46.56(1)(om)
(om) "Severe disability" means a mental, physical, sensory, behavioral, emotional, or developmental disability, including severe emotional disturbance, or a combination of these disabilities, that meets all of the following conditions:
46.56(1)(om)2.
2. Has persisted for at least one year or is expected to persist for at least one year.
46.56(1)(om)3.
3. Causes substantial limitations in a child's ability to function in his or her family, school, or community and with his or her ability to cope with the ordinary demands of life.
46.56(1)(om)4.
4. Causes a child to need services or other resources from 2 or more systems of care.
46.56(1)(or)
(or) "System of care" means a public or private organization that provides specialized services for children with mental, physical, sensory, behavioral, emotional, or developmental disabilities or that provides child welfare, juvenile justice, educational, economic support, alcohol or other drug abuse, or health care services for children.
46.56(1)(p)
(p) "Treatment services" means the individualized social, emotional, behavioral and medical services designed to bring about habilitation, rehabilitation and appropriate developmental growth of a child.
46.56(1)(q)
(q) "Tribe" means a federally recognized American Indian tribe or band in this state.
46.56(2)
(2) Coordinating committee; administering agency; initiative funding. 46.56(2)(a)(a) Except as provided in
par. (b), if a county board of supervisors or the Milwaukee County mental health board establishes an initiative under
s. 59.53 (7) or if a tribe establishes an initiative, the county board, Milwaukee County mental health board, or tribe shall appoint a coordinating committee and designate an administering agency. The initiative may be funded by the county or tribe or the county board of supervisors, Milwaukee County mental health board, or tribe may apply for funding by the state in accordance with
sub. (15).
46.56(2)(b)
(b) A county may enter into an agreement with one or more other counties or tribes to establish an initiative and a tribe may enter into an agreement with one or more counties or tribes to establish an initiative. The parties to the agreement shall designate in the agreement a single lead administrative county or lead administrative tribe. The county board of the lead administrative county, the Milwaukee County mental health board, if Milwaukee County is the lead administrative county, or the lead administrative tribe shall appoint a coordinating committee and designate an administering agency. The initiative may be funded by the participating entities, or the county board of supervisors of the lead administrative county, the Milwaukee County mental health board, if Milwaukee County is the lead administrative county, or the lead administrative tribe may apply for funding by the state in accordance with
sub. (15).
46.56(3)(a)(a) The coordinating committee shall include representatives from all of the following:
46.56(3)(a)1.
1. The county department responsible for child welfare and protection services or, for an initiative established by a tribe, the tribal agency responsible for child welfare and protection services.
46.56(3)(a)2.
2. The county department responsible for mental health and alcohol and drug abuse services for children and families or, for an initiative established by a tribe, the tribal agency responsible for these services.
46.56(3)(a)3.
3. The county department responsible for providing services for children who have developmental disability or, for an initiative established by a tribe, the tribal agency responsible for providing these services.
46.56(3)(a)4.
4. The family support program under
s. 46.985 if the county or tribe has a family support program.
46.56(3)(a)5.
5. The juvenile court administrator or another representative appointed by the judge responsible for cases heard under
chs. 48 and
938 or, for an initiative established by a tribe, a representative of the tribal court.
46.56(3)(a)6.
6. The largest school district in the county and any cooperative educational service agency, if it provides special education in the county, or any county children with disabilities education board in the county, and any other school district in the county that is willing to participate in the initiative, at the discretion of the administering agency. For an initiative established by a tribe, the coordinating committee shall include a representative of the school district serving the majority of pupils who reside on the reservation of the tribe or on trust lands held for the tribe and any cooperative educational service agency providing special education services to these pupils.
46.56(3)(a)7.
7. At least 2 parents, or the number that equals 25% of the coordinating committee's membership, whichever is greater, of children who are involved in 2 or more systems of care.
46.56(3)(a)8.
8. The agency responsible for economic support programs.
46.56(3)(b)
(b) The coordinating committee may include any of the following:
46.56(3)(b)1.
1. Representatives of the vocational rehabilitation office that provides services to the county or, for an initiative established by a tribe, that provides services to the tribe.
46.56(3)(b)2.
2. Representatives of a technical college district that is located in the county or, for an initiative established by a tribe, that serves members of the tribe.
46.56(3)(b)4.
4. Representatives of health maintenance organizations that are operating in the county or, for an initiative established by a tribe, are serving members of the tribe.
46.56(3)(b)5.
5. Representatives of law enforcement agencies that are located in the county or, for an initiative established by a tribe, are representatives of a tribal law enforcement agency.
