AB1110-ASA1,3,42 46.27 (4) (c) 8. If a pilot project contract with an entity under s. 46.281 (1) (d)
3(e) 1. is established in the county, a description of how the activities of the pilot project
4entity relate to and are coordinated with the county's proposed program.
AB1110-ASA1, s. 2 5Section 2. 46.27 (5) (am) of the statutes is amended to read:
AB1110-ASA1,4,66 46.27 (5) (am) Organize assessment activities specified in sub. (6). The county
7department or aging unit shall utilize persons for each assessment who can
8determine the needs of the person being assessed and who know the availability
9within the county of services alternative to placement in a nursing home. If any
10hospital patient is referred to a nursing home for admission, these persons shall work
11with the hospital discharge planner in performing the activities specified in sub. (6).
12The county department or aging unit shall coordinate the involvement of
13representatives from the county departments under ss. 46.215, 46.22, 51.42 and

151.437, health service providers and the county commission on aging in the
2assessment activities specified in sub. (6), as well as the person being assessed and
3members of the person's family or the person's guardian. This paragraph does not
4apply to a county department or aging unit in a county where a pilot project in which
5the department has contracted with an entity
under s. 46.281 (1) (d) is established
6(e) 1.
AB1110-ASA1, s. 3 7Section 3. 46.27 (6) (a) 3. of the statutes is amended to read:
AB1110-ASA1,4,168 46.27 (6) (a) 3. In each participating county, except in counties where a pilot
9project
in which the department has contracted with an entity under s. 46.281 (1) (d)
10is established
(e) 1., assessments shall be conducted for those persons and in
11accordance with the procedures described in the county's community options plan.
12The county may elect to establish assessment priorities for persons in target groups
13identified by the county in its plan regarding gradual implementation. If a person
14who is already admitted to a nursing home requests an assessment and if funds
15allocated for assessments under sub. (7) (am) are available, the county shall conduct
16the assessment.
AB1110-ASA1, s. 4 17Section 4. 46.27 (6g) (intro.) of the statutes is amended to read:
AB1110-ASA1,4,2218 46.27 (6g) Fiscal responsibility. (intro.) Except as provided in s. 51.40, and
19within the limitations under sub. (7) (b), the fiscal responsibility of a county for an
20assessment, unless the assessment is performed by an entity under a contract as
21specified
under s. 46.281 (1) (d) (e) 1., case plan, or services provided to a person
22under this section is as follows:
AB1110-ASA1, s. 5 23Section 5. 46.27 (9) (c) of the statutes is amended to read:
AB1110-ASA1,5,424 46.27 (9) (c) All long-term community support services provided under this
25pilot project in lieu of nursing home care shall be consistent with those services

1described in the participating county's community options plan under sub. (4) (c) 1.
2and provided under sub. (5) (b). Unless the department has contracted under s.
346.281 (1) (d) (e) 1. with an entity other than the county department, each county
4participating in the pilot project shall assess persons under sub. (6).
AB1110-ASA1, s. 6 5Section 6. 46.2804 of the statutes is created to read:
AB1110-ASA1,5,166 46.2804 Managed care programs for long-term care services. (1) If the
7department intends to expand its use of capitation payments under managed care
8programs for provision of long-term care services over the number of capitated
9payments made on behalf of individuals enrolled in these managed care programs
10under 2005 Wisconsin Act 25, the department shall first notify the joint committee
11on finance in writing of the proposed expansion. Unless the proposed expansion is
12a part of a biennial budget bill, the joint committee on finance shall, within 14
13working days after the date of the department's notification, schedule a meeting
14under s. 13.10 to approve, modify, or disapprove the proposed expansion. The
15department may make the expansion only as approved or modified by the joint
16committee on finance.
