AB75-ASA1, s. 847 15Section 847. 46.22 (1) (b) 1. h. of the statutes is repealed.
AB75-ASA1, s. 848 16Section 848. 46.22 (1) (b) 2. e. of the statutes is repealed.
AB75-ASA1, s. 849 17Section 849. 46.22 (1) (b) 2. fm. of the statutes is amended to read:
AB75-ASA1,457,2018 46.22 (1) (b) 2. fm. To establish and administer the child care program under
19s. 49.155, if the department of children and families contracts with the county
20department of social services to do so
.
AB75-ASA1, s. 853d 21Section 853d. 46.22 (1) (e) 3. c. of the statutes is amended to read:
AB75-ASA1,458,722 46.22 (1) (e) 3. c. A county department of social services shall develop, under
23the requirements of s. 301.08 (2), plans and contracts for juvenile
24delinquency-related care and services to be purchased. The department of
25corrections may review the contracts and approve them if they are consistent with

1s. 301.08 (2) and to the extent that state or federal funds are available for such
2purposes. The joint committee on finance may require the department of corrections
3to submit the contracts to the committee for review and approval. The department
4of corrections may not make any payments to a county for programs included in the
5contract that is under review by the committee. The department of corrections shall
6reimburse each county for the contracts from the appropriations under s. 20.410 (3)
7(cd) and, (ko), and (o) as appropriate.
AB75-ASA1, s. 854 8Section 854. 46.23 (2) (a) of the statutes is amended to read:
AB75-ASA1,458,149 46.23 (2) (a) "Human services" means the total range of services to people
10including, but not limited to, health care, mental illness treatment, developmental
11disabilities services, relief funded by a block grant under ch. 49, income
12maintenance, probation, extended supervision and parole services, alcohol and drug
13abuse services, services to children, youth and aging, family counseling, special
14education services, and manpower services.
AB75-ASA1, s. 855 15Section 855. 46.266 (1) (intro.) of the statutes is amended to read:
AB75-ASA1,458,2416 46.266 (1) (intro.) Notwithstanding s. 49.45 (6m) (ag) and except as provided
17in sub. (3), if before July 1, 1989, the federal health care financing administration or
18the department found a skilled nursing facility or intermediate care facility in this
19state that provides care to medical assistance recipients for which the facility
20receives reimbursement under s. 49.45 (6m) to be an institution for mental diseases,
21the department shall allocate funds from the appropriation account under s. 20.435
22(7) (5) (be) for distribution under this section to a county department under s. 51.42
23for the care, in the community or in a facility found to be an institution for mental
24diseases, of the following persons:
AB75-ASA1, s. 856 25Section 856. 46.268 (1) (intro.) of the statutes is amended to read:
AB75-ASA1,459,4
146.268 (1) (intro.) Notwithstanding s. 49.45 (6m) (ag), from the appropriation
2account under s. 20.435 (7) (5) (be), the department shall distribute not more than
3$830,000 in each fiscal year in order to provide funding of community services for an
4eligible individual, if all of the following apply:
AB75-ASA1, s. 858 5Section 858. 46.281 (1n) (e) of the statutes is amended to read:
AB75-ASA1,459,166 46.281 (1n) (e) Contract with a person to provide the advocacy services
7described under s. 16.009 (2) (p) 1. to 5. to actual or potential recipients of the family
8care benefit who are under age 60 or to their families or guardians. The department
9may not contract under this paragraph with a county or with a person who has a
10contract with the department to provide services under s. 46.283 (3) and (4) as a
11resource center or to administer the family care benefit as a care management
12organization. The contract under this paragraph shall include as a goal that the
13provider of advocacy services provide one advocate for every 2,500 individuals under
14age 60 who receive the family care benefit. The department shall allocate $190,000
15for the contract under this paragraph in fiscal year 2007-08 and $525,000 in each
16subsequent fiscal year.
AB75-ASA1, s. 859 17Section 859. 46.281 (3) of the statutes is amended to read:
AB75-ASA1,460,218 46.281 (3) Duty of the secretary. The secretary shall certify to each county,
19hospital, nursing home, community-based residential facility, adult family home, as
20defined in s. 50.01 (1) (a) or (b),
and residential care apartment complex the date on
21which a resource center that serves the area of the county, hospital, nursing home,
22community-based residential facility, adult family home, or residential care
23apartment complex is first available to perform functional screenings and financial
24and cost-sharing screenings. To facilitate phase-in of services of resource centers,

1the secretary may certify that the resource center is available for specified groups of
2eligible individuals or for specified facilities in the county.
