3. For each level of care received, divide the number determined under subd. 1. by the amount determined under subd. 2. Each result equals the ratio of patient days for a level of care.
4. Identify the bed capacity.
5. To determine an occupancy rate, divide the average number of members in a home for the last reported fiscal year by the bed capacity identified under subd. 4.
6. For each level of care, multiply the bed capacity identified under subd. 4. by the amount identified under subd. 5. Multiply that total by 365. Multiply that total by the amount identified under subd. 3. for the corresponding level of care. Each result equals the projected patient days for a level of care.
7. Add together all the projected patient days identified under subd. 6. for each level of care. The result equals the total number of projected patient days.
8. For each level of care, multiply the total number of projected patient days determined under subd. 6. by the corresponding case mix weight provided by the department of health. Each result equals the weighted patient days for a level of care.
9. Add together all the weighted patient days for each level of care. The result equals the total number of weighted patient days.
10. For each level of care, divide the amount determined under subd. 8. by the amount determined under subd. 9. Each result equals the weighted patient day ratio for a level of care.
11. For each level of care, multiply the amount determined under subd. 10. by the direct care costs. Each result is the allowable direct care cost for a level of care.
12. For each level of care, divide the amount determined under subd. 11. by the amount determined under subd. 8. Then multiply it by the corresponding case mix weight. Each result equals the daily direct care cost for a level of care.
13. Divide the indirect care costs as determined by the department for the home and divide it by the total number of projected patient days determined under subd. 7. Each result equals the daily indirect care cost for a level of care.
14. Add together the amounts calculated under subds. 12. and 13. The result equals the projected private pay rate for a level of care.
Note: See Appendix for illustration depicting the formula used to calculate the private pay rate.
(b) Rate reduction. When applicable, the department shall reduce the daily rate of pay by the amount of the per diem reimbursement paid on behalf of a member by the USDVA.
SECTION 6. VA 6.01 (17) is repealed.
SECTION 7. VA 6.02 (2) and (5), 6.03 (1), (6), and (9), 6.04 (8) and (14), and 6.05 (5) and (9), and 6.06 (2) are amended to read:
VA 6.02 (2) Keep a record of each member of the home which will include that includes information establishing eligibility for admission, date of admission, personal and financial data, and period of membership.
(5) Designate as deputies such employees as may be necessary to assist in enforcing upon the grounds of the home the laws of the state of Wisconsin and the rules and regulations governing the home,. and for such purposes, the The commandant and the deputies shall have all the powers of constables authority to evict and ban persons within or upon the grounds of a veteran home who behave in a disorderly manner or pose a safety risk.
6.03 (1) Driver’s license required. No person may operate any motor vehicle on any roadway or driveway or in any parking lot of a home unless the person holds a valid and current operator’s license or unless he or she the person is exempt from the requirement that an operator’s license be held in order to operate a motor vehicle on the highways of this state. No person may operate a motor vehicle, other than an authorized maintenance motor vehicle, anywhere on the grounds of a home except on a roadway or driveway or in a parking lot. Members using power wheelchairs are exempt from the requirements of this subsection.
(6) Wildlife molestation disturbance prohibited. The removal, destruction, disturbance, or molestation harassment of any wildlife within the boundaries of the grounds of a home is prohibited except as may be authorized by the commandant.
(9) Canvassing, peddling, and soliciting. Canvassing, peddling, or soliciting is prohibited on the grounds or in the buildings of a home, except that the commandant may authorize home posts, and chapters, and auxiliaries of veterans organizations and their auxiliaries to conduct fundraising activities at designated times and places, and to solicit membership. A commandant of a home may authorize and establish conditions for solicitations at the home by other charitable organizations.
6.04 (8) Borrowing prohibited. A member shall may not borrow from nor loan money to another member.
(14) Gift of property by a member. A gift of property by a member of a home shall be invalid unless physical possession of the property is transferred to the donee recipient at the time the gift is made and the property is removed from the premises of the home before the death of the member. A gift of property by a member during the member’s lifetime with the understanding that the member may retain physical possession of the property until the member’s death or a gift of property which that is to take effect upon the death of the member donor is invalid.
6.05 (5) Honorable discharge. A member of a home may receive an honorable discharge from membership at the home upon application, provided that he or she the member has paid all money due the home and has accounted for all property issued that is not suitable for reissue, that no disciplinary action has been currently imposed or is pending against the member, and that he or she the member is able to exercise sound judgment in planning and providing for his or her the member’s own physical welfare. When a member requires special living or travel facilities or is unable to exercise sound judgment in planning for his or her the member’s own physical welfare, the commandant of the home may refer the request for discharge to the county veterans service officer in the member’s home county for assistance and may delay granting an honorable discharge until proper facilities for his or her the member’s care and travel are assured.
(9) Leaves of absence, medical. Leaves of absence from a home will be granted to veteran members while undergoing treatment in a veterans administration USDVA hospital or in another authorized hospital and to non-veteran members while in any hospital or sanatorium away from the home. This leave shall may not be charged to the 60-day annual allowance.
6.06 (2) Member treatment. In case of If an alleged neglect or ill treatment of a member occurs by an employee other than the commandant, a complaint shall be made in writing to the commandant. If against the commandant, the complaint shall be made in writing to the secretary.
Appendix
A-6.01 (16) (a) Formula for calculating the private pay rate. The information contained in this appendix is for illustration purposes only. The arrowed illustrations correspond to the numbering under s. VA 6.01 (16) (a) 1. to 14. Wisconsin Veterans Home Private Pay Rate Calculation Example
[Note to LRB: See attached PDF for full illustration.]
SECTION 9. Effective date. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats. (END OF RULE TEXT)
This Proposed Order of the Department of Veteran Affairs is approved for submission to the Governor and Legislature.
Dated ________________________________ Agency ______________________________________
Mary M. Kolar, Secretary
Department of Veterans Affairs