46.56(3)(b)7.
7. Representatives of agencies that are located in the county or, for an initiative established by a tribe, are serving members of the tribe.
46.56(3)(b)9.
9. Representatives of a vocational and technical school.
46.56(3)(b)11.
11. Representatives of the county board or, in Milwaukee County, the Milwaukee County mental health board or, for an initiative established by a tribe, representatives of the elected governing body of the tribe.
46.56(3)(b)12.
12. Representatives of the regional offices of the department.
46.56(3)(b)13.
13. Representatives of the local faith-based community.
46.56(3)(b)15.
15. Representatives of economic support agencies and the Wisconsin Works agency under
subch. III of ch. 49, if a different agency.
46.56(3)(b)16.
16. Representatives of vocational rehabilitation programs.
46.56(3)(bm)1.1. The coordinating committee of a multi-entity initiative shall include representatives described under
par. (a) 1. to
7. who are from any county or tribe included in the multi-entity initiative, except that, of the representatives described under
par. (a) 1. to
7., the committee shall include at least one representative from each county or tribe included in the initiative.
46.56(3)(bm)2.
2. For purposes of a coordinating committee appointed for a multi-entity initiative, a representative under
par. (b) 1.,
2.,
4.,
5.,
6.,
7., and
11. may be from any county or tribe included in the multi-entity initiative.
46.56(3)(c)
(c) An existing committee within the county may serve as the coordinating committee if it has the membership required under
par. (a) and agrees to undertake the responsibilities in
par. (d).
46.56(3)(d)3.
3. Oversee the development and implementation of the initiative.
46.56(3)(d)4.
4. Prepare one or more interagency agreements in accordance with
sub. (5) that all participatory organizations in the initiative agree to follow in creating and operating an initiative.
46.56(3)(d)5.
5. Assess how the initiative relates to other service coordination programs operating at the county, tribal, or local level and take steps to work with the other service coordination programs and to avoid duplication of activities, services, and resources.
46.56(3)(d)6.
6. If a county or tribe or a multi-entity initiative applies for funding under
sub. (15), assist the administering agency in developing the application required under
sub. (15) (b).
46.56(3)(d)7.
7. Review determinations by the service coordination agency regarding eligibility for assessment, appropriate family resources, or funding of services, at the request of any applicant, recipient, parent of a child who is involved in 2 or more systems of care, or participating county department or tribal agency, school district, cooperative educational service agency, or county children with disabilities education board. The coordinating committee shall adopt written procedures for conducting reviews.
46.56(3)(d)8.
8. Establish operational policies and procedures, such as referral and screening procedures, a conflict management policy, and a flexible funding policy, and ensure that the policies and procedures are monitored and adhered to.
46.56(3)(d)9.
9. Ensure quality, including adherence to core values as adopted by the state advisory committee established under
sub. (14) (a).
46.56(3)(d)10.
10. Develop a plan for orientation of new coordinating committee members and coordinated services team members to the coordinated services team approach to providing services to a child and his or her family.
46.56(3)(d)11.
11. Identify and address gaps in services for children and families who are enrolled in the initiative.
46.56(3)(d)12.
12. Ensure client and partner agency satisfaction through performance of a client and partner agency satisfaction survey.
46.56(3)(d)13.
13. Plan for sustainability of the system change started by the initiative beginning in the first year of any funding received for the initiative and thereafter by acting as a consortium to pursue additional funding for the initiative through grants from the state or federal government or private foundations; maintaining formal collaborative agency relationships; including families in the process by emphasizing rights and advocacy; addressing funding and issues related to providing matching funds required under
sub. (15) (c); and recommending a plan for realized savings from substitute care budgets to be reinvested in community-based care.
46.56(3)(d)14.
14. Establish target groups of children who are involved in 2 or more systems of care and their families to be served by the initiative. For a county or tribe or a multi-entity initiative that applies for funding under
sub. (15), severely emotionally disturbed children are required to be a priority target group.
46.56(3)(d)15.
15. Distribute information about the availability and operation of the initiative to the general public and to public or private service providers who might seek to make referrals to the initiative.
46.56(3)(e)
(e) The coordinating committee may direct the initiative coordinator or another person to do any of the following:
46.56(3)(e)1.
1. Maintain data of enrollments in the initiative and results of screening.
46.56(3)(e)2.
2. Establish and report monitoring and evaluation results.
46.56(3)(e)3.
3. Monitor, or ensure proper monitoring by the appropriate entity of, targeted case management and in-home services provided under the Medical Assistance Program, under
subch. IV of ch. 49, including record-keeping and billing processes.
