AB296,28,84 4. Criteria for measuring the effectiveness and appropriateness of the
5integrated service plan coordinated services plan of care so that it can be modified
6as needed to better meet the child's and the child's family's needs. A coordinated
7services plan of care shall be oriented so as to produce meaningful outcomes and to
8provide services in the least restrictive setting possible.
AB296,28,139 5. Identification of any administrative or judicial procedures under ch. 48, 51,
1055, 115, 118, or 938 that may be necessary in order to fully implement the integrated
11service plan
coordinated services plan of care and the identity of the individual or
12organization that will be responsible for initiating those procedures, if any are
13required.
AB296,28,1814 6. Identification of available sources of funding to support the services and
15other resources
needed for the child with severe disabilities and his or her family and
16an allocation of funding responsibility among organizations where if more than one
17organization is responsible for the child's and the child's his or her family's
18treatment, education and support services.
Note: Modifies the provisions relating to referrals to the coordinated services
initiative, screening of children and families referred to the initiative, consent for release
of information, review of completed applications with the child's family, assistance to
families found to be ineligible, enrollment in the initiative and assignment of a
coordinated services team, assembling results of prior assessments and evaluations
documenting the strengths and needs of the child, and preparation of a coordinated
services plan of care.
AB296, s. 53 19Section 53. 46.56 (8) (cm) of the statutes is created to read:
AB296,29,3
146.56 (8) (cm) Consent for participation of a child and his or her family in the
2initiative and in the initiative evaluation shall be obtained from the child's parent
3or, if appropriate, the child.
Note: Creates a separate provision relating to consent for participation in a CST
initiative. This language is deleted from s. 46.56 (8) (c), stats., in the bill.
AB296, s. 54 4Section 54. 46.56 (8) (h) 7. and 8. of the statutes are created to read:
AB296,29,85 46.56 (8) (h) 7. Clear statements articulating the specific needs of the child and
6family that are to be addressed. Needs may not be stated solely in terms of the need
7for services but may be described in a strength-based manner with a response that
8is readily achievable.
AB296,29,109 8. Plans for responding to possible crisis situations that may occur with the
10child and his or her family.
Note: Creates additional information that must be included in the coordinated
services plan of care.
AB296, s. 55 11Section 55. 46.56 (8) (i) to (k) of the statutes are amended to read:
AB296,29,1412 46.56 (8) (i) If additional evaluations are needed, the service coordination
13agency
coordinated services team shall arrange for them or assist the child's family
14in obtaining them.
AB296,29,1915 (j) The proposed integrated service plan coordinated services plan of care shall
16be submitted to any service providers who would be are included in the integrated
17service plan and the court assigned to exercise jurisdiction under chs. 48 and 938 if
18participation in the program
has been court ordered under s. 48.345 (6m) or 938.34
19(6m)
proposed plan of care.
AB296,30,520 (k) Upon written approval of the integrated service plan coordinated services
21plan of care
by the proposed service providers and , the child's family, unless the
22child's involvement in the program is through court order under s. 48.355 or 938.355,

1in which case approval of the court may be substituted for that of the family,
and the
2coordinated services team,
the integrated service plan plan of care shall be
3implemented by the service coordination agency and the service providers
4individuals and organizations designated to provide services and other resources
5under the integrated service plan plan of care.
Note: Modifies provisions relating to arranging for additional evaluations of the
child, submitting the coordinated services plan of care to any service provider included
in the plan of care, and implementing the plan of care.
AB296, s. 56 6Section 56. 46.56 (8) (L) of the statutes is repealed.
Note: Repeals a provision under which the service coordination agency and the
designated service providers must include in the integrated service plan all individuals
who are active in the care of the child with severe disabilities, including members of the
child's family, foster parents, and other individuals who by close and continued
association with the child have come to occupy significant roles in the care and treatment
of the child.
AB296, s. 57 7Section 57. 46.56 (8) (m) to (o) of the statutes are amended to read:
AB296,30,148 46.56 (8) (m) Each organization or service provider designated to provide
9services and other resources under the integrated service coordinated services plan
10of care shall identify a specific staff person individual who shall serve as the ongoing
11member of a treatment team contact person to ensure continuity and communication
12while services are being provided to the child with severe disabilities and his or her
13family under the integrated service plan. The service coordinator shall coordinate
14the operations of the treatment team
of care.
AB296,30,1815 (n) The service coordinator shall advocate for the child with severe disabilities
16and the child's his or her family and ensure that they are provided the opportunity
17to participate in assessment, planning, and ongoing review of services to the fullest
18extent possible.
AB296,31,219 (o) Services and other resources under this section shall be provided in the
20community, preferably in the child's home or home community, in the least restrictive

