SB40-CSA1, s. 976 3Section 976. 46.282 (3) (b) of the statutes is renumbered 46.283 (6) (b) 10. and
4amended to read:
SB40-CSA1,564,85 46.283 (6) (b) 10. A local long-term care council may, within the local
6long-term care council's area
If directed to do so by the county board, assume the
7duties of the county long-term community support planning committee as specified
8under s. 46.27 (4) for a county served by the resource center.
SB40-CSA1, s. 977 9Section 977. 46.2825 of the statutes is created to read:
SB40-CSA1,564,17 1046.2825 Regional long-term care advisory committees. (1) Creation.
11The governing board of each resource center operating in a region established by the
12department under s. 46.281 (1n) (d) 1. shall appoint the number of its members that
13is specified by the department under s. 46.281 (1n) (d) 2. to a regional long-term care
14advisory committee. At least 50 percent of the persons a resource center board
15appoints to a regional long-term care advisory committee shall be older persons or
16persons with a physical or developmental disability or their family members,
17guardians, or other advocates.
SB40-CSA1,564,19 18(2) Duties. A regional long-term care advisory committee shall do all of the
19following:
SB40-CSA1,564,2520 (a) Evaluate the performance of care management organizations and entities
21that operate a program described under s. 46.2805 (1) (a) or (b) in the committee's
22region with respect to responsiveness to recipients of their services, fostering choices
23for recipients, and other issues affecting recipients; and make recommendations
24based on the evaluation to the department and to the care management
25organizations and entities, as appropriate.
SB40-CSA1,565,3
1(b) Evaluate the performance of resource centers operating in the committee's
2region and, as appropriate, make recommendations, concerning their performance
3to the department and the resource centers.
SB40-CSA1,565,64 (c) Monitor grievances and appeals made to care management organizations
5or entities that operate a program described under s. 46.2805 (1) (a) or (b) within the
6committee's region.
SB40-CSA1,565,77 (d) Review utilization of long-term care services in the committee's region.
SB40-CSA1,565,138 (f) Using information gathered under s. 46.283 (6) (b) 2. by governing boards
9of resources centers operating in the committee's region and other available
10information, identify any gaps in the availability of services, living arrangements,
11and community resources needed by older persons and persons with physical or
12developmental disabilities, and develop strategies to build capacity to provide those
13services, living arrangements, and community resources in the committee's region.
SB40-CSA1,565,1614 (h) Annually report to the department regarding significant achievements and
15problems relating to the provision of long-term care services in the committee's
16region.
SB40-CSA1, s. 978 17Section 978. 46.283 (1) (a) 2. of the statutes is amended to read:
SB40-CSA1,565,1918 46.283 (1) (a) 2. Whether to create a family long-term care district to apply to
19the department for a contract to operate a resource center.
SB40-CSA1, s. 979 20Section 979. 46.283 (2) (a) of the statutes is repealed.
SB40-CSA1, s. 980 21Section 980. 46.283 (2) (b) of the statutes is renumbered 46.283 (2), and 46.283
22(2) (intro.) and (b), as renumbered, are amended to read:
SB40-CSA1,566,523 46.283 (2) (intro.) After June 30, 2001, the The department may, if the
24applicable review conditions under s. 46.281 (1) (e) 2. are satisfied,
contract to
25operate a resource center with counties, family long-term care districts, or the

1governing body of a tribe or band or the Great Lakes Inter-Tribal Council, Inc., under
2a joint application of any of these, or with a private nonprofit organization if the
3department determines that the organization has no significant connection to an
4entity that operates a care management organization and if any of the following
5applies:
SB40-CSA1,566,76 (b) A county agency or a family long-term care district applies for a contract
7but fails to meet the standards specified in sub. (3).
SB40-CSA1, s. 981 8Section 981. 46.283 (3) (h) of the statutes is repealed.
SB40-CSA1, s. 982 9Section 982. 46.283 (3) (i) of the statutes is repealed.
SB40-CSA1, s. 983 10Section 983. 46.283 (3) (k) of the statutes is amended to read:
SB40-CSA1,566,1311 46.283 (3) (k) A determination of eligibility for state supplemental payments
12under s. 49.77, medical assistance under s. 49.46, 49.468 or, 49.47, or 49.471, or the
13federal food stamp program under 7 USC 2011 to 2029.
SB40-CSA1, s. 984 14Section 984. 46.283 (4) (e) of the statutes is amended to read:
SB40-CSA1,566,2215 46.283 (4) (e) Within 6 months after the family care benefit is available to all
16eligible persons in the area of the resource center, provide
Provide information about
17the services of the resource center, including the services specified in sub. (3) (d),
18about assessments under s. 46.284 (4) (b) and care plans under s. 46.284 (4) (c) and
19about the family care benefit to all older persons and persons with a physical
20disability who are residents of nursing homes, community-based residential
21facilities, adult family homes and residential care apartment complexes in the area
22of the resource center.
