— Guide the development of CSTs working with the child and the child's family
to ensure compliance with the basic principles of the CST initiative's core values.
— Review plans of care.
— Assist the coordinating committee and family teams in establishing consistent
measures for initiative development, implementation, evaluation, and monitoring of the
project and outcomes.
— Facilitate public education and awareness of issues and programming for
families and children.
— Ensure ongoing support and training related to the CST process to families,
service coordinators, and providers.
— Provide support to service providers in developing strategies to enhance
existing programs, to increase resources, and to establish new resources.
— Ensure that local and state agencies submit data and reports in an accurate and
timely manner.
Increases the annual appropriation to the department of health services to
provide grants to counties for CST initiatives by $1,466,000 in general purpose revenue.
SB210, s. 1 1Section 1. 20.435 (7) (co) of the statutes is amended to read:
SB210,4,52 20.435 (7) (co) Integrated service programs for children with severe disabilities
3Initiatives for coordinated services. The amounts in the schedule to fund county
4integrated service programs for children with severe disabilities and tribal
5initiatives under s. 46.56 to provide coordinated services
.
Note: Modifies the integrated service program appropriation to provide funding
for coordinated services for both county and tribal initiatives.
SB210, s. 2 6Section 2. 38.14 (12) of the statutes is amended to read:
SB210,4,137 38.14 (12) Integrated service programs for children with severe disabilities
8Initiatives to provide coordinated services. If the county board of supervisors
9establishes an integrated service program for children with severe disabilities
10initiative to provide coordinated services under s. 59.53 (7), the district board may
11participate in an integrated service program for children with severe disabilities
12under s. 59.53 (7)
the initiative and may enter into written interagency agreements
13or contracts under the program initiative.
Note: Modifies the powers of technical college district boards.
SB210, s. 3 14Section 3. 46.215 (1) (q) of the statutes is amended to read:
SB210,5,5
146.215 (1) (q) If the county board of supervisors establishes an integrated
2service program for children with severe disabilities
initiative to provide coordinated
3services
under s. 59.53 (7), to participate in and administer an integrated service
4program for children with severe disabilities under s. 59.53 (7)
the initiative,
5including entering into any written interagency agreements or contracts.
Note: Modifies the duties of the county department of social services in Milwaukee
County.
SB210, s. 4 6Section 4. 46.22 (1) (b) 1. i. of the statutes is amended to read:
SB210,5,117 46.22 (1) (b) 1. i. If the county board of supervisors establishes an integrated
8service program for children with severe disabilities
initiative to provide coordinated
9services
under s. 59.53 (7), to participate in and administer an integrated service
10program for children with severe disabilities under s. 59.53 (7)
the initiative,
11including entering into any written interagency agreements or contracts.
Note: Modifies the duties of the county department of social services in counties
other than Milwaukee County.
SB210, s. 5 12Section 5 . 46.56 (title) of the statutes is amended to read:
SB210,5,14 1346.56 (title) Integrated service programs Initiatives to provide
14coordinated services
for children with severe disabilities and families.
SB210, s. 6 15Section 6. 46.56 (1) (a) of the statutes is amended to read:
SB210,5,1816 46.56 (1) (a) "Administering agency" means a county department designated
17by the a county board of supervisors or by a tribe to administer the program an
18initiative
.
Note: Modifies the current definition of "administering agency" to include tribes.
SB210, s. 7 19Section 7. 46.56 (1) (ar) of the statutes is created to read:
SB210,5,2020 46.56 (1) (ar) "Advocacy" means all of the following:
SB210,6,4
11. Actively supporting a child who is involved in 2 or more systems of care and
2his or her family under an initiative to enable their receipt of the full benefits of the
3initiative by ensuring that the coordinated services team approach to providing
4services and principles are followed.
SB210,6,75 2. Helping families of a child who is involved in 2 or more systems of care gain
6access to and a voice in the decision making that establishes the child's and family's
7plan of care.
SB210,6,108 3. Fostering strong working relationships among families, systems of care, and
9providers, with the goal of improving the lives of children who are involved in 2 or
10more systems of care and their families.
Note: Creates a definition of "advocacy".
SB210, s. 8 11Section 8. 46.56 (1) (b) of the statutes is amended to read:
SB210,6,1412 46.56 (1) (b) "Agency" means a public, tribal, or private nonprofit organization
13that provides treatment services for children with severe disabilities and their
14families
services and other resources for children and families.
Note: Modifies the definition of "agency" to include public and tribal organizations
and to broaden the description of services and resources provided.
