DHS 68.04(1)(a)(a) Letter of intent. A county board or tribal government may apply to serve as the administering agency by submitting to the department an initial letter of intent that includes all of the following: DHS 68.04(1)(a)2.2. The name and contact information for the responsible contact person. DHS 68.04(1)(a)3.3. A description of the program and services related to dementia that will be provided. DHS 68.04(1)(a)4.4. A description and contact information for any service provider contracted with to provide the program and services described in subd. 3. DHS 68.04(1)(a)5.5. An estimate of the number of households and residents of residential facilities to be served over the next calendar year. DHS 68.04(1)(a)6.6. The maximum amount payable in a calendar year to or on behalf of any person participating in the program and services described in subd. 3. DHS 68.04(1)(a)8.8. Any other information relating to the program’s knowledge of dementia, ability to manage supportive service programs, and its experience in assessing and meeting the needs of persons with dementia and their caregivers. DHS 68.04(1)(b)(b) Exemption. The following are not required to submit letters of intent under par. (a): DHS 68.04(1)(b)1.1. A county board or tribal government that submitted a letter of intent prior to the effective date of this chapter and that served as the administering agency each year following approval by the department. DHS 68.04(1)(b)2.2. A county board, tribal government, or private nonprofit organization that submits an initial letter of intent to the department, receives approval by the department to serve as the administering agency, and continues to serve as the administering agency each year following approval. DHS 68.04(2)(2) Administration by private nonprofit organization. DHS 68.04(2)(a)(a) The department shall solicit letters of intent from private nonprofit organizations, and may approve one or more private nonprofit organizations to administer the program for the following calendar year, if any of the following occur: DHS 68.04(2)(a)1.1. Neither a county agency nor a tribal government submits a letter of intent under sub. (1). DHS 68.04(2)(a)2.2. Both the county agency and tribal government notify the department that they do not intend to administer the program for the following calendar year. DHS 68.04(2)(a)3.3. The department denies approval to administer the program for the following calendar year to the county agency and tribal government that submitted letters of intent under sub. (1) (a) or were exempt from submitting a letter of intent under sub. (1) (b). DHS 68.04(2)(b)(b) A private nonprofit organization may apply to administer the program under par. (a) by submitting to the department an initial letter of intent, as provided in sub. (1) (a). DHS 68.04(3)(a)(a) The department may approve county board, tribal government, or private nonprofit organization to serve as the administering agency as provided in this section, if it determines that the county board, tribal government, or private nonprofit organization is able to administer the program as required under this chapter. DHS 68.04(3)(b)(b) The department may deny approval of a county board, tribal government, or private nonprofit organization to serve as the administering agency for the following calendar year if it determines that the information provided in the letter of intent is incomplete or inaccurate, or the county board, tribal government, or private nonprofit organization is unable to adequately administer the program as provided under this chapter. DHS 68.04(4)(4) Change of administering agency. If a county board or tribal government that is not serving as the administering agency for the program submits a letter of intent to participate under this section, the private nonprofit organization selected by the department to administer the program shall continue to serve as the administering agency for the remainder of the calendar year. DHS 68.04(5)(5) Notification to the department of changes. Pursuant to s. 46.87 (7), Stats., the county board or tribal government or the private nonprofit organization selected under sub. (3) to serve as the administering agency for the program shall notify the department in writing within 15 working days after any of the following occurs: DHS 68.04(5)(a)(a) The county board or tribal government designates a new agency. DHS 68.04(5)(b)(b) The administering agency decides to terminate participation in the program. DHS 68.04(5)(c)(c) The administering agency decides to make a change in the program or services which would result in a substantial difference from the description of the county’s program and services contained in the letter of intent or budget most recently submitted to the department. The administering agency shall notify the department when it does any of the following: DHS 68.04(5)(c)1.1. Contracts with a service provider to develop a new program or expand services.