SB40-CSA1, s. 985 23Section 985. 46.283 (4) (f) of the statutes is amended to read:
SB40-CSA1,567,224 46.283 (4) (f) Provide Perform a functional screening and a financial screen to
25and cost-sharing screening for any resident, as specified in par. (e), who requests a

1screen screening and assist any resident who is eligible and chooses to enroll in a care
2management organization to do so.
SB40-CSA1, s. 986 3Section 986. 46.283 (4) (g) of the statutes is amended to read:
SB40-CSA1,567,174 46.283 (4) (g) Provide Perform a functional screening and a financial screen to
5and cost-sharing screening for any person seeking admission to a nursing home,
6community-based residential facility, residential care apartment complex , or adult
7family home if the secretary has certified that the resource center is available to the
8person and the facility and the person is determined by the resource center to have
9a condition that is expected to last at least 90 days that would require care,
10assistance, or supervision. A resource center may not require a financial screen and
11cost-sharing screening
for a person seeking admission or about to be admitted on a
12private pay basis who waives the requirement for a financial screen and cost-sharing
13screening
under this paragraph, unless the person is expected to become eligible for
14medical assistance within 6 months. A resource center need not provide perform a
15functional screen for screening for a person seeking admission or about to be
16admitted who has received a screen for whom a functional eligibility under s. 46.286
17(1) (a)
screening was performed within the previous 6 months.
SB40-CSA1, s. 987 18Section 987. 46.283 (4) (j) of the statutes is created to read:
SB40-CSA1,567,2119 46.283 (4) (j) Target any outreach, education, and prevention services it
20provides and any service development efforts it conducts on the basis of findings
21made by the governing board of the resource center under sub. (6) (b) 2. and 3.
SB40-CSA1, s. 989 22Section 989. 46.283 (6) of the statutes is amended to read:
SB40-CSA1,567,2523 46.283 (6) Governing board. (a) 1. A resource center shall have a governing
24board that reflects the ethnic and economic diversity of the geographic area served
25by the resource center.
SB40-CSA1,568,7
12. At least one-fourth of the members of the governing board shall be older
2persons or persons with physical or developmental disabilities
individuals who
3belong to a client group served by the resource center or their family members,
4guardians, or other advocates. The proportion of these board members who belong
5to each client group, or their family members, guardians, or advocates, shall be the
6same, respectively, as the proportion of individuals in this state who receive services
7under s. 46.2805 to 46.2895 and belong to each client group.
SB40-CSA1, s. 990 8Section 990. 46.283 (6) (a) 3. of the statutes is created to read:
SB40-CSA1,568,159 46.283 (6) (a) 3. An individual who has a financial interest in, or serves on the
10governing board of, a care management organization or an organization that
11administers a program described under s. 46.2805 (1) (a) or (b) or a managed care
12program under s. 49.45 for individuals who are eligible to receive supplemental
13security income under 42 USC 1381 to 1383c, which serves any geographic area also
14served by a resource center, and the individual's family members, may not serve as
15members of the governing board of the resource center.
SB40-CSA1, s. 991 16Section 991. 46.283 (6) (b) of the statutes is created to read:
SB40-CSA1,568,1817 46.283 (6) (b) The governing board of a resource center shall do all of the
18following:
SB40-CSA1,568,2119 1. Determine the structure, policies, and procedures of, and oversee the
20operations of, the resource center. The operations of a resource center that is
21operated by a county are subject to the county's ordinances and budget.
SB40-CSA1,569,222 2. Annually gather information from consumers and providers of long-term
23care services and other interested persons concerning the adequacy of long-term
24care services offered in the area served by the resource center. The board shall

1provide well-advertised opportunities for persons to participate in the board's
2information gathering activities conducted under this subdivision.
SB40-CSA1,569,43 4. Report findings made under subds. 2. and 3. to the applicable regional
4long-term care advisory committee.
SB40-CSA1,569,75 5. Recommend strategies for building local capacity to serve older persons and
6persons with physical or developmental disabilities, as appropriate, to local elected
7officials, the regional long-term care advisory committee, or the department.
SB40-CSA1,569,98 7. Appoint members to the regional long-term care advisory committee, as
9provided under s. 46.2825 (1).
SB40-CSA1, s. 992 10Section 992. 46.284 (1) (a) (intro.) of the statutes is amended to read:
SB40-CSA1,569,1411 46.284 (1) (a) (intro.) After considering recommendations of the local
12long-term care council under s. 46.282 (3) (a) 1., a
A county board of supervisors and,
13in a county with a county executive or a county administrator, the county executive
14or county administrator, may decide all of the following:
SB40-CSA1, s. 993 15Section 993. 46.284 (1) (a) 2. of the statutes is amended to read:
SB40-CSA1,569,1716 46.284 (1) (a) 2. Whether to create a family long-term care district to apply to
17the department for a contract to operate a care management organization.