AB75-ASA1, s. 860 3Section 860. 46.283 (4) (e) of the statutes is amended to read:
AB75-ASA1,460,94 46.283 (4) (e) Provide information about the services of the resource center,
5including the services specified in sub. (3) (d), about assessments under s. 46.284 (4)
6(b) and care plans under s. 46.284 (4) (c), and about the family care benefit to all older
7persons and persons with a physical disability who are residents of nursing homes,
8community-based residential facilities, adult family homes, as defined in s. 50.01 (1)
9(a) or (b),
and residential care apartment complexes in the area of the resource center.
AB75-ASA1, s. 861 10Section 861. 46.283 (4) (g) of the statutes is amended to read:
AB75-ASA1,460,2411 46.283 (4) (g) Perform a functional screening and a financial and cost-sharing
12screening for any person seeking admission to a nursing home, community-based
13residential facility, residential care apartment complex, or adult family home, as
14defined in s. 50.01 (1) (a) or (b),
if the secretary has certified that the resource center
15is available to the person and the facility and the person is determined by the
16resource center to have a condition that is expected to last at least 90 days that would
17require care, assistance, or supervision. A resource center may not require a
18financial and cost-sharing screening for a person seeking admission or about to be
19admitted on a private pay basis who waives the requirement for a financial and
20cost-sharing screening under this paragraph, unless the person is expected to
21become eligible for medical assistance within 6 months. A resource center need not
22perform a functional screening for a person seeking admission or about to be
23admitted for whom a functional screening was performed within the previous 6
24months.
AB75-ASA1, s. 862 25Section 862. 46.284 (3m) of the statutes is created to read:
AB75-ASA1,461,4
146.284 (3m) Permit required. A care management organization that is
2described under s. 600.01 (1) (b) 10. a., to which s. 600.01 (1) (b) 10. b. does not apply
3and that is certified under sub. (3) shall apply for a permit with the office of the
4commissioner of insurance under ch. 648.
AB75-ASA1, s. 863 5Section 863. 46.284 (4) (m) of the statutes is created to read:
AB75-ASA1,461,96 46.284 (4) (m) Compensate providers, as defined in s. 46.2898 (1) (e), in
7accordance with any agreement under subch. V of ch. 111 relating to a provider hired
8directly by an enrollee and make any payroll deductions authorized by those
9agreements.
AB75-ASA1, s. 864 10Section 864. 46.286 (1) (a) (intro.) and 1. (intro.) of the statutes are
11consolidated, renumbered 46.286 (1) (a) (intro.) and amended to read:
AB75-ASA1,461,1512 46.286 (1) (a) Functional eligibility. (intro.) A person is functionally eligible
13if any of the following applies the person's level of care need, as determined by the
14department or its designee: 1. (intro.) The person's level of care need, is either of the
15following:
AB75-ASA1, s. 865 16Section 865. 46.286 (1) (a) 1. a. of the statutes is renumbered 46.286 (1) (a) 1m.
AB75-ASA1, s. 866 17Section 866. 46.286 (1) (a) 1. b. of the statutes is renumbered 46.286 (1) (a) 2m.
AB75-ASA1, s. 867 18Section 867. 46.286 (1) (a) 2. (intro.) of the statutes is repealed.
AB75-ASA1, s. 868 19Section 868. 46.286 (1) (a) 2. a. of the statutes is renumbered 46.286 (3) (b) 2.
20a.
AB75-ASA1, s. 869 21Section 869. 46.286 (1) (a) 2. b. of the statutes is renumbered 46.286 (3) (b) 2.
22b.
AB75-ASA1, s. 870 23Section 870. 46.286 (1) (a) 2. c. of the statutes is renumbered 46.286 (3) (b) 2.
24c.
AB75-ASA1, s. 871
1Section 871. 46.286 (1) (a) 2. d. of the statutes is renumbered 46.286 (3) (b) 2.
2d.
AB75-ASA1, s. 872 3Section 872. 46.286 (1) (a) 2. e. of the statutes is renumbered 46.286 (3) (b) 2.
4e.
AB75-ASA1, s. 872k 5Section 872k. 46.286 (1) (b) (intro.) (except 46.286 (1) (b) (title)) of the statutes
6is renumbered 46.286 (1) (b) 2m. (intro.).
