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DepartmenT of Health Services
Office of Legal Counsel
F-02318 (07/2021)
STATE OF WISCONSIN
WISCONSIN DEPARTMENT OF HEALTH SERVICES
PROPOSED ORDER TO ADOPT PERMANENT RULES
The Wisconsin Department of Health Services proposes an order to: repeal DHS 10.36 (2) (b) and (Note), 10.62 (1) (b) (intro.), 1., and 2., (3) (a) and (b), 82.06 (2m) (Note), 101.03 (7), (30), (78s), (170s), (172s), 102.01 (5) (h), 102.03 (3) (c), 103.03 (1) (f) 5., 103.04 (5) (b) to (e), 103.05 (1) (c) to (e), (5) (a), 103.085 (1) (d) 5., (e) 1., (2), (4) and (5), 103.087 (1) (b) 3., (d) 1. and 2., (e), Table 103.087, 103.09 (3) (a), 103.11 (1) (c) 5. (Note), 107.06 (3) (b) 1., 107.09 (4) (L) and (Note), 107.11 (5) (t), 107.13 (2) (a) 6. and 7., and (b), (3) (a) 4. and 7. and (b), 108.02 (9) (d) 3. b., (11) (a) (Note), (12) (f) 2. and (Note), (15) (a) (Note), 108.03 (4), 116.03 (13), 118.02 (2) (b) and (c), 118.03 (13) and (14), 150, 163 Appendices A to I, 182.03 (8), 251.03 (6); renumber DHS 10.33 (1) (a) to (d), 103.05 (5) (b), 103.11 (1) (d); renumber and amend DHS 10.62 (1) (intro.), 10.62 (3) (intro.), 101.02 (129m), 102.03 (3) (d), 103.03 (2), 103.09 (3) (b), 103.11 (1) (intro.), (1) (a) to (c); consolidate, renumber, and amend DHS 103.04 (5) (title) and (a), 103.087 (1) (d) (title) and 1.; amend DHS 1.065 (1) (b), (3) (intro.), 10.11 (intro.), (1) and (7), 10.12 (8), 10.13 (3), (16), 10.21 (1) (a), 10.23 (3) (a) 2. c., (6) (a) 2. (intro.) and a., 10.31 (1) (a), 10.33 (2) (c) (title), 2. to 5., (d) (title) and (intro.), 10.36 (1) (a) and (b) (intro.), 10.74, 13.05 (4) (c), 40.07 (2) (a) 2., 82.06 (2m), 83.24 (3) (a), 83.30, 89.26 (3) (c) 2., 89.27 (3) (d), 89.29 (1m), 89.32 (12), 89.35 (3), 89.52 (1), 101.03 (1), (6), (8), (15), (17r), (17t), (17w), (20), (23), (38), (41) (intro.), (a), (b), (c) 1. to 6., (52), (65), (94r), (95), (96), (97), (149m), (152m), 102.01 (intro.), (1), (5) (a), (b) (intro.), 1., 2. (intro.), and a. to d., 102.03 (1), (3) (intro.), (a), (b), 102.03 (3) (e), (f), (g), (h), 102.04 (3) (intro.), (a) to (d), 103.01 (1) (a), 103.01 (1) (title), (a), (b) (title), (intro.), 1. and 2., 103.03 (1) (b) 3. and 4., 103.03 (1) (f) (title), (intro.), and 1., 3. (intro.), 5. (intro.), c., 6., 8., (4) (a) 1. and 2., (b), 103.04 (1) (b), (2), (3) (a) and (b), 103.04 (6) (title), (a), and (b), 103.04 (1) (intro.) and (a), 103.06 (15) (a), 103.07 (1) (b) (intro.) and 1., (2) (g), 103.08 (2) (a) 2., (b), (c) 1. to 3., 103.085 (title), (1) (a), (b) 1. to 