SB40-SSA1,546,86 46.283 (4) (j) Target any outreach, education, and prevention services it
7provides and any service development efforts it conducts on the basis of findings
8made by the governing board of the resource center under sub. (6) (b) 2. and 3.
SB40-SSA1, s. 988 9Section 988. 46.283 (5) of the statutes is amended to read:
SB40-SSA1,546,1410 46.283 (5) Funding. From the appropriation accounts under s. 20.435 (4) (b),
11(bm), (gp), (pa), and (w), and (xd) and (7) (b), (bd), and (md), the department may
12contract with organizations that meet standards under sub. (3) for performance of
13the duties under sub. (4) and shall distribute funds for services provided by resource
14centers.
SB40-SSA1, s. 989 15Section 989. 46.283 (6) of the statutes is amended to read:
SB40-SSA1,546,1816 46.283 (6) Governing board. (a) 1. A resource center shall have a governing
17board that reflects the ethnic and economic diversity of the geographic area served
18by the resource center.
SB40-SSA1,546,25 192. At least one-fourth of the members of the governing board shall be older
20persons or persons with physical or developmental disabilities
individuals who
21belong to a client group served by the resource center or their family members,
22guardians, or other advocates. The proportion of these board members who belong
23to each client group, or their family members, guardians, or advocates, shall be the
24same, respectively, as the proportion of individuals in this state who receive services
25under s. 46.2805 to 46.2895 and belong to each client group.
SB40-SSA1, s. 990
1Section 990. 46.283 (6) (a) 3. of the statutes is created to read:
SB40-SSA1,547,82 46.283 (6) (a) 3. An individual who has a financial interest in, or serves on the
3governing board of, a care management organization or an organization that
4administers a program described under s. 46.2805 (1) (a) or (b) or a managed care
5program under s. 49.45 for individuals who are eligible to receive supplemental
6security income under 42 USC 1381 to 1383c, which serves any geographic area also
7served by a resource center, and the individual's family members, may not serve as
8members of the governing board of the resource center.
SB40-SSA1, s. 991 9Section 991. 46.283 (6) (b) of the statutes is created to read:
SB40-SSA1,547,1110 46.283 (6) (b) The governing board of a resource center shall do all of the
11following:
SB40-SSA1,547,1412 1. Determine the structure, policies, and procedures of, and oversee the
13operations of, the resource center. The operations of a resource center that is
14operated by a county are subject to the county's ordinances and budget.
SB40-SSA1,547,1915 2. Annually gather information from consumers and providers of long-term
16care services and other interested persons concerning the adequacy of long-term
17care services offered in the area served by the resource center. The board shall
18provide well-advertised opportunities for persons to participate in the board's
19information gathering activities conducted under this subdivision.
SB40-SSA1,547,2120 4. Report findings made under subds. 2. and 3. to the applicable regional
21long-term care advisory committee.
SB40-SSA1,547,2422 5. Recommend strategies for building local capacity to serve older persons and
23persons with physical or developmental disabilities, as appropriate, to local elected
24officials, the regional long-term care advisory committee, or the department.
SB40-SSA1,548,2
17. Appoint members to the regional long-term care advisory committee, as
2provided under s. 46.2825 (1).
SB40-SSA1, s. 992 3Section 992. 46.284 (1) (a) (intro.) of the statutes is amended to read:
SB40-SSA1,548,74 46.284 (1) (a) (intro.) After considering recommendations of the local
5long-term care council under s. 46.282 (3) (a) 1., a
A county board of supervisors and,
6in a county with a county executive or a county administrator, the county executive
7or county administrator, may decide all of the following:
SB40-SSA1, s. 993 8Section 993. 46.284 (1) (a) 2. of the statutes is amended to read:
SB40-SSA1,548,109 46.284 (1) (a) 2. Whether to create a family long-term care district to apply to
10the department for a contract to operate a care management organization.
SB40-SSA1, s. 994 11Section 994. 46.284 (2) (b) (intro.) of the statutes is repealed.
SB40-SSA1, s. 995 12Section 995. 46.284 (2) (b) 1. of the statutes is repealed.
SB40-SSA1, s. 996 13Section 996. 46.284 (2) (b) 2. of the statutes is repealed.
