46.278(6)(e)1.b. b. An intermediate care facility for the mentally retarded or a distinct part thereof that has a plan of closure approved by the department and that intends to close within 12 months.
46.278(6)(e)1.c. c. An intermediate care facility for the mentally retarded that has a plan of closure or significant reduction in capacity approved by the department and that intends to close or significantly reduce its capacity within 60 months.
46.278(6)(e)2.a.a. The enhanced reimbursement rate under subd. 1. a. and b. shall be determined under a formula that is developed by the department.
46.278(6)(e)2.b. b. The enhanced reimbursement rate under subd. 1. c. shall be 90% of the enhanced reimbursement rate under this subd. 2. a.
46.278(6)(f) (f) If a county owns the institution or intermediate care facility for the mentally retarded from which an individual is relocated to the community under this section, in order to receive funding under the program, the county shall submit a plan for delicensing a bed of the institution or intermediate care facility for the mentally retarded that is approved by the department.
46.278(7) (7)Report. By July 1 of each year, the department shall submit to the joint committee on finance and to the chief clerk of each house of the legislature, for distribution to the appropriate standing committees under s. 13.172 (3), a report describing the cost and quality of services used under the program and the extent to which existing services have been used under the program in the preceding calendar year.
46.278(8) (8)Effective period. Except as provided under sub. (2), this section takes effect on the date approved by the secretary of the federal department of health and human services as the beginning date of the period of waiver received under sub. (3). This section remains in effect for 3 years following that date and, if the secretary of the federal department of health and human services approves a waiver extension, shall continue an additional 3 years.
46.28 46.28 Revenue bonding for residential facilities.
46.28(1) (1) In this section:
46.28(1)(a) (a) "Authority" means the Wisconsin housing and economic development authority created under ch. 234.
46.28(1)(am) (am) "Child with long-term care needs" means any of the following:
46.28(1)(am)1. 1. A juvenile adjudged delinquent for whom a case disposition is made under s. 938.34.
46.28(1)(am)2. 2. A child found to be in need of protection or services for whom an order is made under s. 48.345 or a juvenile found to be in need of protection or services for whom an order is made under s. 938.345.
46.28(1)(am)3. 3. A child placed under s. 48.63.
46.28(1)(am)4. 4. A child who is eligible under 42 USC 1396a (e) (3).
46.28(1)(b) (b) "Chronically disabled" means any person who is alcoholic, developmentally disabled, drug dependent or mentally ill, as defined in s. 51.01 (1), (5), (8) and (13), or any person who is physically disabled.
46.28(1)(c) (c) "Elderly" means a person 60 years of age or older.
46.28(1)(cg) (cg) "Eligible individual" means an individual who is elderly or chronically disabled, a child with long-term care needs, a homeless individual or a victim of domestic abuse.
46.28(1)(cr) (cr) "Homeless individual" has the meaning given in 42 USC 11302 (a).
46.28(1)(d) (d) "Residential facility" means a living unit for eligible individuals that is developed by a sponsor and that is not physically connected to a nursing home or hospital except by common service units for laundry, kitchen or utility purposes and that may include buildings and grounds for activities related to residence, including congregate meal sites, socialization, physical rehabilitation facilities and child care facilities.
46.28(1)(e) (e) "Sponsor" means any of the following:
46.28(1)(e)1. 1. A nonprofit participating health institution, as defined in s. 231.01 (6).
46.28(1)(e)2. 2. A tribal council or housing authority or any nonprofit entity created by a tribal council.
46.28(1)(e)3. 3. The department.
46.28(1)(e)4. 4. Any county department under s. 46.21, 46.22, 46.23, 51.42 or 51.437.
46.28(1)(e)5. 5. A county commission on aging appointed under s. 46.82 (4) (a).
46.28(1)(e)6. 6. Any housing authority created under s. 59.53 (22), 66.1201, 66.1213 or 66.1335.
46.28(1)(e)7. 7. Any housing corporation, limited-profit or nonprofit entity.
46.28(1)(e)8. 8. Any other entity meeting criteria established by the authority and organized to provide housing for persons and families of low and moderate income.
46.28(1)(e)9. 9. An entity that is operated for profit and that is engaged in providing medical care or residential care or services, including all of the following:
46.28(1)(e)9.a. a. A hospital, as defined in s. 50.33 (2).
46.28(1)(e)9.b. b. A nursing home, as defined in s. 50.01 (3).
46.28(1)(e)9.c. c. A community-based residential facility, as defined in s. 50.01 (1g).
46.28(1)(e)9.d. d. A residential care apartment complex, as defined in s. 50.01 (1d).
46.28(1)(f) (f) "Victim of domestic abuse" means an individual who has encountered domestic abuse, as defined in s. 46.95 (1) (a).
46.28(2) (2) The department may approve any residential facility for financing by the authority if it determines that the residential facility will help meet the housing needs of an eligible individual, based on factors that include:
46.28(2)(a) (a) The geographic location of the residential facility.
46.28(2)(b) (b) The population served by the residential facility.
46.28(2)(c) (c) The services offered by the residential facility.
46.28(3) (3) The department may authorize the authority to issue revenue bonds under s. 234.61 to finance any residential facility it approves under sub. (2).
46.28(4) (4) The department may charge sponsors for administrative costs and expenses it incurs in exercising its powers and duties under this section and under s. 234.61.
46.2805 46.2805 Definitions; long-term care. In ss. 46.2805 to 46.2895:
46.2805(1) (1) "Care management organization" means an entity that is certified as meeting the requirements for a care management organization under s. 46.284 (3) and that has a contract under s. 46.284 (2). "Care management organization" does not mean an entity that contracts with the department to operate one of the following:
46.2805(1)(a) (a) A program of all-inclusive care for persons aged 65 or older authorized under 42 USC 1395 to 1395ggg.
46.2805(1)(b) (b) A demonstration program known as the Wisconsin partnership program under a federal waiver authorized under 42 USC 1315.
46.2805(2) (2) "Eligible person" means a person who meets all eligibility criteria under s. 46.286 (1) or (1m).
46.2805(3) (3) "Enrollee" means a person who is enrolled in a care management organization.
46.2805(4) (4) "Family care benefit" means financial assistance for long-term care and support items for an enrollee.
46.2805(5) (5) "Family care district" means a special purpose district created under s. 46.2895 (1).
46.2805(6) (6) "Family care district board" means the governing board of a family care district.
46.2805(7) (7) "Functional and financial screen" means a screen prescribed by the department that is used to determine functional eligibility under s. 46.286 (1) (a) and financial eligibility under s. 46.286 (1) (b).
46.2805(7m) (7m) "Local long-term care council" means a local long-term care council that is appointed under s. 46.282 (2) (a).
46.2805(8) (8) "Nonprofit organization" has the meaning given in s. 108.02 (19).
46.2805(9) (9) "Older person" means a person who is at least 65 years of age.
46.2805(10) (10) "Resource center" means an entity that meets the standards for operation under s. 46.283 (3) or, if under contract to provide a portion of the services specified under s. 46.283 (3), meets the standards for operation with respect to those services.
46.2805(11) (11) "Tribe or band" means a federally recognized American Indian tribe or band.
46.2805 History History: 1999 a. 9, 185.
46.281 46.281 Powers and duties of the department and the secretary; long-term care.
46.281(1) (1)Duties of the department. The department shall do all of the following:
46.281(1)(a) (a) Provide training to members of the council on long-term care who are aged 65 or older or who have physical or developmental disabilities or their family members, guardians or other advocates, to enable these members to participate in the council's duties.
Effective date note NOTE: Par. (a) is repealed eff. 7-1-01, or the day after publication of the 2001-03 biennial budget act, whichever is later, by 1999 Wis. Act 9.
46.281(1)(b) (b) Provide information to the council on long-term care, including copies of reports submitted to the department by local long-term care councils, and seek recommendations of the council.
Effective date note NOTE: Par. (b) is repealed eff. 7-1-01, or the day after publication of the 2001-03 biennial budget act, whichever is later, by 1999 Wis. Act 9.