46.56(3)(e)4.
4. Assist in developing and maintaining additional funding sources, including collaborative efforts with system partners.
46.56(3)(e)5.
5. Assist in the development and implementation of advocacy for families.
46.56(3)(f)
(f) This subsection does not apply with respect to multi-entity initiatives to the extent that the department has adopted requirements under
sub. (14) (e) that conflict with those contained in this subsection.
46.56(4)
(4) Role of administering agency. Except when otherwise provided in requirements established by the department under
sub. (14) (e) that apply with respect to multi-entity initiatives, the administering agency designated under
sub. (2) shall do all of the following:
46.56(4)(a)
(a) Assist the coordinating committee in overseeing the development and implementation of the initiative and designate the staff needed for the initiative.
46.56(4)(b)
(b) Assist the coordinating committee in drafting and executing interagency agreements and any other policies and procedures necessary for the start-up and operation of the initiative.
46.56(4)(c)
(c) Assist the coordinating committee in distributing information about the availability and operation of the initiative to the general public and to public or private service providers who might seek to make referrals to the initiative.
46.56(4)(d)
(d) If the county board of supervisors, Milwaukee County mental health board, or tribe or a multi-entity initiative decides to seek state funding under
sub. (15), develop the application in cooperation with the coordinating committee.
46.56(4)(e)
(e) Undertake such other activities in compliance with other statutes, rules, department guidelines, interagency agreements, and the directions of the coordinating committee as are necessary to ensure the effective and efficient operation of the initiative.
46.56(5)
(5) Interagency agreement. Except when otherwise provided in requirements established by the department under
sub. (14) (e) that apply with respect to multi-entity initiatives, an interagency agreement shall include all of the following:
46.56(5)(a)
(a) The identity of every county department, tribal agency, agency, school district, cooperative educational service agency, county children with disabilities education board, technical college district, or other organization that will participate in the initiative.
46.56(5)(b)
(b) The identification of services and resources that the participating organizations will commit to the initiative or will seek to obtain, including joint funding of services and resources and funding for the qualified staff needed to support the initiative, such as by cash or contribution of in-kind services and resources as determined by the department under
sub. (15) (c). This identification shall specify the roles and responsibilities of the coordinated services team and the coordinating committee.
46.56(5)(c)
(c) The designation of service coordination agencies.
46.56(5)(d)
(d) The identification of any group of children who will be targeted for services and resources through the initiative.
46.56(5)(e)
(e) The procedures for outreach, referral, intake, assessment, case planning, and service coordination that the initiative will use.
46.56(5)(f)
(f) The specific criteria, based on
sub. (7), that will be used for deciding whether a child and his or her family are eligible for services and resources through the initiative.
46.56(5)(g)
(g) The procedures to be followed to obtain any required authorizations for sharing of confidential information among organizations providing treatment, services, education, and other resources to a child and his or her family.
46.56(5)(h)
(h) The procedures that will be used for managing conflicts among service providers or coordinated services team members or between a child or his or her family and service providers.
46.56(5)(i)
(i) The methods that will be used to measure initiative effectiveness, including satisfaction of a child and his or her family, and for revising the operation of the initiative in light of evaluation results.
46.56(5)(j)
(j) The mission and core values of the initiative.
46.56(5)(k)
(k) Expectations for organizations represented on the coordinating committee under
sub. (3), including provision of the funding match required under
sub. (15) (c).
46.56(6)
(6) Roles of service coordination agency, service coordinator, initiative coordinator, and coordinated services team. 46.56(6)(a)(a) One or more service coordination agencies may participate under the initiative. The organizations and the target groups that are to be served shall be identified in the interagency agreement under
sub. (5). All of the following applies to a service coordination agency:
46.56(6)(a)1.
1. The service coordination agency shall be selected based on its experience in providing services and resources.
46.56(6)(a)2.
2. The service coordination agency shall do all of the following:
46.56(6)(a)2.a.
a. Identify a specific individual to act as service coordinator for each child who is enrolled in the initiative and his or her family to facilitate the implementation of the coordinated services plan of care.
46.56(6)(a)2.b.
b. Provide or arrange for intake, assessment, development of the plan of care, and service coordination under
sub. (8).
46.56(6)(a)2.c.
c. Act as a source for information about other services and resources for children who are involved in 2 or more systems of care and their families who are not eligible for the initiative, if the coordinating committee determines that the service coordination agency can provide the information without interfering with the primary purpose of the initiative.
