AB150-engrossed, s. 2232 Section 2232. 46.27 (11) (c) 7. of the statutes is created to read:

AB150-engrossed,795,15 46.27 (11) (c) 7. A county may use funds received under this subsection to provide supportive, personal or nursing services, as defined in rules promulgated under s. 49.45 (2) (a) 23., to a person who resides in a certified assisted living facility, as defined in s. 50.01 (1d). Funding of the services may not exceed 85% of the statewide medical assistance daily cost of nursing home care, as determined by the department.

AB150-engrossed, s. 2233 Section 2233. 46.27 (11) (c) 8. of the statutes is created to read:

AB150-engrossed,795,21 46.27 (11) (c) 8. No county, private nonprofit agency or aging unit may use funds received under this subsection to provide services in any community-based residential facility unless the county, agency 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.

AB150-engrossed, s. 2234m Section 2234m. 46.27 (11g) of the statutes is created to read:

AB150-engrossed,796,2 46.27 (11g) Report. Beginning January 1, 1997, and every January 1 thereafter, the department shall submit a report to the joint committee on finance and to the appropriate standing committees under s. 13.172 (3), summarizing the data collected for the state and for individual counties under the program in the calendar year ending immediately before the preceding calendar year.

AB150-engrossed, s. 2235g Section 2235g. 46.27 (12) (c) of the statutes is created to read:

AB150-engrossed,796,7 46.27 (12) (c) A sliding scale formula for a fee chargeable for conduct of an assessment under sub. (6) (a) or for development of a case plan under sub. (6) (b) that is based on the person's ability to pay, unless prohibited from payment under 42 USC 1396 to 1396v or under regulations under 42 USC 1396 to 1396v.

AB150-engrossed, s. 2236 Section 2236. 46.275 (1m) (a) of the statutes is amended to read:

AB150-engrossed,796,10 46.275 (1m) (a) "Medical assistance" means aid provided under ss. 49.43 to 49.47 subch. IV of ch. 49, except s. 49.468.

AB150-engrossed, s. 2240 Section 2240. 46.275 (5) (b) 2. of the statutes is amended to read:

AB150-engrossed,796,16 46.275 (5) (b) 2. Reduce federal, state or county matching expenditures for long-term community support services provided to any person as part of this program from funds allocated under s. 46.495 (1) (d), 46.80 (5), 46.85 (3m) (b) 1. and 2., 49.52 (1) (d) or 51.423, as indicated in the county's budget or by actual expenditures.

AB150-engrossed, s. 2244 Section 2244. 46.277 (1m) (a) of the statutes is amended to read:

AB150-engrossed,796,19 46.277 (1m) (a) "Medical assistance" means aid provided under ss. 49.43 to 49.47 subch. IV of ch. 49, except s. 49.468.

AB150-engrossed, s. 2245 Section 2245. 46.277 (1m) (b) of the statutes is amended to read:

AB150-engrossed,796,23 46.277 (1m) (b) "Program" means the community integration program for facilities certified as medical assistance providers, for which a waiver has been received under sub. (2).

AB150-engrossed, s. 2247 Section 2247. 46.277 (2) (e) of the statutes is created to read:

AB150-engrossed,797,6 46.277 (2) (e) Review and approve or disapprove waiver requests under sub. (3) (c), review and approve or disapprove requests for exceptions under sub. (5) (d) 3. and provide technical assistance to a county that reaches or exceeds the annual allocation limit specified in sub. (3) (c) in order to explore alternative methods of providing long-term community support services for persons who are in group living arrangements in that county.

AB150-engrossed, s. 2248 Section 2248. 46.277 (3) (a) of the statutes is amended to read:

AB150-engrossed,797,16 46.277 (3) (a) Sections 46.27 (3) (b) and 46.275 (3) (a) and (c) to (e) apply to county participation in this program, except that services provided in the program shall substitute for care provided a person in a skilled nursing facility or intermediate care facility who meets the level of care requirements for medical assistance reimbursement to that facility rather than for care provided at a state center for the developmentally disabled. The number of persons who receive services provided by the program under this paragraph may not exceed the number of nursing home beds, other than beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and approved by the department.

AB150-engrossed, s. 2249 Section 2249. 46.277 (3) (b) 2. of the statutes is amended to read:

AB150-engrossed,797,23 46.277 (3) (b) 2. Each county department participating in the program shall provide home or community-based care to persons eligible under this section, except that the number of persons who receive home or community-based care under this section may not exceed the number of nursing home beds, other than beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and approved by the department.

AB150-engrossed, s. 2250 Section 2250. 46.277 (3) (c) of the statutes is created to read:

AB150-engrossed,798,10 46.277 (3) (c) Beginning on January 1, 1996, from the annual allocation to the county for the provision of long-term community support services under sub. (5), annually establish a maximum total amount, not to exceed 25% of the annual allocation, that may be encumbered in a calendar year for services for eligible individuals in community-based residential facilities. If the total amount that is encumbered for services for individuals in community-based residential facilities who are receiving services under sub. (5) on January 1, 1996, exceeds 25% of the county's annual allocation, a county may request a waiver of the requirement under this paragraph from the department. The department need not promulgate as rules under ch. 227 the standards for granting a waiver request under this paragraph.

AB150-engrossed, s. 2251 Section 2251. 46.277 (4) (a) of the statutes is amended to read:

AB150-engrossed,798,19 46.277 (4) (a) Any medical assistance recipient who meets the level of care requirements for medical assistance reimbursement in a skilled nursing facility or intermediate care facility is eligible to participate in the program, except that the number of participants may not exceed the number of nursing home beds , other than beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and approved by the department. Such a recipient may apply, or any person may apply on behalf of such a recipient, for participation in the program. Section 46.275 (4) (b) applies to participation in the program.

AB150-engrossed, s. 2253 Section 2253. 46.277 (4) (b) of the statutes is amended to read:

AB150-engrossed,799,3 46.277 (4) (b) To the extent authorized under 42 USC 1396n, if a person discontinues participation in the program, a medical assistance recipient may participate in the program in place of the participant who discontinues if that recipient meets the level of care requirements for medical assistance reimbursement in a skilled nursing facility or intermediate care facility, except that the number of participants may not exceed the number of nursing home beds , other than beds specified in sub. (5g) (b), that are delicensed as part of a plan submitted by the facility and approved by the department.

AB150-engrossed, s. 2254 Section 2254. 46.277 (5) (d) 3. of the statutes is created to read: