integrated service coordinated services plan of care to better meet the needs of the child with severe disabilities and the child's his or her family. Decisions to amend the integrated service coordinated services plan of care must be approved by the service coordinator, the treatment coordinated services team, the family and, where if the integrated service plan of care is being provided under a court order, by the court.
(s) Services under the integrated service plan may be terminated Coordination of services by a coordinated services team may be ended by the agreement of all participants on the coordinated services team that the goals of treatment and support have been met and that an integrated service plan is no longer needed, by order of the court if services are being provided under court order, or are being met; by withdrawal of the family of the child with severe disabilities unless participation is court ordered, or; by the service coordination agency upon a recommendation from the service coordinator and the treatment, that further services are not in the child's best interests, or that coordinated services team; by the family's refusal to participate in the process; if the child with severe disabilities and child's his or her family no longer meet the eligibility criteria for the program coordinated services team; or by court order, if services are being provided under court order.
334,60
Section
60. 46.56 (9) of the statutes is amended to read:
46.56 (9) Immediate care. Individual county departments, tribal agencies, other agencies, and other service providers may shall provide immediate services and other resources as necessary and appropriate to children with severe disabilities who are involved in 2 or more systems of care and their families who have been referred for participation an evaluation of eligibility for and appropriateness of enrollment in the program
initiative while assessment and planning take place.
334,61
Section
61. 46.56 (10) to (13) of the statutes are amended to read:
46.56 (10) Relation to family other support program programs. In any county or for a tribe that has a family support program under s. 46.985, or other support programs, including comprehensive community services or office of justice assistance programs, the integrated service program initiative shall coordinate its activities with the family support program. The administering agency for the family support program may act as a service coordination agency for the integrated service program and the family support program advisory committee may act as the coordinating committee if the requirements of this section are met and the department gives its approval programs.
(11) Informal conflict
Conflict management. The department, administering agency, service coordination agencies, and service coordinators shall establish and use informal means for conflict management, including consultation, mediation, and independent assessment, whenever possible. A formal conflict management policy shall be established in writing by the coordinating committee for use by families, providers, and other individuals involved in the initiative.
(12) Administrative appeals. Decisions by the service coordination agency regarding eligibility, enrollment, denial, termination, reduction, or appropriateness of services and decisions by the individuals designated by the coordinating committee regarding eligibility, enrollment, or denial may be appealed to the coordinating committee by a child with severe disabilities who is a service applicant or recipient or by the parent or guardian or guardian ad litem of the applicant or recipient. Decisions of the coordinating committee may be appealed to the department under ch. 227.
(13) Review of actions by individual agencies. Nothing in this section shall limit, modify, or expand the rights, remedies, or procedures established in federal statutes or regulations or state law
statutes or rules for individuals or families receiving services provided by individual organizations that are participating in the integrated service coordinated services plan of care.
334,62
Section
62. 46.56 (14) (a) of the statutes is amended to read:
46.56
(14) (a) In order to support the development of a comprehensive
service system of coordinated care for children
with severe disabilities who are involved in 2 or more systems of care and their families, the department shall establish a
statewide state advisory committee with representatives of county departments
and tribal governing bodies, the department of public instruction, educational agencies,
the department of children and families, the department of corrections, the juvenile correctional system, professionals experienced in the provision of services to children
with severe disabilities, who are involved in 2 or more systems of care and their families
with children with severe disabilities, advocates for such families and their children, the subunit of the department of workforce development that administers vocational rehabilitation,
a representative of the local workforce development board established under 29 USC 2832, a representative of the philanthropy community, the technical college system, health care providers, courts assigned to exercise jurisdiction under chs. 48 and 938, child welfare officials, and other appropriate persons as selected by the department. The department may use an existing committee for this purpose if it has representatives from the listed groups and is willing to perform the required functions. This committee shall
establish principles and core values for administering initiatives, monitor the development of
programs initiatives throughout the state
, and support communication and mutual assistance among operating
programs initiatives as well as those that are being developed.
334,63
Section
63
. 46.56 (14) (b) (intro.) of the statutes is amended to read:
46.56 (14) (b) (intro.) The department shall provide, either directly or through purchase of services, the following support services to the counties and tribes that elect to participate in the program initiative:
334,64
Section
64
. 46.56 (14) (b) 1. and 3. of the statutes are amended to read:
46.56 (14) (b) 1. Consultation in the areas of developing and maintaining individual integrated service plans, initiatives and finding appropriate resources, and establishing and maintaining local programs.
3. Assessment resources for cases where no local evaluation resource is available or sufficient to enable development of an effective integrated service plan
coordinated services plan of care. These resources may be provided directly through state-operated programs or by referral to private service providers.
334,65
Section
65
. 46.56 (14) (c) (intro.) and 1. of the statutes are amended to read:
46.56 (14) (c) (intro.) The department shall evaluate the programs initiatives funded under this section. All organizations participating in the program initiatives shall cooperate with the evaluation. The evaluation shall include information about all of the following:
1. The number of days that children with severe disabilities served in the programs enrolled in the initiative spent in out-of-home placement compared to other children with severe disabilities in the target group
who are involved in 2 or more systems of care and are not enrolled in the initiative and the costs associated with these placements.
334,66
Section
66
. 46.56 (14) (c) 2. of the statutes is repealed.
334,67
Section
67
. 46.56 (14) (c) 3. to 5. of the statutes are amended to read:
46.56 (14) (c) 3. A comparison between any changes in problem behaviors of participants enrollees before and after participation enrollment in the program initiative.
4. A comparison between school attendance and performance of participants enrollees before and after participation enrollment in the program initiative.
5. A comparison between recidivism rates of participants enrollees who have a history of delinquency.
334,68
Section
68
. 46.56 (14) (c) 6. and 7. of the statutes are amended to read:
46.56 (14) (c) 6. Parent and child satisfaction with the program initiative.
7. Types of services provided to children with severe disabilities and their families in the program through the integrated service plan initiative and the cost of these services.
334,69
Section
69. 46.56 (14) (c) 8. of the statutes is repealed.
334,70
Section
70. 46.56 (14) (c) 9. of the statutes is created to read:
46.56 (14) (c) 9. A systems change and sustainability plan under sub. (3) (d) 13.
334,71
Section
71. 46.56 (14) (d) of the statutes is amended to read:
46.56 (14) (d) Notwithstanding sub. (1) (c) (intro.) eligibility requirements for enrollment in the initiative, if the state is funding the program initiative in a particular county or for a tribe under sub. (15), the department may permit the county or tribe to serve under this section any individual who has a severe disabilities disability and who has not attained 22 years of age, and his or her family, if the individual's mental, physical, sensory, behavioral, emotional, or developmental disabilities disability or whose combination of multiple disabilities meets the requirements specified in sub. (1) (c) (om) 1. to 4.
46.56 (15) (a) From the appropriation account under s. 20.435 (5) (co), the department shall make available funds to implement programs initiatives under this section. The funds may be used to pay for the intake, assessment, case planning and service coordination provided under sub. (8) and for expanding the capacity of the county to provide community-based care and treatment for children with severe disabilities.
334,72r
Section 72r. 46.56 (15) (b) (intro.) of the statutes is amended to read:
46.56 (15) (b) (intro.) In order to apply for funds under this section subsection the county board of supervisors or tribe shall do all of the following:
334,73
Section
73. 46.56 (15) (b) 1r. of the statutes is created to read:
46.56 (15) (b) 1r. Demonstrate that the coordinating services team approach to providing services to children who are involved in 2 or more systems of care and families will be followed, and principles and core values, as outlined by the advisory committee established by the department, will be adhered to.
334,74
Section
74. 46.56 (15) (b) 2. and 3. of the statutes are amended to read:
46.56 (15) (b) 2. Establish children with severe emotional disturbances to be the priority target group to be served by the program initiative as severely emotionally disturbed children.
3. Submit a plan to the department for implementation of the integrated service program initiative in accordance with the requirements of this section.
46.56 (15) (b) 4. Submit a description of the existing services and other resources in the county or tribe for children with severe disabilities who are involved in 2 or more systems of care, an assessment of any gaps in services, and a plan for using the funds received under this program subsection or funds from other funding sources to develop or expand any needed community-based services such as in-home treatment, day treatment, respite care, or crisis services the initiative.
334,75
Section
75. 46.56 (15) (b) 5. of the statutes is created to read:
46.56 (15) (b) 5. Agree to comply with this section.
334,76
Section
76. 46.56 (15) (c) and (d) of the statutes are amended to read:
46.56 (15) (c) In order for a county or tribe to obtain funds under this section, subsection, all of the participating agencies and organizations shall provide matching funds that, in total, equal to 20% of the requested funding shall be provided by the participating county departments and school districts. All of the participating county departments and school districts shall participate in providing the. The match, which may be cash or in-kind. The department shall determine what may be used as in-kind match.
(d) In order to apply for funding, at least one school district, cooperative educational service agency or county children with disabilities education board serving children with severe disabilities in the county must participate in the program a county or tribe shall have a coordinating committee that meets the requirements under sub. (3) (a) and (b), that will carry out the responsibilities under sub. (3) (d).
334,77
Section
77. 46.56 (15) (e) of the statutes is repealed.
334,78
Section
78. 46.56 (15) (f) of the statutes is amended to read:
46.56 (15) (f) Funds allocated under this subsection may not be used to replace any other state and federal funds or any county funds that are being used to fund services for children with severe disabilities who are involved in 2 or more systems of care.
334,79
Section
79
. 48.02 (9s) of the statutes is renumbered 48.02 (2f) and amended to read:
48.02 (2f) "Integrated service
Coordinated services plan of care" has the meaning given in s. 46.56 (1)
(g) (cm).
334,80
Section
80
. 48.33 (1) (c) of the statutes is amended to read:
48.33 (1) (c) A description of the specific services or continuum of services which the agency is recommending that the court order for the child or family or for the expectant mother of the unborn child, the persons or agencies that would be primarily responsible for providing those services, the identity of the person or agency that would provide case management or coordination of services, if any, and, in the case of a child adjudged to be in need of protection or services, whether or not the child should receive an integrated service a coordinated services plan of care.
334,81
Section
81
. 48.345 (6m) of the statutes is amended to read:
48.345 (6m) If the report prepared under s. 48.33 (1) recommends that the child is in need of an integrated service a coordinated services plan of care and if an integrated service program an initiative under s. 46.56 has been established in the county or, for a child who is a member of a tribe, as defined in s. 46.56 (1) (q), by a tribe, the judge may order that an integrated service an assessment of the child and the child's family for eligibility for and appropriateness of the initiative, and if eligible for enrollment in the initiative, that a coordinated services plan of care be developed and implemented.
334,82
Section
82. 49.45 (25) (bm) 2. of the statutes is amended to read:
