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a. A county that has acted under sub. (2) (a).
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b. A county in which the Family Care Program under s. 46.286 is available.
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c. A county in which the Program of All-Inclusive Care for the Elderly under
1342 USC 1396u-4 is available.
AB900,27,1614d. A county in which the self-directed services option program under
42 USC
151396n (c) is available or in which a program operated under an amendment to the
16state medical assistance plan under
42 USC 1396n (j) is available.
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2. Self-directs all or part of his or her home care services and is an employer
18listed on the provider's income tax forms.
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3. Is eligible to receive a home care benefit under one of the following:
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a. The Family Care Program under s. 46.286.
AB900,27,2121b. The Program of All-Inclusive Care for the Elderly, under
42 USC 1396u-4.
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c. A program operated under a waiver from the secretary of the federal
23department of health and human services under
42 USC 1396n (c) or
42 USC 1396n 24(b) and (c) or the self-directed services option operated under
42 USC 1396n (c).
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1d. A program operated under an amendment to the state medical assistance
2plan under
42 USC 1396n (j).
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(dm) "Home care" means supportive home care, personal care, and other
4nonprofessional services of a type that may be covered under a medical assistance
5waiver under
42 USC 1396n (c) and that are provided to individuals to assist them
6in meeting their daily living needs, ensuring adequate functioning in their homes,
7and permitting safe access to their communities.
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(e) "Provider" means an individual who is hired by a consumer to provide home
9care to the consumer but does not include any of the following:
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1. A person, while he or she is providing services in the capacity of an employee
11of any of the following entities:
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a. A home health agency licensed under s. 50.49.
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b. A personal care provider agency.
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c. A company or agency providing supportive home care.
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d. An independent living center, as defined in s. 46.96 (1) (ah).
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e. A county agency or department under s. 46.215, 46.22, 46.23, 51.42, or
1751.437.
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2. A health care provider, as defined in s. 146.997 (1) (d), acting in his or her
19professional capacity.
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(f) "Qualified provider" means a provider who meets the qualifications for
21payment through the Family Care Program under s. 46.286, the Program for
22All-Inclusive Care for the Elderly operated under
42 USC 1396u-4, an amendment
23to the state medical assistance plan under
42 USC 1396n (j), or a medical assistance
24waiver program operated under a waiver from the secretary of the federal
25department of health and human services under
42 USC 1396n (c) or
42 USC 1396n
1(b) and (c) and any qualification criteria established in the rules promulgated under
2sub. (7) and who the authority determines is eligible for placement on the registry
3maintained by the authority under s. 52.20 (1).
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4(2) County participation. (a) A county board of supervisors may require a
5county department under s. 46.215, 46.22, 46.23, 51.42, or 51.437 to follow
6procedures under this section and to pay providers in accordance with agreements
7under subch. V of ch. 111.
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(b) If a county acts under par. (a), it shall notify the department and the
9authority of its action.
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(c) A county that acts under par. (a) shall compensate providers in accordance
11with any agreement under subch. V of ch. 111 and make any payroll deductions
12authorized by such agreements.
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13(4) Duties of home care payors. Care management organizations, the state,
14and counties, as described in sub. (1) (cm) 1. a. to d., that pay for the provision of home
15care services to consumers shall provide to the authority the name, address,
16telephone number, date of hire, and date of termination of any provider hired by an
17individual receiving home care services.
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18(5) Duties of consumers. A consumer shall do all of the following:
AB900,29,2119
(a) Inform the authority of the name, address, telephone number, date of hire,
20and date of termination of any provider hired by the consumer to provide home care
21services.
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(b) Compensate providers in accordance with any collective bargaining
23agreement that applies to home care providers under subch. V of ch. 111 and make
24any payroll deductions authorized by the agreement.
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1(6) Providers. (a) A qualified provider providing home care services under this
2section shall be subject to the collective bargaining agreement that applies to home
3care providers under subch. V of ch. 111.
