46.27(3)(e)
(e) Except as provided in
sub. (3g), after implementing the program for 12 months and within the limits of state and federal funds allocated under
sub. (7), provide noninstitutional community alternatives for a significant number of persons in each of the groups listed in
sub. (4) (a) 1. and eligible under
sub. (6). The department shall determine what constitutes a "significant number of persons" for each participating county, based on county size and on the statewide proportion of persons from each group receiving medical assistance in a nursing home, and, beginning on January 1, 1994, shall annually adjust each determination to reflect changes in the state population of eligible persons and to reflect purposes for which increased funds, if any, are appropriated by the legislature for the program. If a county fails to meet the "significant number of persons" requirement under this paragraph, all of the following apply:
46.27(3)(e)1.
1. For a county with an annual allocation for provision of long-term community support services under
sub. (7) (b) that exceeds $185,000, the department shall, unless the department finds that an emergency or unusual circumstance exists, designate a portion of the county's allocation for increased service in each calendar year that the county fails to meet the requirement, to one or more of the groups specified under
sub. (4) (a) 1. a. to
e.
46.27(3)(e)2.
2. For a county with an annual allocation for provision of long-term community support services under
sub. (7) (b) that is $185,000 or less, the department may designate a portion of the county's allocation for increased service in each calendar year that the county fails to meet the requirement, to one or more of the groups specified under
sub. (4) (a) 1. a. to
e.
46.27(3)(f)
(f) Beginning on January 1, 1996, from the annual allocation to the county for the provision of long-term community support services under
subs. (7) (b) and
(11), annually establish a maximum total amount that may be encumbered in a calendar year for services for eligible individuals in community-based residential facilities, unless the department waives the requirement under
sub. (2) (i) or approves a request for an exception under
sub. (6r) (c).
46.27(3)(h)
(h) Identify the service needs of persons with Alzheimer's disease and of their caregivers.
46.27(3g)
(3g) Waiver of requirements. The department may waive requirements under
sub. (3) (e) for a county if the county is able to demonstrate one of the following:
46.27(3g)(a)
(a) That the county has disproportionately lengthy waiting lists for services under
sub. (7) or under
sub. (11) for one or more of the groups listed in
sub. (4) (a) 1.
46.27(3g)(b)
(b) That demographic or other data indicate that the county's population is significantly at variance with the statewide proportion of persons from each group listed in
sub. (4) (a) 1. receiving medical assistance in a nursing home.
46.27(3m)
(3m) Powers and duties of a private nonprofit agency. A private nonprofit agency with which the department contracts for service under
sub. (11) (c) 5. shall have the powers and duties under this section of a county department designated under
sub. (3) (b) to administer the program.
46.27(4)(a)(a) The county board of supervisors shall select the county long-term support planning committee, which shall include at a minimum the following members:
46.27(4)(a)1.
1. At least 5 persons receiving long-term community support services, each of whom represents one of the following groups:
46.27(4)(a)6.
6. One representative of the county commission on aging.
46.27(4)(am)
(am) If a local long-term care council in a county assumes under
s. 46.282 (3) (b) the duties of the county long-term support planning committee under this subsection, the county long-term support planning committee for the county is dissolved.
46.27(4)(c)
(c) The planning committee shall develop, or, if a local long-term care council has under
s. 46.282 (3) (b) assumed the duties of the planning committee, the local long-term care council shall recommend a community options plan for participation in the program. The plan shall include:
46.27(4)(c)1.
1. A description of the county's proposed program, including the estimated numbers of persons to be assessed and the procedures to be used in performing assessments.
46.27(4)(c)2.
2. A description of the services available and the services to be developed or expanded as alternatives to institutional care under this program.
46.27(4)(c)3.
3. A description of the procedures to be used to coordinate the program with other county agencies, hospitals, nursing homes and providers of community support services.
46.27(4)(c)5.
5. A description of the method to be used by the committee or, if a local long-term care council has under
s. 46.282 (3) (b) assumed the duties of the planning committee, the local long-term care council to monitor the implementation of the program.
46.27(4)(c)6.
6. A description of outreach procedures to be used to ensure that significant numbers of people from each group listed in
sub. (3) (e) will be served by the program.
46.27(4)(c)7.
7. A description of services and programs to be provided to meet the needs of persons with Alzheimer's disease.
46.27(4)(c)8.