AB75-ASA1, s. 873 7Section 873. 46.286 (1) (b) 1c. of the statutes is created to read:
AB75-ASA1,462,98 46.286 (1) (b) 1c. In this paragraph, "medical assistance" does not include
9coverage of the benefits under s. 49.471 (11).
AB75-ASA1, s. 874 10Section 874. 46.286 (1) (b) 1m. of the statutes is renumbered 46.286 (1) (b) 2m.
11a.
AB75-ASA1, s. 875 12Section 875. 46.286 (1) (b) 3. of the statutes is renumbered 46.286 (1) (b) 2m.
13b.
AB75-ASA1, s. 877 14Section 877. 46.286 (3) (a) 4m. of the statutes is amended to read:
AB75-ASA1,462,1615 46.286 (3) (a) 4m. The person is financially eligible under sub. (1) (b) 1m. 2m.
16a.
, and fulfills any applicable cost-sharing requirements.
AB75-ASA1, s. 878 17Section 878. 46.286 (3) (b) 2. of the statutes is renumbered 46.286 (3) (b) 2.
18(intro.) and amended to read:
AB75-ASA1,462,2419 46.286 (3) (b) 2. (intro.) If the contract between the care management
20organization and the department is canceled or not renewed. If this circumstance
21occurs, the department shall assure that enrollees continue to receive needed
22services through another care management organization or through the medical
23assistance fee-for-service system or any of the following programs specified under
24sub. (1) (a) 2. a. to d.
:
AB75-ASA1, s. 879 25Section 879. 46.286 (3) (c) of the statutes is amended to read:
AB75-ASA1,463,7
146.286 (3) (c) Within each county and for each client group, par. (a) shall first
2apply on the effective date of a contract under which a care management
3organization accepts a per person per month payment to provide services under the
4family care benefit to eligible persons in that client group in the county. Within 24
536 months after this date, the department shall assure that sufficient capacity exists
6within one or more care management organizations to provide the family care benefit
7to all entitled persons in that client group in the county.
AB75-ASA1, s. 880 8Section 880. 46.288 (2) (intro.) of the statutes is amended to read:
AB75-ASA1,463,149 46.288 (2) (intro.) Criteria and procedures for determining functional
10eligibility under s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost
11sharing under s. 46.286 (2) (a). The rules for determining functional eligibility under
12s. 46.286 (1) (a) 1. a. 1m. shall be substantially similar to eligibility criteria for receipt
13of the long-term support community options program under s. 46.27. Rules under
14this subsection shall include definitions of the following terms applicable to s. 46.286:
AB75-ASA1, s. 881 15Section 881. 46.288 (2) (a) of the statutes is repealed.
AB75-ASA1, s. 882 16Section 882. 46.288 (2) (b) of the statutes is repealed.
AB75-ASA1, s. 883 17Section 883. 46.288 (2) (c) of the statutes is repealed.
AB75-ASA1, s. 884 18Section 884. 46.2898 of the statutes is created to read:
AB75-ASA1,463,19 1946.2898 Quality home care. (1) Definitions. In this section:
AB75-ASA1,463,2020 (a) "Authority" means the Wisconsin Quality Home Care Authority.
AB75-ASA1,463,2121 (b) "Care management organization" has the meaning given in s. 46.2805 (1).
AB75-ASA1,463,2322 (cm) "Consumer" means an adult who receives home care services and who
23meets all of the following criteria:
AB75-ASA1,463,2424 1. Is a resident of any of the following:
AB75-ASA1,463,2525 a. A county that has acted under sub. (2) (a).
AB75-ASA1,463,26
1b. A county in which the Family Care Program under s. 46.286 is available.
AB75-ASA1,464,32 c. A county in which the Program of All-Inclusive Care for the Elderly under
342 USC 1396u-4 is available.
AB75-ASA1,464,64 d. A county in which the self-directed services option program under 42 USC
51396n
(c) is available or in which a program operated under an amendment to the
6state medical assistance plan under 42 USC 1396n (j) is available.
AB75-ASA1,464,87 2. Self-directs all or part of his or her home care services and is an employer
8listed on the provider's income tax forms.
AB75-ASA1,464,99 3. Is eligible to receive a home care benefit under one of the following:
AB75-ASA1,464,1010 a. The Family Care Program under s. 46.286.
AB75-ASA1,464,1111 b. The Program of All-Inclusive Care for the Elderly, under 42 USC 1396u-4.
AB75-ASA1,464,1412 c. A program operated under a waiver from the secretary of the federal
13department of health and human services under 42 USC 1396n (c) or 42 USC 1396n
14(b) and (c) or the self-directed services option operated under 42 USC 1396n (c).