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(b) A qualified provider may choose to be placed on the registry maintained by
5the authority under s. 52.20 (1).
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6(7) Department rule making. The department may promulgate rules defining
7terms, specifying which services constitute home care, establishing the qualification
8criteria that apply under sub. (1) (f), and establishing procedures for implementation
9of this section.
AB900,65
10Section
65. 46.48 (9m) of the statutes is created to read:
AB900,30,1411
46.48
(9m) Quality home care. The department shall award a grant to the
12Wisconsin Quality Home Care Authority for the purpose of providing services to
13recipients and providers of home care under s. 46.2898 and ch. 52 and may award
14grants to counties to facilitate transition to procedures established under s. 46.2898.
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15Section
66. 49.825 (3) (b) 4. of the statutes is created to read:
AB900,30,2116
49.825
(3) (b) 4. The department may enter into a memorandum of
17understanding, as described in s. 111.70 (3m), with the certified representative of the
18county employees performing services under this section for the unit. If there is a
19dispute as to hours or conditions of employment that remains between the
20department and the certified representative after a good faith effort to resolve it, the
21department may unilaterally resolve the dispute.
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22Section
67. 49.826 (3) (b) 4. of the statutes is created to read:
AB900,31,323
49.826
(3) (b) 4. The department may enter into a memorandum of
24understanding, as described in s. 111.70 (3p), with the certified representative of the
25county employees performing services under this section in the county for the unit.
1If there is a dispute as to hours or conditions of employment that remains between
2the department and the certified representative after a good faith effort to resolve
3it, the department may unilaterally resolve the dispute.
AB900,68
4Section
68. Chapter 52 of the statutes is created to read:
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QUALITY HOME CARE
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752.01 Definitions. In this chapter:
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8(1) "Authority" means the Wisconsin Quality Home Care Authority.
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9(2) "Board" means the board of directors of the authority.
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10(3) "Care management organization" has the meaning given in s. 46.2805 (1).
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11(3m) "Consumer" has the meaning given in s. 46.2898 (1) (cm).
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12(4) "Department" means the department of health services.
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13(5) "Family Care Program" means the benefit program described in s. 46.286.
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14(6) "Home care provider" means an individual who is a qualified provider under
15s. 46.2898 (1) (f).
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16(7) "Medical assistance waiver program" means a program operated under a
17waiver from the secretary of the federal department of health and human services
18under
42 USC 1396n (c) or
42 USC 1396n (b) and (c).
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19(8) "Program of All-Inclusive Care for the Elderly" means the program
20operated under
42 USC 1396u-4.
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2152.05 Creation and organization of authority. (1) Creation and
22membership of board. There is created a public body corporate and politic to be
23known as the "Wisconsin Quality Home Care Authority." The members of the board
24shall consist of the following members:
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(a) The secretary of the department of health services or his or her designee.
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1(b) The secretary of the department of workforce development or his or her
2designee.
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(c) The following, to be appointed by the governor to serve 3-year terms:
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1. One representative from the state assembly.
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2. One representative from the state senate.
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3. One representative of care management organizations.
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4. One representative of county departments, under s. 46.215, 46.22, 46.23,
851.42, or 51.437, selected from counties where the Family Care Program is not
9available.
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5. One representative of the board for people with developmental disabilities.
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6. One representative of the council on physical disabilities.
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7. One representative of the council on mental health.
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8. One representative of the board on aging and long-term care.
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9. Eleven individuals, each of whom is a current or former recipient of home
15care services through the Family Care Program or a medical assistance waiver
16program or an advocate for or representative of consumers of home care services.
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17(3) Chairperson. Annually, the governor shall appoint one member of the
18board to serve as the chairperson.
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19(4) Executive committee. (a) The board shall elect an executive committee.