1and least intrusive setting and manner which that meets the best interests of the
2child with severe disabilities.
Note: Modifies provisions relating to identifying an ongoing contact person from
each organization or service provider designated to provide services under the plan of
care, requiring that the service provider advocate for the child and his or her family and
ensure they are participating in planning and other activities to the fullest extent
possible, and requiring that services and other resources be provided in the least
restrictive and least intrusive setting and manner.
AB296, s. 58 3Section 58. 46.56 (8) (p) and (q) of the statutes are repealed.
Note: Repeals provisions under which an integrated service plan may not be used
to place or accomplish the placement of a child outside of his or her home and that an
integrated service plan may not modify a individualized education program.
AB296, s. 59 4Section 59. 46.56 (8) (r) and (s) of the statutes are amended to read:
AB296,31,185 46.56 (8) (r) The On a regular basis, and at least every 3 months, the service
6coordinator shall, when necessary and at least every 6 months, assemble the
7treatment coordinated services team, the family of the child with severe disabilities,
8the child with severe disabilities, where if appropriate, and any counsel, guardian
9ad litem, or other person advocating for the interests of the child with severe
10disabilities
or the child's his or her family to review the integrated service, plan of
11care and
progress toward the goals of the integrated service plan of care, establish
12new goals, request the inclusion of new participating organizations or individuals,
13or otherwise modify the integrated service coordinated services plan of care to better
14meet the needs of the child with severe disabilities and the child's his or her family.
15Decisions to amend the integrated service coordinated services plan of care must be
16approved by the service coordinator, the treatment coordinated services team, the
17family and, where if the integrated service plan of care is being provided under a
18court order, by the court.
AB296,32,1019 (s) Services under the integrated service plan may be terminated Coordination
20of services by a coordinated services team may be ended
by the agreement of all

1participants on the coordinated services team that the goals of treatment and
2support have been met and that an integrated service plan is no longer needed, by
3order of the court if services are being provided under court order,
or are being met;
4by withdrawal of the family of the child with severe disabilities unless participation
5is court ordered, or
; by the service coordination agency upon a recommendation from
6the service coordinator and the treatment, that further services are not in the child's
7best interests, or that
coordinated services team; by the family's refusal to
8participate in the process; if
the child with severe disabilities and child's his or her
9family no longer meet the eligibility criteria for the program coordinated services
10team; or by court order, if services are being provided under court order
.
Note: Modifies provisions relating to review of and amendments to plans of care
and termination of the coordinated services team process.
AB296, s. 60 11Section 60. 46.56 (9) of the statutes is amended to read:
AB296,32,1712 46.56 (9) Immediate care. Individual county departments, tribal agencies,
13other
agencies, and other service providers may shall provide immediate services
14and other resources as necessary and appropriate to children with severe disabilities
15who are involved in 2 or more systems of care and their families who have been
16referred for participation an evaluation of eligibility for and appropriateness of
17enrollment
in the program initiative while assessment and planning take place.
Note: Modifies the provision relating to providing immediate services and other
resources as necessary.
AB296, s. 61 18Section 61. 46.56 (10) to (13) of the statutes are amended to read:
AB296,33,519 46.56 (10) Relation to family other support program programs. In any county
20or for a tribe that has a family support program under s. 46.985, or other support
21programs, including comprehensive community services or office of justice
22assistance programs,
the integrated service program initiative shall coordinate its