4., (1) (c), Table 103.085, (d) 1., (e) (intro.) and 2., (f), , (3) (a), (b) (intro.), (c) 1., 103.087 (1) (b) 1. and 2., (c) 1. and 4., (f) 2., (g) 5., (i) 2., 103.09 (3) (c), 103.11 (title), (1) (title), (2) (a) (intro.), (a) 2., (b) to (d), 104.01 (9) (b) 2. g., (12) (a) 1. (intro.) and c. to q., 105.075, 105.34 (intro.), 107.112 (2) (a), 107.113 (2) (intro.) and (a), (3) (a), (4) (f), 107.12 (1) (b), (c), (d) 1. and 2., (e) 1., and (4) (a), 107.24 (2) (c) 1., 4. to 6., 108.02 (9) (d) (title) 1., 2. (intro.) and a. to d., 3. (intro.) and a., c., (10) (intro.) and (a), (b), (c) 1. a. to c., 2., 6., (d), (11) (a), (12) (a) 2., 4., 5., (b) 2. a. to c., (15) (a), 116.02 (2) to (4), 116.03 (11) and (12), 116.04 (1), (2) (a) (intro.) and 1. and 2., (b), (c) (3) (a) and (Note), (4), (5) (c) and (d), 118.02 (2) (a), (e), 118.03 (16) (g) and (h), (25) (intro.) and (a) and (b), and (28) to (30), 118.06 (3) (b) 1. a. (Note), 118.07 (1) (a) to (c), and 118.09 (2) (title) and (b), and (3) (intro.), 124.09 (6) (b), 124.39 (3) (b), 132.13 (4) (intro.), 134.13 (9) (intro.), 134.52 (2) (c), 143.68 (2), 153.02 (17), 163.03 (61), 182.03 (10); repeal and recreate DHS 102.01 (4), (7), 102.04 (1), 103.03 (1) (f) 2., 3. a. and b., 4., 103.04 (7), 103.05 (1) (b), 103.085 (3) (b) 1. to 3., (c) 2., 103.087 (1) (f) 1., 103.09 (2), 103.11 (2) (a) 1., 104.01 (12) (a) 1. a. and b., 107.11 (2), 107.113 (1), 118.03 (11); create DHS 10.11 (1m), 10.13 (14s), 10.23 (6) (a) 2. f. and g., 10.33 (1) (a) and (b), 10.42 (2) (am), 10.43 (2) (k), 101.03 (38m), 101.02 (129m) (a) to (c), 102.03 (1g), (1r), 102.03 (3) (d) 1. and 2., 102.03 (3) (j), 102.035, 102.036, 102.04 (5), 103.01 (1) (c) and (d), 103.01 (3), 103.03 (1) (b) 2m., 103.03 (1) (b) 5. to 8., (f) 2m., 103.03 (1) (f) 3. c. and d., 3m., 4g., 4r., (fm), (2) (a) to (e), (2m), (4) (a) 3. to 5., 103.04 (3) (bg) to (br), (8) (b) 4.,103.085 (1) (b) 5., 103.085 (1) (cm), (3) (c) 3., 103.087 (1) (f) 2., bm., (h) 3. e., 103.09 (3) (b) 1. and 2., 103.11 (1e), (1m), and (1s), (2) (bm), 107.11 (2m), 108.02 (9) (d) 4. to 8., 116.04 (3) (Note 2), 118.03 (10d), (10j), relating to the 2021 biennial review of rules under s. 227.29, Stats.
RULE SUMMARY
Statutes interpreted
Chapters 46, 49, 50, 51, 146, 250, 253, 254, and 256, Stats.
Statutory authority
DHS 1: Sections 46.03 (18), 46.10, and 227.11 (2), Stats.
DHS 13: Sections 146.40 (4g) and (4r), and 227.11 (2), Stats.
DHS 40: Section 51.42 (7) (b) and 227.11 (2), Stats.
DHS 82: Sections 50.02 (2) (am) 1. and 227.11 (2), Stats.