8. If a pilot project under
s. 46.281 (1) (d) is established in the county, a description of how the activities of the pilot project relate to and are coordinated with the county's proposed program.
46.27(5)
(5) County department or aging unit duties. The county department or aging unit selected to administer the program shall:
46.27(5)(am)
(am) Organize assessment activities specified in
sub. (6). The county department or aging unit shall utilize persons for each assessment who can determine the needs of the person being assessed and who know the availability within the county of services alternative to placement in a nursing home. If any hospital patient is referred to a nursing home for admission, these persons shall work with the hospital discharge planner in performing the activities specified in
sub. (6). The county department or aging unit shall coordinate the involvement of representatives from the county departments under
ss. 46.215,
46.22,
51.42 and
51.437, health service providers and the county commission on aging in the assessment activities specified in
sub. (6), as well as the person being assessed and members of the person's family or the person's guardian. This paragraph does not apply to a county department or aging unit in a county where a pilot project under
s. 46.281 (1) (d) is established.
46.27(5)(b)
(b) Within the limits of state and federal funds allocated under
sub. (7), arrange service contracts under
s. 46.036 and ensure the provision of necessary long-term community support services for each person who meets the criteria specified in
sub. (6) (b). No county department or aging unit may use funds allocated under
sub. (7) (b) to provide services in any community-based residential facility unless the county department or aging unit uses as a service contract the approved model contract developed under
sub. (2) (j) or a contract that includes all of the provisions of the approved model contract.
46.27(5)(c)
(c) Within the limits of state and federal funds allocated under
sub. (7), provide for ongoing care management services in accordance with the requirements established under
sub. (6d) (a) 1., periodic case plan review and follow-up services for any person receiving long-term community support services under
sub. (6) (b).
46.27(5)(d)
(d) Determine, under
sub. (6u), the cost-sharing obligations, if any, for all persons who meet the criteria specified in
sub. (6) (b) and are applying for or receiving long-term community support services that are funded under
sub. (7) or
(11).
46.27(5)(e)
(e) Within the limits of state and federal funds allocated under
sub. (7) and in accordance with the county's plan for gradual implementation and the requirements under
sub. (6) (a) 3., apply the program to any person residing in a nursing home who wants to be assessed and to receive long-term community support services, and coordinate the program with the protective services system under
ch. 55.
46.27(5)(h)
(h) Within the limits of state and federal funds allocated under
sub. (7) and in accordance with the county's plan for gradual implementation, apply the program to any person who has been diagnosed by a physician as having Alzheimer's disease, who meets the level of care requirements under
sub. (6r) (b) 4. and who wants to be assessed and to receive long-term community support services.
46.27(5)(i)
(i) In the instances in which an individual who is provided long-term community support services under
par. (b) for which the individual receives direct funding, serve directly as a fiscal agent or contract with a fiscal intermediary to serve as a fiscal agent for that individual for the purposes of performing the responsibilities and protecting the interests of the individual under the unemployment insurance law. The county department or aging unit may elect to act as a fiscal agent or contract with a fiscal intermediary to serve as a fiscal agent for an individual who is provided long-term support services under
s. 46.275,
46.277,
46.278,
46.495,
51.42 or
51.437. The fiscal agent under this paragraph is responsible for remitting any federal unemployment compensation taxes or state unemployment insurance contributions owed by the individual, including any interest and penalties which are owed by the individual; for serving as the representative of the individual in any investigation, meeting, hearing or appeal involving
ch. 108 or the federal unemployment tax act (
26 USC 3301 to
3311) in which the individual is a party; and for receiving, reviewing, completing and returning all forms, reports and other documents required under
ch. 108 or the federal unemployment tax act on behalf of the individual. An individual may make an informed, knowing and voluntary election to waive the right to a fiscal agent. The waiver may be as to all or any portion of the fiscal agent's responsibilities. The waiver may be rescinded in whole or in part at any time.
46.27(6)(a)1.1. Within the limits of state and federal funds allocated under
sub. (7) and within the limits of fees collected, an assessment shall be conducted for any person identified in
sub. (5) (e) or who is seeking admission to or is about to be admitted to a nursing home. A fee may be charged, unless prohibited, for the assessment.
46.27(6)(a)1m.
