46.27(1)(dm) (dm) "Respite care" has the meaning given under s. 50.01 (6g).
46.27(1)(dr) (dr) "State-operated long-term care facility" means a state center for the developmentally disabled, the Wisconsin Veterans Home at King and the nursing care facility operated by the department of veterans affairs under s. 45.385.
46.27(1)(e) (e) "Voluntary" means according to a person's free choice, if competent, or by choice of a guardian, if incompetent.
46.27(2) (2)Departmental duties. The department shall:
46.27(2)(b) (b) Coordinate the program with:
46.27(2)(b)1. 1. Discharge planning from hospitals;
46.27(2)(b)2. 2. Periodic on-site inspections of patient care under 42 USC 1396a (a) (31); and
46.27(2)(b)3. 3. The protective service system under ch. 55.
46.27(2)(c) (c) Review and approve or disapprove the selection of a county department or aging unit under sub. (3) (b) to administer the program.
46.27(2)(d) (d) In consultation with representatives of counties, hospitals and nursing homes and with recipients of long-term community support services, develop guidelines for implementing the program and criteria for reviewing community options plans from counties participating in the program. The guidelines and criteria shall address cost-effectiveness, scope, feasibility and impact on the quality and appropriateness of health services and social services and shall provide counties with maximum flexibility to develop programs that address local needs.
46.27(2)(e) (e) Review and approve or disapprove the community options plan of each county participating in the program.
46.27(2)(f) (f) Evaluate the cost-effectiveness of the program, the ability of the program to provide alternatives to institutional care of persons and the reasons why any county department or aging unit administering the program finds that a community arrangement is not feasible under sub. (6) (d).
46.27(2)(g) (g) After December 31, 1985:
46.27(2)(g)1. 1. Require that a county, by use of a form provided by the department or other appropriate procedure, ensure that persons receiving services under this section meet the eligibility requirements for the program.
46.27(2)(g)2. 2. Periodically monitor the implementation of the program.
46.27(2)(h) (h) Promulgate all of the following as rules:
46.27(2)(h)1. 1. Adoption of a long-term community support service fee schedule as part of the uniform fee schedule under s. 46.03 (18) that is substantially similar to the fee calculation schedule existing on January 1, 1985, that was developed as a part of the guidelines required under par. (d).
46.27(2)(h)2. 2. Conditions of hardship under which the department may grant an exception to the requirement of sub. (6r) (c).
46.27(2)(i) (i) Review and approve or disapprove waiver requests under sub. (3) (f), review and approve or disapprove requests for exceptions under sub. (6r) (c) and provide technical assistance to a county that reaches or exceeds the annual allocation limit specified in sub. (3) (f) in order to explore alternative methods of providing long-term community support services for persons who are in group living arrangements in that county.
46.27(2)(j) (j) By January 1, 1997, develop a model contract for use by counties for purchase of long-term community support services for persons who reside in community-based residential facilities. The governor and the joint committee on finance shall approve the model contract before it is implemented.
46.27(2)(k) (k) Review and approve or disapprove the terms of risk reserve escrow accounts created under sub. (7) (fr) and approve or disapprove disbursements for administrative or staff costs from the risk reserve escrow accounts.
46.27(2m) (2m)Reimbursement disallowances. The department may disallow reimbursement under this section for services provided to persons who do not meet the eligibility requirements.
46.27(3) (3)Duties of participating counties. The county board of supervisors of any county participating in the program shall:
46.27(3)(a) (a) Create an interagency long-term support planning committee, with the composition and the duties specified under sub. (4).
46.27(3)(b) (b) Designate one of the following, subject to departmental review and approval, to administer the program:
46.27(3)(b)1. 1. A county department under s. 46.215 or 46.22.
46.27(3)(b)2. 2. A county department under s. 51.42 to which the powers and duties of a county department under s. 51.437 have been transferred under s. 51.437 (4g) (b).
46.27(3)(b)3. 3. A county department under s. 46.23.
46.27(3)(b)4. 4. The director of the county department of human services who is appointed under s. 46.21 (1m).