SB40-CSA1, s. 994 18Section 994. 46.284 (2) (b) (intro.) of the statutes is repealed.
SB40-CSA1, s. 995 19Section 995. 46.284 (2) (b) 1. of the statutes is repealed.
SB40-CSA1, s. 996 20Section 996. 46.284 (2) (b) 2. of the statutes is repealed.
SB40-CSA1, s. 997 21Section 997. 46.284 (2) (b) 3. of the statutes is renumbered 46.284 (2) (bm) and
22amended to read:
SB40-CSA1,570,823 46.284 (2) (bm) After December 31, 2003, the The department may contract
24with counties, family long-term care districts, the governing body of a tribe or band
25or the Great Lakes inter-tribal council, inc., or under a joint application of any of

1these, or with a private organization that has no significant connection to an entity
2that operates a resource center. Proposals for contracts under this subdivision shall
3be solicited under a competitive sealed proposal process under s. 16.75 (2m) and,
4after consulting with the local long-term care council for the county or counties,
the
5department shall evaluate the proposals primarily as to the quality of care that is
6proposed to be provided, certify those applicants that meet the requirements
7specified in sub. (3) (a), select certified applicants for contract and contract with the
8selected applicants.
SB40-CSA1, s. 997m 9Section 997m. 46.284 (2) (c) of the statutes is created to read:
SB40-CSA1,570,2210 46.284 (2) (c) The department shall require, as a term of any contract with a
11care management organization under this section, that the care management
12organization contract for the provision of services that are covered under the family
13care benefit with any community-based residential facility under s. 50.01 (1g),
14residential care apartment complex under s. 50.01 (1d), nursing home under s. 50.01
15(3), intermediate care facility for the mentally retarded under s. 50.14 (1) (b),
16community rehabilitation program, home health agency under s. 50.49 (1) (a),
17provider of day services, or provider of personal care, as defined in s. 50.01 (4o), that
18agrees to accept the reimbursement rate that the care management organization
19pays under contract to similar providers for the same service and that satisfies any
20applicable quality of care, utilization, or other criteria that the care management
21organization requires of other providers with which it contracts to provide the same
22service.
SB40-CSA1, s. 998 23Section 998. 46.284 (3) (a) of the statutes is amended to read:
SB40-CSA1,571,524 46.284 (3) (a) If an entity meets the requirements under par. (b) and applicable
25rules of the department and submits to the department an application for initial

1certification or certification renewal, the department shall certify that the entity
2meets the requirements for a care management organization. An application shall
3include comments about the applicant and recommendations about the application
4that are provided by the appropriate local long-term care council, as specified under
5s. 46.282 (3) (a) 3.
SB40-CSA1, s. 999 6Section 999. 46.284 (5) (a) of the statutes is amended to read:
SB40-CSA1,571,137 46.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp),
8(im), (o), and (w) and (7) (b) and, (bd), and (g), the department shall provide funding
9on a capitated payment basis for the provision of services under this section.
10Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
11under contract with the department may expend the funds, consistent with this
12section, including providing payment, on a capitated basis, to providers of services
13under the family care benefit.
SB40-CSA1, s. 1000 14Section 1000. 46.284 (6) of the statutes is amended to read:
SB40-CSA1,571,2215 46.284 (6) Governing board. A care management organization shall have a
16governing board that reflects the ethnic and economic diversity of the geographic
17area served by the care management organization. At least one-fourth of the
18members of the governing board shall be older persons or persons with physical or
19developmental disabilities or their family members, guardians or other advocates
20who are
representative of the client group or groups whom the care management
21organization's enrollee organization is contracted to serve or those clients' family
22members, guardians, or other advocates
.
SB40-CSA1, s. 1001 23Section 1001. 46.285 (1) of the statutes is renumbered 46.285, and 46.285
24(intro.), (1) and (2), as renumbered, are amended to read:
SB40-CSA1,572,6
146.285 Operation of resource center and care management
2organization.
(intro.) In order to meet federal requirements and assure federal
3financial participation in funding of the family care benefit, a county, a tribe or band,
4a family long-term care district or an organization, including a private, nonprofit
5corporation, may not directly operate both a resource center and a care management
6organization, except as follows:
SB40-CSA1,572,10 7(1) For an entity with which the department has contracted under s. 46.281 (1)
8(e) 1., 2005 stats., provision of the services specified under s. 46.283 (3) (b), (e), (f) and
9(g) shall be structurally separate from the provision of services of the care
10management organization by January 1, 2001.
SB40-CSA1,572,14 11(2) The department may approve separation of the functions of a resource
12center from those of a care management organization by a means other than those
13specified in sub. (2)
creating a long-term care district under s. 46.2895 to serve either
14as a resource center or as a care management organization
.