SB210, s. 9 15Section 9. 46.56 (1) (bm) of the statutes is created to read:
SB210,6,1616 46.56 (1) (bm) "Child" means an individual under the age of 18.
Note: Creates a definition of "child".
SB210, s. 10 17Section 10. 46.56 (1) (c) of the statutes is renumbered 46.56 (1) (om), and 46.56
18(1) (om) (intro.), 3. and 4., as renumbered, are amended to read:
SB210,7,219 46.56 (1) (om) (intro.) "Child with severe disabilities Severe disability" means
20an individual who has not attained 18 years of age and whose a mental, physical,
21sensory, behavioral, emotional, or developmental disabilities disability, including

1severe emotional disturbance
, or whose a combination of multiple these disabilities,
2that
meets all of the following conditions:
SB210,7,53 3. Causes substantial limitations in the a child's ability to function in the his
4or her
family, the school, or the community and with the child's his or her ability to
5cope with the ordinary demands of life.
SB210,7,76 4. Causes the a child to need services or other resources from 2 or more service
7systems of care.
Note: Modifies the current definition of "child with severe disabilities" to instead
define "severe disability".
SB210, s. 11 8Section 11. 46.56 (1) (de), (dm) and (ds) of the statutes are created to read:
SB210,7,109 46.56 (1) (de) "Family" means a child's primary caregiver or caregivers and the
10child's siblings.
SB210,7,1311 (dm) "Family resources" means housing, environment, institutions, sources of
12income, services, education, a child's extended family and community relationships,
13and other resources families need to raise their children.
SB210,7,1614 (ds) "Initiative" means a system that is based on the strengths of children and
15their families for providing coordinated services to children who are involved in 2 or
16more systems of care and their families.
Note: Creates definitions of "family", "family resources", and "initiative".
SB210, s. 12 17Section 12. 46.56 (1) (e) of the statutes is amended to read:
SB210,8,218 46.56 (1) (e) "Intake" means the process by which the a service coordination
19agency or individuals designated by the coordinating committee under sub. (3)
20initially screens screen a child with severe disabilities who is involved in 2 or more
21systems of care
and the child's his or her family to see if a complete assessment is
22needed
determine eligibility for an initiative and the process by which the service

1coordination agency determines the need for a comprehensive clinical mental health
2assessment
.
Note: Modifies the definition of "intake".
SB210, s. 13 3Section 13 . 46.56 (1) (f) of the statutes is renumbered 46.56 (1) (ce) and
4amended to read:
SB210,8,85 46.56 (1) (ce) "Integrated Coordinated services" means treatment, education,
6care and support, services, and other resources provided, in a coordinated manner,
7for a child with severe disabilities who is involved in 2 or more systems of care and
8his or her family.
SB210, s. 14 9Section 14 . 46.56 (1) (g) of the statutes is renumbered 46.56 (1) (cm) and
10amended to read:
SB210,8,1411 46.56 (1) (cm) "Integrated service plan Coordinated services plan of care"
12means the a plan for treatment, education and support services under sub. (8) (h) for
13an eligible
a child with severe disabilities who is involved in 2 or more systems of care
14and the child's his or her family under sub. (8) (h).
Note: Sections 13 and 14 modify the current definitions of "integrated services"
and "integrated service plan" to instead define "coordinated services" and "coordinated
services plan of care" and modify those definitions.
SB210, s. 15 15Section 15 . 46.56 (1) (h) of the statutes is amended to read:
SB210,8,2016 46.56 (1) (h) "Interagency agreement" means a written document of
17understanding among service providers and other partner agencies that are
18represented on a coordinating committee under sub. (3)
that identifies mutual
19responsibilities for implementing integrated coordinated services for children with
20severe disabilities
who are involved in 2 or more systems of care and their families.
Note: Modifies the definition of "interagency agreement".
SB210, s. 16
1Section 16. 46.56 (1) (i) (intro.) and 4. of the statutes are consolidated,
2renumbered 46.56 (1) (cs) and amended to read:
SB210,9,103 46.56 (1) (cs) "Interdisciplinary team Coordinated services team" means a
4group of professionals, assembled by the service coordinator, from various service
5systems who meet all of the following criteria: 4. Are providing treatment, education
6or support services to the child with severe disabilities or the child's family, if the
7child or the child's family is receiving any treatment, education or support services

8individuals, including family members, service providers, and informal resource
9persons, who work together to respond to service needs of a child who is involved in
102 or more systems of care and his or her family
.
Note: Modifies the current definition of "interdisciplinary team" to instead define
"coordinated services team" and modifies the definition.
SB210, s. 17 11Section 17. 46.56 (1) (i) 1. to 3. of the statutes are repealed.
