DHS 10.44(2)(c)(c) The CMO shall employ or contract with a sufficient number of case management personnel to ensure that enrollees’ services continue to meet their needs.
DHS 10.44(2)(d)(d) The CMO shall provide the opportunity for enrollees to manage service and support funds, as provided under sub. (6). For enrollees managing service funding under sub. (6), the role of the case management team in providing assistance in planning, arranging, managing and monitoring the enrollee’s budget and services shall be negotiated between the enrollee and the case management team and at a level tailored to the enrollee’s need and desire for assistance. At a minimum, the case management team’s role shall include:
DHS 10.44(2)(d)1.1. An initial assessment sufficient to provide information necessary to establish an individual budget amount and to identify health and safety issues.
DHS 10.44(2)(d)2.2. Monitoring the enrollee’s use of the individual budget amount for purchase of services or support items.
DHS 10.44(2)(d)3.3. Monitoring the health and safety of the enrollee.
DHS 10.44(2)(d)4.4. Monitoring to ensure the enrollee reports service utilization adequately to allow the CMO to meet federal and state reporting requirements.
DHS 10.44(2)(e)(e) The CMO shall use assessment protocols that include a face-to-face interview with the enrollee and that comprehensively assess and identify all of the following:
DHS 10.44(2)(e)1.1. The needs and strengths of each enrollee in at least the following areas:
DHS 10.44(2)(e)1.a.a. Activities of daily living and instrumental activities of daily living.
DHS 10.44(2)(e)1.b.b. Physical health and medical needs.
DHS 10.44(2)(e)1.c.c. Nutrition.
DHS 10.44(2)(e)1.d.d. Autonomy and self-determination.
DHS 10.44(2)(e)1.e.e. Communication.
DHS 10.44(2)(e)1.f.f. Mental health and cognition.
DHS 10.44(2)(e)1.g.g. Presence of, and opportunities for enhancing, informal supports.
DHS 10.44(2)(e)1.h.h. Understanding and exercising rights and responsibilities.
DHS 10.44(2)(e)1.i.i. Community integration.
DHS 10.44(2)(e)1.j.j. Safety.
DHS 10.44(2)(e)1.k.k. Personal values.
DHS 10.44(2)(e)1.L.L. Education and vocational activities, including any needs for job development, job modifications, and ongoing support on the job.
DHS 10.44(2)(e)1.m.m. Economic resources.
DHS 10.44(2)(e)1.n.n. Religious affiliations, if any.
DHS 10.44(2)(e)2.2. Long-term care outcomes that are consistent with the values and preferences of the enrollee in at least the following areas:
DHS 10.44(2)(e)2.a.a. Safety.
DHS 10.44(2)(e)2.b.b. Best possible health.
DHS 10.44(2)(e)2.c.c. Self-determination of daily routine, services, activities and living situation.
DHS 10.44(2)(e)2.d.d. Privacy.
DHS 10.44(2)(e)2.e.e. Respect.
DHS 10.44(2)(e)2.f.f. Independence.