1m. Each assessment shall determine the person's functional abilities, disabilities and need for medical and social long-term community support services. Each assessment shall include an investigation of long-term community support services that could serve as alternatives to institutional care in a nursing home. The assessment shall include an explanation of the potential community alternatives to the person being assessed and the person's family or guardian.
46.27(6)(a)2.a.
a. Any person or facility that is excluded because of gradual implementation of the program under
sub. (3) (c).
46.27(6)(a)2.b.
b. Emergency admissions, as determined by a physician, but shall be applied within 10 days of admission.
46.27(6)(a)2.c.
c. Private pay patients seeking admission to or about to be admitted to a facility under
subd. 1. who are informed about the program but waive the assessment, unless the patient will be eligible for medical assistance within 6 months of assessment.
46.27(6)(a)2.cm.
cm. Persons under
subd. 1. seeking admission to or about to be admitted to the Wisconsin Veterans Home at King or to the nursing care facility operated by the department of veterans affairs under
s. 45.385 who are informed about the program but waive the assessment.
46.27(6)(a)2.d.
d. Any person who is readmitted to a nursing home from a hospital within 6 months after being assessed.
46.27(6)(a)2.e.
e. Current residents of a nursing home who are eligible for an assessment under
sub. (5) (e) and
subd. 3., but who waive the assessment.
46.27(6)(a)2.f.
f. A person who enters a nursing home for recuperative care.
46.27(6)(a)2.h.
h. A person who is admitted to a nursing home from another nursing home, unless the person requests an assessment and funds allocated for assessments under
sub. (7) (am) are available to the county.
46.27(6)(a)3.
3. In each participating county, except in counties where a pilot project under
s. 46.281 (1) (d) is established, assessments shall be conducted for those persons and in accordance with the procedures described in the county's community options plan. The county may elect to establish assessment priorities for persons in target groups identified by the county in its plan regarding gradual implementation. If a person who is already admitted to a nursing home requests an assessment and if funds allocated for assessments under
sub. (7) (am) are available, the county shall conduct the assessment.
46.27(6)(b)
(b) Within the limits of state and federal funds allocated under
sub. (7) and within the limits of fees collected unless prohibited, a community services case plan shall be developed for any person with chronic disabilities:
46.27(6)(b)2.
2. For whom noninstitutional community services are feasible, financially viable and preferred by the person or the person's guardian. In this subdivision, noninstitutional community services are financially viable if they can be financed by state or federal funds allocated under
sub. (7).
46.27(6)(c)
(c) The amount of any fee charged for conduct of an assessment under
par. (a) or for development of a case plan under
par. (b) shall be in accordance with a sliding scale formula established by the department by rule under
sub. (12) (c). A fee may not be charged if prohibited under
42 USC 1396 to
1396v or under regulations under
42 USC 1396 to
1396v.
46.27(6)(d)
(d) If the county, through an assessment, determines that a community arrangement is not feasible, the county department or aging unit administering the program shall explain the reasons to the person and his or her family or guardian. The county department or aging unit administering the program shall maintain records sufficient to provide the county long-term support planning committee and the department with a periodic review of the reasons community arrangements were not feasible in order to assist future program planning.
46.27(6)(e)
(e) The department shall encourage counties to use public health nurses who meet the requirements of
s. 250.06 (1) to conduct assessments under this subsection.
46.27(6d)(a)(a) The department, after consulting with representatives of counties, hospitals, and individuals who receive services under this section, shall do all of the following:
46.27(6d)(a)1.
1. Establish minimum requirements for the provision of care management services, as defined by the department, including standards for care, times for performance of duties, and size of caseloads.
46.27(6d)(a)2.
2. Specify a reasonable schedule for phasing in the requirements established under
subd. 1.
46.27(6d)(a)3.
3. Provide technical consultation and assistance to the administrator of the program, as designated under
sub. (3) (b), with respect to the requirements established under
subd. 1.
46.27(6d)(b)
(b) The department need not promulgate as rules under
ch. 227 the requirements under
par. (a) 1. or the schedule under
par. (a) 2.
46.27(6g)
(6g) Fiscal responsibility. Except as provided in
s. 51.40, and within the limitations under
sub. (7) (b), the fiscal responsibility of a county for an assessment, unless the assessment is performed by an entity under
s. 46.281 (1) (d), case plan or services provided to a person under this section is as follows:
46.27(6g)(a)
(a) For a person seeking admission to or about to be admitted to a nursing home, the county in which the person has residence is the county of fiscal responsibility.