SB40-SSA1, s. 997 14Section 997. 46.284 (2) (b) 3. of the statutes is renumbered 46.284 (2) (bm) and
15amended to read:
SB40-SSA1,549,216 46.284 (2) (bm) After December 31, 2003, the The department may contract
17with counties, family long-term care districts, the governing body of a tribe or band
18or the Great Lakes inter-tribal council, inc., or under a joint application of any of
19these, or with a private organization that has no significant connection to an entity
20that operates a resource center. Proposals for contracts under this subdivision shall
21be solicited under a competitive sealed proposal process under s. 16.75 (2m) and,
22after consulting with the local long-term care council for the county or counties,
the
23department shall evaluate the proposals primarily as to the quality of care that is
24proposed to be provided, certify those applicants that meet the requirements

1specified in sub. (3) (a), select certified applicants for contract and contract with the
2selected applicants.
SB40-SSA1, s. 997m 3Section 997m. 46.284 (2) (c) of the statutes is created to read:
SB40-SSA1,549,164 46.284 (2) (c) The department shall require, as a term of any contract with a
5care management organization under this section, that the care management
6organization contract for the provision of services that are covered under the family
7care benefit with any community-based residential facility under s. 50.01 (1g),
8residential care apartment complex under s. 50.01 (1d), nursing home under s. 50.01
9(3), intermediate care facility for the mentally retarded under s. 50.14 (1) (b),
10community rehabilitation program, home health agency under s. 50.49 (1) (a),
11provider of day services, or provider of personal care, as defined in s. 50.01 (4o), that
12agrees to accept the reimbursement rate that the care management organization
13pays under contract to similar providers for the same service and that satisfies any
14applicable quality of care, utilization, or other criteria that the care management
15organization requires of other providers with which it contracts to provide the same
16service.
SB40-SSA1, s. 998 17Section 998. 46.284 (3) (a) of the statutes is amended to read:
SB40-SSA1,549,2418 46.284 (3) (a) If an entity meets the requirements under par. (b) and applicable
19rules of the department and submits to the department an application for initial
20certification or certification renewal, the department shall certify that the entity
21meets the requirements for a care management organization. An application shall
22include comments about the applicant and recommendations about the application
23that are provided by the appropriate local long-term care council, as specified under
24s. 46.282 (3) (a) 3.
SB40-SSA1, s. 999 25Section 999. 46.284 (5) (a) of the statutes is amended to read:
SB40-SSA1,550,7
146.284 (5) (a) From the appropriation accounts under s. 20.435 (4) (b), (g), (gp),
2(im), (o), and (w), and (xd) and (7) (b) and, (bd), and (g), the department shall provide
3funding on a capitated payment basis for the provision of services under this section.
4Notwithstanding s. 46.036 (3) and (5m), a care management organization that is
5under contract with the department may expend the funds, consistent with this
6section, including providing payment, on a capitated basis, to providers of services
7under the family care benefit.
SB40-SSA1, s. 1000 8Section 1000. 46.284 (6) of the statutes is amended to read:
SB40-SSA1,550,169 46.284 (6) Governing board. A care management organization shall have a
10governing board that reflects the ethnic and economic diversity of the geographic
11area served by the care management organization. At least one-fourth of the
12members of the governing board shall be older persons or persons with physical or
13developmental disabilities or their family members, guardians or other advocates
14who are
representative of the client group or groups whom the care management
15organization's enrollee organization is contracted to serve or those clients' family
16members, guardians, or other advocates
.
SB40-SSA1, s. 1001 17Section 1001. 46.285 (1) of the statutes is renumbered 46.285, and 46.285
18(intro.), (1) and (2), as renumbered, are amended to read:
SB40-SSA1,550,23 1946.285 (intro.) In order to meet federal requirements and assure federal
20financial participation in funding of the family care benefit, a county, a tribe or band,
21a family long-term care district or an organization, including a private, nonprofit
22corporation, may not directly operate both a resource center and a care management
23organization, except as follows:
SB40-SSA1,551,2 24(1) For an entity with which the department has contracted under s. 46.281 (1)
25(e) 1., 2005 stats., provision of the services specified under s. 46.283 (3) (b), (e), (f) and

1(g) shall be structurally separate from the provision of services of the care
2management organization by January 1, 2001.
SB40-SSA1,551,6 3(2) The department may approve separation of the functions of a resource
4center from those of a care management organization by a means other than those
5specified in sub. (2)
creating a long-term care district under s. 46.2895 to serve either
6as a resource center or a care management organization
.
SB40-SSA1, s. 1002 7Section 1002. 46.285 (2) of the statutes is repealed.