AB1110-ASA1,6,6 17(2) Under a managed care program for provision of long-term care services, the
18care manager shall provide, within guidelines established by the department, a
19mechanism by which an enrollee, beneficiary, or recipient of the program may
20arrange for, manage, and monitor his or her benefit directly or with the assistance
21of another person chosen by the enrollee, beneficiary, or recipient. The care manager
22shall provide each enrollee, beneficiary, or recipient with a form on which the
23enrollee, beneficiary, or recipient shall indicate whether he or she has been offered
24the option under this subsection and whether he or she has accepted or declined the
25option. If the enrollee, beneficiary, or recipient accepts the option, the care manager

1shall monitor the use by the enrollee, beneficiary, or recipient of a fixed budget for
2purchase of services or support items from any qualified provider, monitor the health
3and safety of the enrollee, beneficiary, or recipient, and provide assistance in
4management of the budget and services of the enrollee, beneficiary, or recipient at
5a level tailored to the need and desire of the enrollee, beneficiary, or recipient for the
6assistance.
AB1110-ASA1, s. 7 7Section 7. 46.281 (1) (d) (intro.) of the statutes is repealed.
AB1110-ASA1, s. 8 8Section 8. 46.281 (1) (d) 1. of the statutes is repealed.
AB1110-ASA1, s. 9 9Section 9. 46.281 (1) (d) 2. of the statutes is renumbered 46.281 (1) (d) and
10amended to read:
AB1110-ASA1,7,1111 46.281 (1) (d) In geographic areas in which, in the aggregate, resides no more
12than 29% 29 percent of the state population that is eligible for the family care benefit,
13contract with counties or tribes or bands under a pilot project to demonstrate the
14ability of counties or tribes or bands
a county, a family care district, a tribe or band,
15the Great Lakes Inter-Tribal Council, Inc., or with 2 or more of these entities
to
16manage all long-term care programs and administer the family care benefit as care
17management organizations. If the department proposes to contract with these
18entities to administer care management organizations in geographic areas in which,
19in the aggregate, resides more than 29 percent but less than 50 percent of the state
20population that is eligible for the family care benefit, the department shall first
21notify the joint committee on finance in writing of the proposed contract. The
22notification shall include the contract proposal; and an estimate of the fiscal impact
23of the proposed addition that demonstrates that the addition will be cost neutral,
24including startup, transitional, and ongoing operational costs and any proposed
25county contribution. If the cochairpersons of the committee do not notify the

1department within 14 working days after the date of the department's notification
2that the committee has scheduled a meeting for the purpose of reviewing the
3proposed contract, the department may enter into the proposed contract. If within
414 days after the date of the department's notification the cochairpersons of the
5committee notify the department that the committee has scheduled a meeting for the
6purpose of reviewing the proposed contract, the department may enter into the
7proposed contract only upon approval of the committee. The department may
8contract with these entities to administer care management organizations in
9geographic areas in which, in the aggregate, resides 50 percent or more of the state
10population that is eligible for the family care benefit only if specifically authorized
11by the legislature and if the legislature appropriates necessary funding.
AB1110-ASA1, s. 10 12Section 10. 46.281 (1) (e) (intro.) of the statutes, as affected by 2005 Wisconsin
13Act 25
, is repealed.
AB1110-ASA1, s. 11 14Section 11. 46.281 (1) (e) 1. of the statutes, as affected by 2005 Wisconsin Act
1525
, is amended to read:
AB1110-ASA1,7,2216 46.281 (1) (e) 1. If Subject to the requirements of par. (d), if the local long-term
17care council for the applicable area has developed the initial plan under s. 46.282 (3)
18(a) 1., contract with entities specified under par. (d) and may, only if specifically
19authorized by the legislature and if the legislature appropriates necessary funding,
20contract as so authorized with one or more entities in addition to those specified in
21par. (d) certified as meeting requirements under s. 46.284 (3) for services of the entity
22as a care management organization.