46.27(6g)(b)
(b) For a person residing in a nursing home, except a state-operated long-term care facility, the county in which the nursing home is located is the county of fiscal responsibility.
46.27(6g)(c)
(c) For a person living in a nursing home, except a state-operated long-term care facility, whose legal residence is established in another county, the county in which the legal residence is established is the county of fiscal responsibility.
46.27(6g)(d)
(d) For a person residing in a state-operated long-term care facility, or for a person protectively placed under
ch. 55, the county in which the person has residence before he or she enters the state-operated long-term care facility or is protectively placed is the county of fiscal responsibility.
46.27(6r)
(6r) Eligibility. No county may use funds received under
sub. (7) (b) to pay for long-term community support services provided to any of the following:
46.27(6r)(a)
(a) A person who is initially eligible for services under
sub. (7) (b), for whom home and community-based services are available under
sub. (11) or
s. 46.275,
46.277 or
46.278 that require less total expenditure of state funds than do comparable services under
sub. (7) (b) and who is eligible for and offered the home and community-based services under
sub. (11) or
s. 46.275,
46.277 or
46.278, but who declines the offer, except that a county may use funds received under
sub. (7) (b) to pay for long-term community support services for the person for a period of up to 90 days during which an application for services under
sub. (11) or
s. 46.275,
46.277 or
46.278 for the person is processed.
46.27(6r)(b)
(b) A person who initially receives services under this section after December 31, 1985, unless one of the following applies:
46.27(6r)(b)1.
1. The person meets the level of care requirements under
s. 49.45 (6m) (i) for reimbursement of nursing home care under the medical assistance program.
46.27(6r)(b)2.
2. The person has chronic mental illness, as defined under
s. 51.01 (3g), affecting mental health to the extent that long-term or repeated hospitalization is likely unless the person receives long-term community support services.
46.27(6r)(b)3.
3. The person receives medical assistance, resides in a nursing home immediately prior to receiving services under this section and is identified through the inspection of patient care under
42 USC 1396a (a) (31) as a person for whom community care is appropriate.
46.27(6r)(b)4.
4. The person has been diagnosed by a physician as having Alzheimer's disease and requires a level of care equivalent to either of the following:
46.27(6r)(b)4.a.
a. Noninstitutional personal care, including personal assistance, supervision and protection, and periodic medical services and consultation with a registered nurse, or periodic observation and consultation for physical, emotional, social or restorative needs, but not regular nursing care.
46.27(6r)(b)4.b.
b. Care, including social services and activity therapy, in a residential facility under the daily supervision of a licensed nurse with consultation from a registered nurse at least 4 hours per week.
46.27(6r)(c)
(c) A person who resides or intends to reside in a community-based residential facility and who is initially applying for long-term community support services, if the projected cost of services for the person, plus the cost of services for existing participants, would cause the county to exceed the limitation under
sub. (3) (f), unless the department grants an exception to the requirement under this paragraph, under the conditions specified by rule, to avoid hardship to the person.
46.27(6r)(e)
(e) A person who has not resided in this state for at least 180 consecutive days before applying for or receiving long-term community support services that are funded under
sub. (7) (b).
46.27(6r)(f)
(f) A person who has attained the age of 18 but has not attained the age of 65 unless that person is engaged in gainful employment or participating in a program that is certified by the department to provide health and employment services that are aimed at helping the individual achieve employment goals. The department may waive this paragraph for any individual for whom its application would cause undue hardship.
46.27(6u)
(6u) Financial eligibility and cost-sharing requirements. 46.27(6u)(b)
(b) The county department or aging unit selected to administer the program shall require all persons applying for long-term community support services that are funded under
sub. (7) or
(11) and, annually, all persons receiving the services to provide the following information:
46.27(6u)(b)1.
1. For persons applying for or receiving services under
sub. (7), a declaration of assets, on a form prescribed by the department. The declaration shall include any assets that the person applying for or receiving the services, or his or her spouse, has, after August 12, 1993, transferred to another for less than fair market value at any time within the 36-month period, or with respect to payments from a trust or portions of a trust that would be treated as assets transferred by an individual under
s. 49.454 (2) (c) or
(3) (b), within the 60-month period, immediately before the date of the declaration.