SB40-SSA1, s. 1003 8Section 1003. 46.286 (1) (intro.) of the statutes is amended to read:
SB40-SSA1,551,139 46.286 (1) Eligibility. (intro.) A person is eligible for, but not necessarily
10entitled to, the family care benefit if the person is at least 18 years of age; has a
11physical disability, as defined in s. 15.197 (4) (a) 2., or a developmental disability, as
12defined in s. 51.01 (5) (a), or degenerative brain disorder, as defined in s. 55.01 (1v)
13is a frail elder; and meets all of the following criteria:
SB40-SSA1, s. 1004 14Section 1004. 46.286 (1) (a) 1. of the statutes is amended to read:
SB40-SSA1,551,1615 46.286 (1) (a) 1. The person's functional capacity level of care need is at either
16of the following levels:
SB40-SSA1,551,1917 a. The comprehensive nursing home level, if the person has a long-term or
18irreversible condition, expected to last at least 90 days or result in death within one
19year of the date of application, and requires ongoing care, assistance or supervision.
SB40-SSA1,551,2320 b. The intermediate non-nursing home level, if the person has a condition that
21is expected to last at least 90 days or result in death within 12 months after the date
22of application, and is at risk of losing his or her independence or functional capacity
23unless he or she receives assistance from others.
SB40-SSA1, s. 1005 24Section 1005. 46.286 (1) (b) (intro.) of the statutes is amended to read:
SB40-SSA1,552,2
146.286 (1) (b) Financial eligibility. (intro.) A person is financially eligible if
2all any of the following apply:
SB40-SSA1, s. 1006 3Section 1006. 46.286 (1) (b) 1. (intro.) of the statutes is repealed.
SB40-SSA1, s. 1007 4Section 1007. 46.286 (1) (b) 1. a. of the statutes is renumbered 46.286 (1) (b)
53. and amended to read:
SB40-SSA1,552,116 46.286 (1) (b) 3. The person was receiving the family care benefit on the
7effective date of this subdivision .... [revisor inserts date], the person
would qualify
8for medical assistance except for financial or disability criteria, and the projected cost
9of the person's care plan, as calculated by the department or its designee, exceeds the
10person's gross monthly income, plus one-twelfth of his or her countable assets, less
11deductions and allowances permitted by rule by the department.
SB40-SSA1, s. 1008 12Section 1008. 46.286 (1) (b) 1. b. and 2. of the statutes are consolidated,
13renumbered 46.286 (1) (b) 1m. and amended to read:
SB40-SSA1,552,1714 46.286 (1) (b) 1m. The person is eligible under ch. 49 for medical assistance.
152. If subd. 1. b. applies, the person accepts medical assistance
and, unless he or she
16is exempt from the acceptance under rules promulgated by the department, accepts
17medical assistance
.
SB40-SSA1, s. 1009 18Section 1009. 46.286 (3) (a) (intro.) of the statutes is amended to read:
SB40-SSA1,552,2119 46.286 (3) (a) (intro.) Subject to pars. par. (c) and (d), a person is entitled to and
20may receive the family care benefit through enrollment in a care management
21organization if he or she all of the following apply:
SB40-SSA1,552,22 221m. The person is at least 18 years of age,.
SB40-SSA1,552,25 232m. The person has a physical disability, as defined in s. 15.197 (4) (a) 2., a
24developmental disability, as defined in s. 51.01 (5) (a), or degenerative brain disorder,
25as defined in s. 55.01 (1v),
is a frail elder.
SB40-SSA1,553,2
14m. The person is financially eligible, under sub. (1) (b) 1m., and fulfills any
2applicable cost-sharing requirements and meets any of the following criteria:.
SB40-SSA1, s. 1010 3Section 1010. 46.286 (3) (a) 1. of the statutes is repealed.
SB40-SSA1, s. 1011 4Section 1011. 46.286 (3) (a) 2. of the statutes is repealed.
SB40-SSA1, s. 1012 5Section 1012. 46.286 (3) (a) 3. of the statutes is repealed.
SB40-SSA1, s. 1013 6Section 1013. 46.286 (3) (a) 3m. of the statutes is created to read:
SB40-SSA1,553,77 46.286 (3) (a) 3m. The person is functionally eligible under sub. (1) (a).
SB40-SSA1, s. 1014 8Section 1014. 46.286 (3) (a) 4. of the statutes is repealed.
SB40-SSA1, s. 1015 9Section 1015. 46.286 (3) (a) 6. of the statutes is repealed.
SB40-SSA1, s. 1016 10Section 1016. 46.286 (3) (d) of the statutes is repealed.
SB40-SSA1, s. 1017 11Section 1017. 46.286 (3m) of the statutes is repealed and recreated to read:
SB40-SSA1,553,1312 46.286 (3m) Information about enrollees. The department shall obtain and
13share information about family care enrollees as provided in s. 49.475.