AB75-ASA1,464,1615 d. A program operated under an amendment to the state medical assistance
16plan under 42 USC 1396n (j).
AB75-ASA1,464,2117 (dm) "Home care" means supportive home care, personal care, and other
18nonprofessional services of a type that may be covered under a medical assistance
19waiver under 42 USC 1396n (c) and that are provided to individuals to assist them
20in meeting their daily living needs, ensuring adequate functioning in their homes,
21and permitting safe access to their communities.
AB75-ASA1,464,2322 (e) "Provider" means an individual who is hired by a consumer to provide home
23care to the consumer but does not include any of the following:
AB75-ASA1,464,2524 1. A person, while he or she is providing services in the capacity of an employee
25of any of the following entities:
AB75-ASA1,464,26
1a. A home health agency licensed under s. 50.49.
AB75-ASA1,465,22 b. A personal care provider agency.
AB75-ASA1,465,33 c. A company or agency providing supportive home care.
AB75-ASA1,465,44 d. An independent living center, as defined in s. 46.96 (1) (ah).
AB75-ASA1,465,65 e. A county agency or department under s. 46.215, 46.22, 46.23, 51.42, or
651.437.
AB75-ASA1,465,87 2. A health care provider, as defined in s. 146.997 (1) (d), acting in his or her
8professional capacity.
AB75-ASA1,465,179 (f) "Qualified provider" means a provider who meets the qualifications for
10payment through the Family Care Program under s. 46.286, the Program for
11All-Inclusive Care for the Elderly operated under 42 USC 1396u-4, an amendment
12to the state medical assistance plan under 42 USC 1396n (j), or a medical assistance
13waiver program operated under a waiver from the secretary of the U.S. department
14of health and human services under 42 USC 1396n (c) or 42 USC 1396n (b) and (c)
15and any qualification criteria established in the rules promulgated under sub. (7)
16and who the authority determines is eligible for placement on the registry
17maintained by the authority under s. 52.20 (1).
AB75-ASA1,465,21 18(2) County participation. (a) A county board of supervisors may require a
19county department under 46.215, 46.22, 46.23, 51.42, or 51.437 to follow procedures
20under this section and to pay providers in accordance with agreements under subch.
21V of ch. 111.
AB75-ASA1,465,2322 (b) If a county acts under par. (a), it shall notify the department and the
23authority of its action.
AB75-ASA1,466,3
1(c) A county that acts under par. (a) shall compensate providers in accordance
2with any agreement under subch. V of ch. 111 and make any payroll deductions
3authorized by such agreements.
AB75-ASA1,466,8 4(4) Duties of home care payors. Care management organizations, the state,
5and counties, as described under sub. (1) (cm) 1. a. to d., that pay for the provision
6of home care services to consumers shall provide to the authority the name, address,
7telephone number, date of hire, and date of termination of any provider hired by an
8individual receiving home care services.
AB75-ASA1,466,9 9(5) Duties of consumers. A consumer shall do all of the following:
AB75-ASA1,466,1210 (a) Inform the authority of the name, address, telephone number, date of hire,
11and date of termination of any provider hired by the consumer to provide home care
12services.
AB75-ASA1,466,1513 (b) Compensate providers in accordance with any collective bargaining
14agreement that applies to home care providers under subch. V of ch. 111 and make
15any payroll deductions authorized by the agreement.
AB75-ASA1,466,18 16(6) Providers. (a) A qualified provider providing home care services under this
17section shall be subject to the collective bargaining agreement that applies to home
18care providers under subch. V of ch. 111.
AB75-ASA1,466,2019 (b) A qualified provider may choose to be placed on the registry maintained by
20the authority under s. 52.20 (1).
AB75-ASA1,466,24 21(7) Department rule-making. The department may promulgate rules defining
22terms, specifying which services constitute home care, establishing the qualification
23criteria that apply under sub. (1) (d), and establishing procedures for
24implementation of this section.
AB75-ASA1, s. 885 25Section 885. 46.29 (1) (intro.) of the statutes is amended to read:
AB75-ASA1,467,4
146.29 (1) (intro.) From the appropriation account under s. 20.435 (6) (7) (a), the
2department shall allocate distribute at least $16,100 in each fiscal year for operation
3of the council on physical disabilities. The council on physical disabilities shall do
4all of the following:
AB75-ASA1, s. 888 5Section 888. 46.295 (1) of the statutes is amended to read:
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