DHS 83: Sections 50.02 (2) and 227.11 (2), Stats.
DHS 89: Sections 50.034 (2) and 227.11 (2), Stats.
DHS 101 to 108: Sections 49.45 (10), 49.665 (4) and (5), and 227.11 (2).
DHS 116: Sections 253.12 (3) (a) and 227.11 (2), Stats.
DHS 118: Sections 256.25 (2) and 227.11 (2), Stats.
DHS 124: Section 50.36 (1), 50.33 (2), and 227.11 (2), Stats.
DHS 132: Sections 49.498 (14), 49.499 (2m), 50.02, 50.03, 50.095 and 50.098, and 227.11 (2), Stats.
DHS 134: Sections 50.02 (2) and (3), and 227.11 (2), Stats.
DHS 150: Sections 250.21 and 227.11 (2), Stats.
DHS 153: Sections 49.685 (8) (c), 49.687 (1), and 227.11 (2), Stats.
DHS 163: Sections 250.04 (7), 250.041, 254.115, 254.15, 254.167, 254.172, 254.176 (1) and (3), 254.178 (2), and 254.179, and 227.11 (2), Stats.
DHS 182: Sections 254.151 and 227.11 (2) Stats.
DHS 251: Sections 49.02 (7m) and 227.11 (2), Stats.
Explanation of agency authority
Under s. 227.29 (1) (a) to (e), Stats., the Department is required to complete an agency review of rules and enactments on a biennial basis and make changes to: unauthorized rules, as defined in s. 227.26 (4) (a), together with a description of the legislation that eliminated the agency's authority to promulgate any such rule; rules for which the authority to promulgate has been restricted, together with a description of the legislation that restricted that authority; rules that are obsolete or that have been rendered unnecessary, together with a description of why those rules are obsolete or have been rendered unnecessary; rules that are duplicative of, superseded by, or in conflict with another rule, a state statute, a federal statute or regulation, or a ruling of a court of competent jurisdiction, together with a citation to or the text of any such statute, regulation, or ruling; or rules that the agency determines are economically burdensome.
Explanation of agency authority for each rule chapter in the proposed rules is as follows:
DHS 1: Chapter DHS 1 interprets s. 46.03 (18), Stats., which directs the Department to establish a uniform system of fees for certain services provided or purchased by the Department or certain county departments. The Department is also directed to make collections, determine ability to pay, enforce or compromise liability and to delegate some of these responsibilities to counties. Chapter DHS 1 is therefore necessary to effectuate the purposes of the interpreted statute and to comply with s. 227.10 (1) and (2m), Stats.
DHS 10: Sections 46.286 (4) to (7), 46.287 (2) (a) 1. (intro.), 46.288, 50.02 (2) (d) direct the Department to implement rules for the family care, which is a Medicaid long-term care program that helps families arrange for appropriate long-term care services for family members for adults with physical or developmental disabilities. The rules include financial eligibility criteria and cost sharing requirements.
DHS 13: Section 140.40 (4g) and (4r), Stats., direct the Department to protect clients served in specified Department-regulated programs by establishing a process for reporting allegations of abuse or neglect of a client or misappropriation of client's property to the Department, establishing a process for the investigation of those allegations and establishing the due process rights of persons who are subjects of the investigations.
DHS 40: Section 51.42 (7) (b), Stats., directs the Department to promulgate rules governing the provision of community mental health services. The Department determines and monitors standards and requirements to administer services for community mental health, developmental disabilities, alcoholism, and drug abuse.
DHS 82: Section 50.02 (2) (am) Stats., directs the Department to establish certification standards for the operation of adult family homes in order to protect and promote the health, safety, and welfare of persons residing in and receiving care and maintenance in those homes.
DHS 83: Section 50.02 (2), Stats., directs the Department to develop and establish regulations and standards for the care, treatment or services, and health, safety, rights, welfare, and comfort of residents in community-based residential facilities.
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