SB40-SSA1, s. 1018 14Section 1018. 46.288 (2) (intro.) of the statutes is amended to read:
SB40-SSA1,553,2115 46.288 (2) (intro.) Criteria and procedures for determining functional
16eligibility under s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost
17sharing under s. 46.286 (2) (a) and entitlement under s. 46.286 (3). The rules for
18determining functional eligibility under s. 46.286 (1) (a) 1. a. shall be substantially
19similar to eligibility criteria for receipt of the long-term support community options
20program under s. 46.27. Rules under this subsection shall include definitions of the
21following terms applicable to s. 46.286:
SB40-SSA1, s. 1019 22Section 1019. 46.289 (title) of the statutes is renumbered 46.2803 (title).
SB40-SSA1, s. 1020 23Section 1020. 46.289 of the statutes is renumbered 46.2803 (1).
SB40-SSA1, s. 1021 24Section 1021. 46.2895 (title) of the statutes is amended to read:
SB40-SSA1,553,25 2546.2895 (title) Family Long-term care district.
SB40-SSA1, s. 1022
1Section 1022. 46.2895 (1) (a) (intro.) of the statutes is amended to read:
SB40-SSA1,554,82 46.2895 (1) Creation. (a) (intro.) A county board of supervisors, a tribe or band,
3or any combination of counties or tribes or bands,
may create a special purpose
4district that is termed a "family long-term care district", that is a local unit of
5government, that is separate and distinct from, and independent of, the state and the
6county or tribe or band that created it, and that has the powers and duties specified
7in this section, if the each county board or tribe or band that participates in creating
8the district
does all of the following:
SB40-SSA1, s. 1023 9Section 1023. 46.2895 (1) (a) 1. a. of the statutes is amended to read:
SB40-SSA1,554,1110 46.2895 (1) (a) 1. a. Declares the need for establishing the family long-term
11care district.
SB40-SSA1, s. 1024 12Section 1024. 46.2895 (1) (a) 1. b. of the statutes is amended to read:
SB40-SSA1,554,1613 46.2895 (1) (a) 1. b. Specifies the family long-term care district's primary
14purpose, which shall be to operate, under contract with the department, either a
15resource center under s. 46.283 or, a care management organization under s. 46.284,
16but not both, or a program described under s. 46.2805 (1) (a) or (b).
SB40-SSA1, s. 1025 17Section 1025. 46.2895 (1) (a) 1. c. of the statutes is created to read:
SB40-SSA1,554,2118 46.2895 (1) (a) 1. c. Specifies the number of individuals who shall be appointed
19as members of the long-term care district board, the length of their terms, and, if the
20long-term care district is created by more than one county or tribe or band, how many
21members shall be appointed by each county or tribe or band.
SB40-SSA1, s. 1026 22Section 1026. 46.2895 (1) (b) of the statutes is repealed.
SB40-SSA1, s. 1027 23Section 1027. 46.2895 (1) (c) of the statutes is created to read:
SB40-SSA1,555,3
146.2895 (1) (c) A long-term care district may not operate a care management
2organization under s. 46.284 or a program described under s. 46.2805 (1) (a) or (b)
3if the district operates a resource center under s. 46.283.
SB40-SSA1, s. 1028 4Section 1028. 46.2895 (1) (d) of the statutes is created to read:
SB40-SSA1,555,65 46.2895 (1) (d) A county or tribe or band may create more than one long-term
6care district.
SB40-SSA1, s. 1029 7Section 1029. 46.2895 (1) (e) of the statutes is created to read:
SB40-SSA1,555,138 46.2895 (1) (e) A long-term care district may change its primary purpose
9specified under par. (a) 1. b. if all the counties or tribes or bands that created the
10district and that have not withdrawn or been removed from the district under sub.
11(14), adopt a resolution approving the change in primary purpose and if the change
12in purpose does not violate par. (c) or any provision of a contract between the
13department and the district.
SB40-SSA1, s. 1030 14Section 1030. 46.2895 (2) of the statutes is amended to read:
SB40-SSA1,555,1915 46.2895 (2) Jurisdiction. A family long-term care district's jurisdiction is the
16geographical area of the county or counties of the county board or boards of
17supervisors who
that created the family long-term care district and the geographic
18area of the reservation of, or lands held in trust for, any tribe or band that created
19the long-term care district
.
SB40-SSA1, s. 1031 20Section 1031. 46.2895 (3) (title) of the statutes is amended to read:
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