1activities with the family support program. The administering agency for the family
2support program may act as a service coordination agency for the integrated service
3program and the family support program advisory committee may act as the
4coordinating committee if the requirements of this section are met and the
5department gives its approval
programs.
AB296,33,11 6(11) Informal conflict Conflict management. The department,
7administering agency, service coordination agencies, and service coordinators shall
8establish and use informal means for conflict management, including consultation,
9mediation, and independent assessment, whenever possible. A formal conflict
10management policy shall be established in writing by the coordinating committee for
11use by families, providers, and other individuals involved in the initiative.
AB296,33,19 12(12) Administrative appeals. Decisions by the service coordination agency
13regarding eligibility, enrollment, denial, termination, reduction, or appropriateness
14of services and decisions by the individuals designated by the coordinating
15committee regarding eligibility, enrollment, or denial
may be appealed to the
16coordinating committee by a child with severe disabilities who is a service applicant
17or recipient or by the parent or guardian or guardian ad litem of the applicant or
18recipient. Decisions of the coordinating committee may be appealed to the
19department under ch. 227.
AB296,33,24 20(13) Review of actions by individual agencies. Nothing in this section shall
21limit, modify, or expand the rights, remedies, or procedures established in federal
22statutes or regulations or state law statutes or rules for individuals or families
23receiving services provided by individual organizations that are participating in the
24integrated service coordinated services plan of care.

Note: Modifies the provision requiring the coordinated services initiative to
coordinate its activities with other support programs, conflict management,
administrative appeals, and review of actions by individual organizations participating
in the plan of care.
AB296, s. 62 1Section 62. 46.56 (14) (a) of the statutes is amended to read:
AB296,34,212 46.56 (14) (a) In order to support the development of a comprehensive service
3system of coordinated care for children with severe disabilities who are involved in
42 or more systems of care
and their families, the department shall establish a
5statewide state advisory committee with representatives of county departments and
6tribal governing bodies
, the department of public instruction, educational agencies,
7the department of children and families, the department of corrections, the juvenile
8correctional system,
professionals experienced in the provision of services to children
9with severe disabilities, who are involved in 2 or more systems of care and their
10families with children with severe disabilities, advocates for such families and their
11children, the subunit of the department of workforce development that administers
12vocational rehabilitation, a representative of the local workforce development board
13established under 29 USC 2832, a representative of the philanthropy community,
the
14technical college system, health care providers, courts assigned to exercise
15jurisdiction under chs. 48 and 938, child welfare officials, and other appropriate
16persons as selected by the department. The department may use an existing
17committee for this purpose if it has representatives from the listed groups and is
18willing to perform the required functions. This committee shall establish principles
19and core values for administering initiatives,
monitor the development of programs
20initiatives throughout the state, and support communication and mutual assistance
21among operating programs initiatives as well as those that are being developed.
Note: Modifies the provision requiring the department of health services to
establish a state advisory committee. The bill adds to membership of the advisory
committee representatives of tribal governing bodies, the department of corrections, the