SB40-CSA1, s. 1002 15Section 1002. 46.285 (2) of the statutes is repealed.
SB40-CSA1, s. 1003 16Section 1003. 46.286 (1) (intro.) of the statutes is amended to read:
SB40-CSA1,572,2117 46.286 (1) Eligibility. (intro.) A person is eligible for, but not necessarily
18entitled to, the family care benefit if the person is at least 18 years of age; has a
19physical disability, as defined in s. 15.197 (4) (a) 2., or a developmental disability, as
20defined in s. 51.01 (5) (a), or degenerative brain disorder, as defined in s. 55.01 (1v)
21is a frail elder; and meets all of the following criteria:
SB40-CSA1, s. 1004 22Section 1004. 46.286 (1) (a) 1. of the statutes is amended to read:
SB40-CSA1,572,2423 46.286 (1) (a) 1. The person's functional capacity level of care need is at either
24of the following levels:
SB40-CSA1,573,3
1a. The comprehensive nursing home level, if the person has a long-term or
2irreversible condition, expected to last at least 90 days or result in death within one
3year of the date of application, and requires ongoing care, assistance or supervision.
SB40-CSA1,573,74 b. The intermediate non-nursing home level, if the person has a condition that
5is expected to last at least 90 days or result in death within 12 months after the date
6of application, and is at risk of losing his or her independence or functional capacity
7unless he or she receives assistance from others.
SB40-CSA1, s. 1005 8Section 1005. 46.286 (1) (b) (intro.) of the statutes is amended to read:
SB40-CSA1,573,109 46.286 (1) (b) Financial eligibility. (intro.) A person is financially eligible if
10all any of the following apply:
SB40-CSA1, s. 1006 11Section 1006. 46.286 (1) (b) 1. (intro.) of the statutes is repealed.
SB40-CSA1, s. 1007 12Section 1007. 46.286 (1) (b) 1. a. of the statutes is renumbered 46.286 (1) (b)
133. and amended to read:
SB40-CSA1,573,1914 46.286 (1) (b) 3. The person was receiving the family care benefit on the
15effective date of this subdivision .... [revisor inserts date], the person
would qualify
16for medical assistance except for financial or disability criteria, and the projected cost
17of the person's care plan, as calculated by the department or its designee, exceeds the
18person's gross monthly income, plus one-twelfth of his or her countable assets, less
19deductions and allowances permitted by rule by the department.
SB40-CSA1, s. 1008 20Section 1008. 46.286 (1) (b) 1. b. and 2. of the statutes are consolidated,
21renumbered 46.286 (1) (b) 1m. and amended to read:
SB40-CSA1,573,2522 46.286 (1) (b) 1m. The person is eligible under ch. 49 for medical assistance.
232. If subd. 1. b. applies, the person accepts medical assistance
and, unless he or she
24is exempt from the acceptance under rules promulgated by the department, accepts
25medical assistance
.
SB40-CSA1, s. 1009
1Section 1009. 46.286 (3) (a) (intro.) of the statutes is amended to read:
SB40-CSA1,574,42 46.286 (3) (a) (intro.) Subject to pars. par. (c) and (d), a person is entitled to and
3may receive the family care benefit through enrollment in a care management
4organization if he or she all of the following apply:
SB40-CSA1,574,5 51m. The person is at least 18 years of age,.
SB40-CSA1,574,8 62m. The person has a physical disability, as defined in s. 15.197 (4) (a) 2., a
7developmental disability, as defined in s. 51.01 (5) (a), or degenerative brain disorder,
8as defined in s. 55.01 (1v),
is a frail elder.
SB40-CSA1,574,10 94m. The person is financially eligible, under sub. (1) (b) 1m., and fulfills any
10applicable cost-sharing requirements and meets any of the following criteria:.
SB40-CSA1, s. 1010 11Section 1010. 46.286 (3) (a) 1. of the statutes is repealed.
SB40-CSA1, s. 1011 12Section 1011. 46.286 (3) (a) 2. of the statutes is repealed.
SB40-CSA1, s. 1012 13Section 1012. 46.286 (3) (a) 3. of the statutes is repealed.
SB40-CSA1, s. 1013 14Section 1013. 46.286 (3) (a) 3m. of the statutes is created to read:
SB40-CSA1,574,1515 46.286 (3) (a) 3m. The person is functionally eligible under sub. (1) (a).
SB40-CSA1, s. 1014 16Section 1014. 46.286 (3) (a) 4. of the statutes is repealed.
SB40-CSA1, s. 1015 17Section 1015. 46.286 (3) (a) 6. of the statutes is repealed.
SB40-CSA1, s. 1016 18Section 1016. 46.286 (3) (d) of the statutes is repealed.
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