Note: Repeals a portion of the definition of "interdisciplinary team".
SB210, s. 18 12Section 18. 46.56 (1) (k) of the statutes is repealed.
Note: Repeals the definition of "program".
SB210, s. 19 13Section 19. 46.56 (1) (L) of the statutes is amended to read:
SB210,9,2214 46.56 (1) (L) "Service coordination" means a case management service that
15coordinates
the coordination of multiple service providers who and family resources
16that
are serving a particular child with severe disabilities who is involved in 2 or
17more systems of care
and the child's his or her family. The term includes
18arrangement for coordination of the assessment process, development of an
19integrated service plan
a coordinated services plan of care based on the strengths and
20needs identified in the
assessment, advocacy for the needs of the child and the child's
21family
, monitoring of the child's progress of the child or his or her family, facilitation
22of periodic reviews of the integrated service plan coordinated services plan of care,

1and coordination and maintenance of clear lines of communication among all service
2family resources providers and, the child, and the child's his or her family.
Note: Modifies the definition of "service coordination".
SB210, s. 20 3Section 20 . 46.56 (1) (m) of the statutes is amended to read:
SB210,10,94 46.56 (1) (m) "Service coordination agency" means a county department, tribe,
5agency, school district, cooperative educational service agency, or county children
6with disabilities education board designated in an interagency agreement by a
7coordinating committee under sub. (3) to provide intake and service coordination for
8one or more target groups of eligible children with severe disabilities who are
9involved in 2 or more systems of care
and their families.
Note: Modifies the definition of "service coordination agency".
SB210, s. 21 10Section 21. 46.56 (1) (n) of the statutes is amended to read:
SB210,10,1611 46.56 (1) (n) "Service coordinator" means an individual who is qualified by
12specialized training and clinical experience with children with severe disabilities
13who are involved in 2 or more systems of care and their families and who is appointed
14by the service coordination agency to provide service coordination of treatment,
15education and support services
for eligible children with severe disabilities and their
16families.
Note: Modifies the definition of "service coordinator".
SB210, s. 22 17Section 22. 46.56 (1) (nm) of the statutes is created to read:
SB210,10,1918 46.56 (1) (nm) "Service provider" means a professional from a system of care
19who meets one or more of the following criteria:
SB210,10,2220 1. Is skilled in providing treatment services, education, and other family
21resources for children who are involved in 2 or more systems of care and their
22families.
SB210,11,2
12. Conducts comprehensive evaluations of the needs of children who are
2involved in 2 or more systems of care and their families for family resources.
SB210,11,53 3. Possesses skills appropriate for and knowledge of the specific types of needs
4or dysfunctions presented by a child who is involved in 2 or more systems of care and
5is undergoing an assessment.
SB210,11,76 4. Is currently providing treatment, education, or other family resources for a
7child who is involved in 2 or more systems of care, a family of such a child, or both.
Note: Creates a definition of "service provider".
SB210, s. 23 8Section 23 . 46.56 (1) (o) of the statutes is renumbered 46.56 (1) (or) and
9amended to read:
SB210,11,1410 46.56 (1) (or) "Service system System of care" means the a public and or private
11organizations organization that provide provides specialized services for children
12with mental, physical, sensory, behavioral, emotional, or developmental disabilities
13or that provide provides child welfare, juvenile justice, educational, economic
14support, alcohol or other drug abuse,
or health care services for children.
Note: Modifies the current definition of "service system" to instead define "system
of care" and modifies the definition.
SB210, s. 24 15Section 24. 46.56 (1) (op) of the statutes is created to read:
SB210,11,1716 46.56 (1) (op) "Severely emotionally disturbed child" has the meaning given in
17s. 49.45 (25) (a).
Note: Defines "severely emotionally disturbed child" using the definition for
medical assistance case management services. Under that definition, a severely
emotionally disturbed child is an individual under 21 years of age who has emotional and
behavioral problems that: (a) are severe in degree; (b) are expected to persist for at least
one year; (c) substantially interfere with the individual's functioning in his or her family,
school or community and with his or her ability to cope with the ordinary demands of life;
and (d) cause the individual to need services from 2 or more agencies or organizations that
provide social services or services or treatment for mental health, juvenile justice, child
welfare, special education or health.
SB210, s. 25 18Section 25. 46.56 (1) (p) of the statutes is amended to read:
SB210,12,3
146.56 (1) (p) "Treatment services" means the individualized social, emotional,
2behavioral and medical services designed to bring about habilitation, rehabilitation
3and appropriate developmental growth of a child with severe disabilities.
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