20The executive committee shall consist of the chair of the board, the secretary of the
21department of health services or his or her designee, the secretary of the department
22of workforce development or his or her designee, and 3 persons selected from board
23members appointed under sub. (1) (c) 9.
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(b) The executive committee may do the following:
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11. Hire an executive director who is not a member of the board and serves at
2the pleasure of the board.
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2. Hire employees to carry out the duties of the authority.
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3. Engage in contracts for services to carry out the duties of the authority.
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5(5) Terms. The terms of members of the board appointed under sub. (1) (c) shall
6expire on July 1.
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7(6) Quorum. A majority of the members of the board constitutes a quorum for
8the purpose of conducting its business and exercising its powers and for all other
9purposes, notwithstanding the existence of any vacancies. Action may be taken by
10the board upon a vote of a majority of the members present. Meetings of the members
11of the board may be held anywhere within the state.
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12(7) Vacancies. Each member of the board shall hold office until a successor is
13appointed and qualified unless the member vacates or is removed from his or her
14office. A member who serves as a result of holding another office or position vacates
15his or her office as a member when he or she vacates the other office or position. A
16member who ceases to qualify for office vacates his or her office. A vacancy on the
17board shall be filled in the same manner as the original appointment to the board for
18the remainder of the unexpired term, if any.
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19(8) Compensation. The members of the board are not entitled to compensation
20for the performance of their duties. The authority may reimburse members of the
21board for actual and necessary expenses incurred in the discharge of their official
22duties as provided by the board.
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23(9) Employment of board member. It is not a conflict of interest for a board
24member to engage in private or public employment or in a profession or business,
25except to the extent prohibited by law, while serving as a member of the board.
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152.10 Powers of authority. The authority shall have all the powers
2necessary or convenient to carry out the purposes and provisions of this chapter and
3s. 46.2898. In addition to all other powers granted the authority under this chapter,
4the authority may:
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5(1) Adopt policies and procedures to govern its proceedings and to carry out its
6duties as specified in this chapter.
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7(2) Employ, appoint, engage, compensate, transfer, or discharge necessary
8personnel.
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9(3) Make or enter into contracts, including contracts for the provision of legal
10or accounting services.
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11(4) Award grants for the purposes set forth in this chapter.
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12(5) Buy, lease, or sell real or personal property.
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13(6) Sue and be sued.
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14(7) Accept gifts, grants, or assistance funds and use them for the purposes of
15this chapter.
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16(8) Collect fees for its services.
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1752.20 Duties of authority. The authority shall:
AB900,34,20
18(1) Establish and maintain a registry of eligible home care providers who
19choose to be on the registry for purposes of employment by consumers and provide
20referral services for consumers in need of home care services.
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21(2) Determine the eligibility of individuals for placement on the registry. For
22purposes of determining eligibility, the authority shall apply the criteria described
23in s. 46.2898 (1) (f), including any qualifying criteria established by the department
24under s. 46.2898 (7). The authority shall also develop an appeal process for denial
25of placement on or removal of a provider from the registry consistent with the terms
1of the medical assistance waiver programs, the Family Care Program, an
2amendment to the state medical assistance plan under
42 USC 1396n (j), or the
3Program of All-Inclusive Care for the Elderly, as determined by the department.
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4(3) Comply with any conditions necessary for consumers receiving home care
5services to receive federal medical assistance funding through a medical assistance
6waiver program, the Family Care Program, an amendment to the state medical
7assistance plan under
42 USC 1396n (j), or the Program of All-Inclusive Care for the
8Elderly.
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9(4) Develop and operate recruitment and retention programs to expand the
10pool of home care providers qualified and available to provide home care services to
11consumers.
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12(5) Maintain a list of home care providers included in a collective bargaining
13unit under s. 111.825 (2g) and provide the list of home care providers to the
14department at the department's request.
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15(6) Notify home care providers providing home care services of any procedures
16for remaining a qualified provider under s. 46.2898 (1) (f) set forth by the department
17or the authority.