AB1110-ASA1, s. 12 23Section 12. 46.281 (1) (e) 2. of the statutes, as created by 2005 Wisconsin Act
2425
, is amended to read:
AB1110-ASA1,8,13
146.281 (1) (e) 2. Contract with entities specified under par. (d) and may contract
2with
other entities for the provision of services under s. 46.283 (3) and (4), except that
3after July 27, 2005, the department shall notify the joint committee on finance in
4writing of any proposed contract with an entity that did not have a contract to provide
5services under s. 46.283 (3) and (4) before July 27, 2005. If the cochairpersons of the
6committee do not notify the department within 14 working days after the date of the
7department's notification that the committee has scheduled a meeting for the
8purpose of reviewing the proposed contract, the department may enter into the
9proposed contract. If within 14 working days after the date of the department's
10notification the cochairpersons of the committee notify the department that the
11committee has scheduled a meeting for the purpose of reviewing the proposed
12contract, the department may enter into the proposed contract only upon approval
13of the committee.
AB1110-ASA1, s. 13 14Section 13. 46.281 (1) (g) 3. of the statutes is amended to read:
AB1110-ASA1,8,2015 46.281 (1) (g) 3. Conduct ongoing evaluations of the long-term care system
16specified in ss. 46.2805 to 46.2895 as to client access to services, the availability of
17client choice of living and service options, quality of care, and cost-effectiveness. In
18evaluating the availability of client choice, the department shall evaluate the
19opportunity for a client to arrange for, manage, and monitor his or her family care
20benefit directly or with assistance, as specified in s. 46.284 (4) (e)
.
AB1110-ASA1, s. 14 21Section 14. 46.282 (2) (a) (intro.) of the statutes is amended to read:
AB1110-ASA1,8,2522 46.282 (2) (a) Appointment by a county. (intro.) In a county that participates
23in a pilot project
in which the department has a contract under s. 46.281 (1) (d) (e)
24and before a county participates in the program under ss. 46.2805 to 46.2895, the
25following shall be done:
AB1110-ASA1, s. 15
1Section 15. 46.283 (2) (b) (intro.) of the statutes, as affected by 2005 Wisconsin
2Act 25
, is amended to read:
AB1110-ASA1,9,113 46.283 (2) (b) (intro.) After June 30, 2001, the department shall contract with
4the entities specified under s. 46.281 (1) (d) 1. and
may, if the applicable review
5conditions under s. 48.281 (1) (e) 2. s. 46.281 (1) (e) 2. are satisfied, in addition to
6contracting with these entities,
contract to operate a resource center with counties,
7family care districts, or the governing body of a tribe or band or the Great Lakes
8Inter-Tribal Council, Inc., under a joint application of any of these, or with a private
9nonprofit organization if the department determines that the organization has no
10significant connection to an entity that operates a care management organization
11and if any of the following applies:
AB1110-ASA1, s. 16 12Section 16. 46.284 (4) (e) of the statutes is amended to read:
AB1110-ASA1,9,2313 46.284 (4) (e) Provide, within guidelines established by the department, a
14mechanism by which an enrollee may arrange for, manage, and monitor his or her
15family care benefit directly or with the assistance of another person chosen by the
16enrollee. The care management organization shall provide each enrollee with a form
17on which the enrollee shall indicate whether he or she has been offered the option
18under this paragraph and whether he or she has accepted or declined the option. If
19the enrollee accepts the option, the care management organization shall
monitor the
20enrollee's use of a fixed budget for purchase of services or support items from any
21qualified provider, monitor the health and safety of the enrollee, and provide
22assistance in management of the enrollee's budget and services at a level tailored to
23the enrollee's need and desire for the assistance.
AB1110-ASA1, s. 17 24Section 17. 46.285 (1) (a) of the statutes is amended to read:
AB1110-ASA1,10,4
146.285 (1) (a) For a pilot project established an entity with which the
2department has contracted
under s. 46.281 (1) (d) 2. (e) 1., provision of the services
3specified under s. 46.283 (3) (b), (e), (f) and (g) shall be structurally separate from the
4provision of services of the care management organization by January 1, 2001.
AB1110-ASA1, s. 18 5Section 18. 49.45 (3) (ag) of the statutes is amended to read:
AB1110-ASA1,10,86 49.45 (3) (ag) Reimbursement shall be made to each entity contracted with
7under s. 46.281 (1) (d) (e) for functional screens performed under s. 46.281 (1) (d) by
8the entity
.
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