juvenile correctional system, the subunit of the department of workforce development
that administers economic support programs, the local workforce development board, the
philanthropic community, and the department of children and families.
AB296, s. 63 1Section 63 . 46.56 (14) (b) (intro.) of the statutes is amended to read:
AB296,35,42 46.56 (14) (b) (intro.) The department shall provide, either directly or through
3purchase of services, the following support services to the counties and tribes that
4elect to participate in the program initiative:
AB296, s. 64 5Section 64 . 46.56 (14) (b) 1. and 3. of the statutes are amended to read:
AB296,35,86 46.56 (14) (b) 1. Consultation in the areas of developing and maintaining
7individual integrated service plans, initiatives and finding appropriate resources,
8and establishing and maintaining local programs
.
AB296,35,129 3. Assessment resources for cases where no local evaluation resource is
10available or sufficient to enable development of an effective integrated service plan
11coordinated services plan of care. These resources may be provided directly through
12state-operated programs or by referral to private service providers.
Note: Sections 63 and 64 modify current requirements for the department of
health services to provide support services to counties and tribes that elect to participate
in the coordinated services team initiative.
AB296, s. 65 13Section 65 . 46.56 (14) (c) (intro.) and 1. of the statutes are amended to read:
AB296,35,1714 46.56 (14) (c) (intro.) The department shall evaluate the programs initiatives
15funded under this section. All organizations participating in the program initiatives
16shall cooperate with the evaluation. The evaluation shall include information about
17all of the following:
AB296,36,218 1. The number of days that children with severe disabilities served in the
19programs
enrolled in the initiative spent in out-of-home placement compared to
20other children with severe disabilities in the target group who are involved in 2 or

1more systems of care and are not enrolled in the initiative and the costs associated
2with these placements
.
AB296, s. 66 3Section 66 . 46.56 (14) (c) 2. of the statutes is repealed.
AB296, s. 67 4Section 67 . 46.56 (14) (c) 3. to 5. of the statutes are amended to read:
AB296,36,75 46.56 (14) (c) 3. A comparison between any changes in problem behaviors of
6participants enrollees before and after participation enrollment in the program
7initiative.
AB296,36,98 4. A comparison between school attendance and performance of participants
9enrollees before and after participation enrollment in the program initiative.
AB296,36,1110 5. A comparison between recidivism rates of participants enrollees who have
11a history of delinquency.
AB296, s. 68 12Section 68 . 46.56 (14) (c) 6. and 7. of the statutes are amended to read:
AB296,36,1313 46.56 (14) (c) 6. Parent and child satisfaction with the program initiative.
AB296,36,1614 7. Types of services provided to children with severe disabilities and their
15families in the program through the integrated service plan initiative and the cost
16of these services.
Note: Sections 65 , 66, 67 , and 68 modify provisions requiring the department of
health services to evaluate initiatives receiving state funding.
AB296, s. 69 17Section 69. 46.56 (14) (c) 8. of the statutes is repealed.
Note: Repeals the provision requiring the department of health services to
evaluate the fulfillment of the terms of the interagency agreements developed by the
coordinating committee.
AB296, s. 70 18Section 70. 46.56 (14) (c) 9. of the statutes is created to read:
AB296,36,1919 46.56 (14) (c) 9. A systems change and sustainability plan under sub. (3) (d) 13.
AB296, s. 71 20Section 71. 46.56 (14) (d) of the statutes is amended to read:
AB296,37,621 46.56 (14) (d) Notwithstanding sub. (1) (c) (intro.) eligibility requirements for
22enrollment in the initiative
, if the state is funding the program initiative in a

1particular county or for a tribe under sub. (15), the department may permit the
2county or tribe to serve under this section any individual who has a severe
3disabilities disability and who has not attained 22 years of age, and his or her family,
4if the individual's mental, physical, sensory, behavioral, emotional , or developmental
5disabilities disability or whose combination of multiple disabilities meets the
6requirements specified in sub. (1) (c) (om) 1. to 4.
Note: Modifies the provision under which the state may permit a county or tribe
receiving state funding to serve an individual who has a severe disability and who has
not attained 22 years of age.
AB296, s. 72 7Section 72. 46.56 (15) (a) and (b) (intro.) of the statutes are amended to read:
AB296,37,138 46.56 (15) (a) From the appropriation account under s. 20.435 (7) (co), the
9department shall make available funds to implement programs. The funds may be
10used to pay for the intake, assessment, case planning and service coordination
11provided under sub. (8) and for expanding the capacity of the county to provide
12community-based care and treatment for children with severe disabilities