46.281(1)(c) (c) Request from the secretary of the federal department of health and human services any waivers of federal medicaid laws necessary to permit the use of federal moneys to provide the family care benefit to recipients of medical assistance. The department shall implement any waiver that is approved and that is consistent with ss. 46.2805 to 46.2895. Regardless of whether a waiver is approved, the department may implement operation of resource centers, care management organizations and the family care benefit.
46.281(1)(d) (d) Before July 1, 2001:
46.281(1)(d)1. 1. Establish, in geographic areas in which resides no more than 29% of the population that is eligible for the family care benefit, a pilot project under which the department may contract with a county, a family care district, a tribe or band or the Great Lakes inter-tribal council, inc., or with any 2 or more of these entities under a joint application, to operate a resource center.
46.281(1)(d)2. 2. In geographic areas in which resides no more than 29% of the population that is eligible for the family care benefit, contract with counties or tribes or bands under a pilot project to demonstrate the ability of counties or tribes or bands to manage all long-term care programs and administer the family care benefit as care management organizations.
46.281(1)(e) (e) After June 30, 2001, if the local long-term care council for the applicable area has developed the initial plan under s. 46.282 (3) (a) 1., contract with entities specified under par. (d) and, only if specifically authorized by the legislature and if the legislature appropriates necessary funding, contract as so authorized with one or more entities in addition to those specified in par. (d) certified as meeting requirements under s. 46.284 (3) for services of the entity as a care management organization and one or more entities for services specified under s. 46.283 (3) and (4).
46.281(1)(f) (f) Prescribe and implement a per person monthly rate structure for costs of the family care benefit.
46.281(1)(g) (g) In order to maintain continuous quality assurance and quality improvement for resource centers and care management organizations, do all of the following:
46.281(1)(g)1. 1. Prescribe by rule and by contract and enforce performance standards for operation of resource centers and care management organizations.
46.281(1)(g)2. 2. Use performance expectations that are related to outcomes for persons in contracting with care management organizations and resource centers.
46.281(1)(g)3. 3. Conduct ongoing evaluations of the long-term care system specified in ss. 46.2805 to 46.2895.
46.281(1)(g)4. 4. Require that quality assurance and quality improvement efforts be included throughout the long-term care system specified in ss. 46.2805 to 46.2895.
46.281(1)(g)5. 5. Ensure that reviews of the quality of management and service delivery of resource centers and care management organizations are conducted by external organizations and make information about specific review results available to the public.
46.281(1)(h) (h) Require by contract that resource centers and care management organizations establish procedures under which an individual who applies for or receives the family care benefit may register a complaint or grievance and procedures for resolving complaints and grievances.
46.281(1)(i) (i) Prescribe criteria to assign priority equitably on any necessary waiting lists for persons who are eligible for the family care benefit but who do not meet the criteria under s. 46.286 (3).
46.281(2) (2)Powers of the department. The department may develop risk-sharing arrangements in contracts with care management organizations, in accordance with applicable state laws and federal statutes and regulations.
46.281(3) (3)Duty of the secretary. The secretary shall certify to each county, hospital, nursing home, community-based residential facility, adult family home and residential care apartment complex the date on which a resource center that serves the area of the county, hospital, nursing home, community-based residential facility, adult family home or residential care apartment complex is first available to provide a functional and financial screen. To facilitate phase-in of services of resource centers, the secretary may certify that the resource center is available for specified groups of eligible individuals or for specified facilities in the county.
46.281 History History: 1999 a. 9.
46.282 46.282 Councils on long-term care.
46.282(1) (1)Council on long-term care. The council on long-term care appointed under s. 15.197 (5) shall do all of the following:
46.282(1)(a) (a) Assist the department in developing broad policy issues related to long-term care services.
46.282(1)(b) (b) Assist the department in developing, implementing, coordinating and guiding long-term care services and systems, including by reviewing and making nonbinding recommendations to the department on all of the following:
46.282(1)(b)1. 1. The department's standard contract provisions for resource centers and care management organizations.
46.282(1)(b)2. 2. The family care benefit, including the per person rate structure for the benefit.
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This is an archival version of the Wis. Stats. database for 1999. See Are the Statutes on this Website Official?