13initiatives under this section.
AB296,37,1514 (b) (intro.) In order to apply for funds under this section subsection the county
15board of supervisors or tribe shall do all of the following:
Note: Modifies the provision permitting the department of health services to
provide funds to implement coordinated services initiatives.
AB296, s. 73 16Section 73. 46.56 (15) (b) 1r. of the statutes is created to read:
AB296,37,2017 46.56 (15) (b) 1r. Demonstrate that the coordinating services team approach
18to providing services to children who are involved in 2 or more systems of care and
19families will be followed, and principles and core values, as outlined by the advisory
20committee established by the department, will be adhered to.
Note: Creates an additional requirement for county boards of supervisors or tribes
who apply for funds to implement a coordinated services initiative.
AB296, s. 74 21Section 74. 46.56 (15) (b) 2. to 4. of the statutes are amended to read:
AB296,38,3
146.56 (15) (b) 2. Establish children with severe emotional disturbances to be
2the priority target group to be served by the program initiative as severely
3emotionally disturbed children
.
AB296,38,54 3. Submit a plan to the department for implementation of the integrated
5service program
initiative in accordance with the requirements of this section.
AB296,38,126 4. Submit a description of the existing services and other resources in the
7county or tribe for children with severe disabilities who are involved in 2 or more
8systems of care
, an assessment of any gaps in services, and a plan for using the funds
9received under this program subsection or funds from other funding sources to
10develop or expand any needed community-based services such as in-home
11treatment, treatment foster care, day treatment, respite care or crisis services
the
12initiative
.
Note: Modifies the current requirements for county boards of supervisors or tribes
that apply for funds to implement a coordinated services initiative.
AB296, s. 75 13Section 75. 46.56 (15) (b) 5. of the statutes is created to read:
AB296,38,1414 46.56 (15) (b) 5. Agree to comply with this section.
Note: Creates an additional requirement for county boards of supervisors or tribes
that apply for funds to implement a coordinated services initiative.
AB296, s. 76 15Section 76. 46.56 (15) (c) and (d) of the statutes are amended to read:
AB296,38,2216 46.56 (15) (c) In order for a county or tribe to obtain funds under this section,
17subsection, all of the participating agencies and organizations shall provide
18matching funds that, in total, equal to 20% of the requested funding shall be provided
19by the participating county departments and school districts. All of the participating

20county departments and school districts shall participate in providing the. The
21match, which may be cash or in-kind. The department shall determine what may
22be used as in-kind match.
AB296,39,6
1(d) In order to apply for funding, at least one school district, cooperative
2educational service agency or county children with disabilities education board
3serving children with severe disabilities in the county must participate in the
4program
a county or tribe shall have a coordinating committee that meets the
5requirements under sub. (3) (a) and (b), that will carry out the responsibilities under
6sub. (3) (d)
.
Note: Modifies provisions relating to required matching funds and the
requirement that a county or tribe must have a coordinating committee in order to apply
for funding to implement a coordinated services initiative.
AB296, s. 77 7Section 77. 46.56 (15) (e) of the statutes is repealed.
Note: Repeals the provision under which the coordinating committee and the
administering agency must develop and submit to the department of health services,
during the first year of funding, a set of goals for diverting children with severe
disabilities from placements outside the home and a plan for allocating funding from
institutional services to community-based services for children with severe disabilities.
Further, this provision provides that the coordinating committee and the administering
agency must ensure that any funds saved, during the course of the program, as a result
of the reduced use of institutional care by the target population will be allocated to
community-based services for the target population.
AB296, s. 78 8Section 78. 46.56 (15) (f) of the statutes is amended to read:
AB296,39,129 46.56 (15) (f) Funds allocated under this subsection may not be used to replace
10any other state and federal funds or any county funds that are being used to fund
11services for children with severe disabilities who are involved in 2 or more systems
12of care
.
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