This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
SB59-SSA1,476 22Section 476 . 46.287 (2) (a) 1. d. of the statutes is renumbered 46.287 (2) (a) 1m.
23b.
SB59-SSA1,477 24Section 477 . 46.287 (2) (a) 1. e. of the statutes is repealed.
SB59-SSA1,478 25Section 478 . 46.287 (2) (a) 1. f. of the statutes is repealed.
SB59-SSA1,479
1Section 479. 46.287 (2) (a) 1m. of the statutes is created to read:
SB59-SSA1,302,82 46.287 (2) (a) 1m. Except as provided in subd. 2., a client may contest any of
3the following adverse benefit determinations by filing, within 90 days of the failure
4of a care management organization to act on a contested adverse benefit
5determination within the time frames specified by rule by the department or within
690 days after receipt of notice of a decision upholding the adverse benefit
7determination, a written request for a hearing under s. 227.44 to the division of
8hearings and appeals created under s. 15.103 (1):
SB59-SSA1,302,129 a. Denial of functional eligibility under s. 46.286 (1) as a result of the care
10management organization's administration of the long-term care functional screen,
11including a change from a nursing home level of care to a non-nursing home level
12of care.
SB59-SSA1,302,1513 c. Denial or limited authorization of a requested service, including
14determinations based on type or level of service, requirements or medical necessity,
15appropriateness, setting, or effectiveness of a covered benefit.
SB59-SSA1,302,1816 d. Reduction, suspension, or termination of a previously authorized service,
17unless the service was only authorized for a limited amount or duration and that
18amount or duration has been completed.
SB59-SSA1,302,1919 e. Denial, in whole or in part, of payment for a service.
SB59-SSA1,302,2220 f. The failure of a care management organization to act within the time frames
21provided in 42 CFR 438.408 (b) (1) and (2) regarding the standard resolution of
22grievances and appeals.
SB59-SSA1,302,2523 g. Denial of an enrollee's request to dispute financial liability, including
24copayments, premiums, deductibles, coinsurance, other cost sharing, and other
25member financial liabilities.
SB59-SSA1,303,3
1h. Denial of an enrollee, who is a resident of a rural area with only one care
2management organization, to obtain services outside the care management
3organization's network of contracted providers.
SB59-SSA1,303,94 i. Development of a plan of care that is unacceptable to the enrollee because the
5plan of care requires the enrollee to live in a place that is unacceptable to the enrollee;
6the plan of care does not provide sufficient care, treatment, or support to meet the
7enrollee's needs and support the enrollee's identified outcomes; or the plan of care
8requires the enrollee to accept care, treatment, or support that is unnecessarily
9restrictive or unwanted by the enrollee.
SB59-SSA1,303,1010 j. Involuntary disenrollment from the care management organization.
SB59-SSA1,480 11Section 480 . 46.287 (2) (b) of the statutes is amended to read:
SB59-SSA1,303,2012 46.287 (2) (b) An enrollee may contest a decision, omission or action of a care
13management organization other than those specified in par. (a), or may contest the
14choice of service provider. In these instances, the enrollee shall first send a written
15request for review by the unit of the department that monitors care management
16organization contracts. This unit shall review and attempt to resolve the dispute.
171m. by filing a grievance with the care management organization. If the dispute
18grievance is not resolved to the satisfaction of the enrollee, he or she may request
19a hearing under the procedures specified in par. (a) 1. (intro.) that the department
20review the decision of the care management organization
.
SB59-SSA1,481 21Section 481 . 46.288 (2) (intro.) of the statutes is renumbered 46.288 (2) and
22amended to read:
SB59-SSA1,304,323 46.288 (2) Criteria and procedures for determining functional eligibility under
24s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost sharing under
25s. 46.286 (2) (a). The rules for determining functional eligibility under s. 46.286 (1)

1(a) 1m. shall be substantially similar to eligibility criteria for receipt of the long-term
2support community options program under s. 46.27. Rules under this subsection
3shall include definitions of the following terms applicable to s. 46.286:
SB59-SSA1,482 4Section 482 . 46.288 (2) (d) to (j) of the statutes are repealed.
SB59-SSA1,483 5Section 483 . 46.2896 (1) (a) of the statutes is amended to read:
SB59-SSA1,304,96 46.2896 (1) (a) “Long-term care program" means the long-term care program
7under s. 46.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing
8the benefit under s. 46.286; the Family Care Partnership program; or the long-term
9care program defined in s. 46.2899 (1).
SB59-SSA1,484 10Section 484 . 46.536 of the statutes is amended to read:
SB59-SSA1,304,18 1146.536 Mobile crisis team Crisis program enhancement grants. From
12the appropriation under s. 20.435 (5) (cf), the department shall award grants in the
13total amount of $250,000 in each fiscal biennium to counties or regions comprised of
14multiple counties to establish certified or enhance crisis programs that create mental
15health mobile crisis teams
to serve individuals having mental health crises in rural
16areas. The department shall award a grant under this section in an amount equal
17to one-half the amount of money the county or region provides to establish certified
18or enhance crisis programs that create mobile crisis teams.
SB59-SSA1,485 19Section 485 . 46.82 (3) (a) 13. of the statutes is repealed.
SB59-SSA1,488 20Section 488 . 47.07 of the statutes is created to read:
SB59-SSA1,304,23 2147.07 Project SEARCH. (1) The department shall allocate for each fiscal
22year at least $250,000 from the appropriation under s. 20.445 (1) (b) for contracts
23entered into under this section.
SB59-SSA1,305,3
1(2) The department may enter into contracts to provide services to persons with
2disabilities under the Project SEARCH program operated by the Cincinnati
3Children's Hospital or its successor organization.
SB59-SSA1,491 4Section 491 . 48.02 (14m) of the statutes is created to read:
SB59-SSA1,305,75 48.02 (14m) “Qualifying residential family-based treatment facility” means a
6certified residential family-based alcohol or drug abuse treatment facility that
7meets all of the following criteria:
SB59-SSA1,305,108 (a) The treatment facility provides, as part of the treatment for substance
9abuse, parenting skills training, parent education, and individual and family
10counseling.
SB59-SSA1,305,1611 (b) The substance abuse treatment, parenting skills training, parent
12education, and individual and family counseling is provided under an organizational
13structure and treatment framework that involves understanding, recognizing, and
14responding to the effects of all types of trauma and in accordance with recognized
15principles of a trauma-informed approach and trauma-specific interventions to
16address the consequences of trauma and facilitate healing.
SB59-SSA1,492 17Section 492 . 48.13 of the statutes is amended to read:
SB59-SSA1,305,21 1848.13 Jurisdiction over children alleged to be in need of protection or
19services.
Except as provided in s. 48.028 (3), the court has exclusive original
20jurisdiction over a child alleged to be in need of protection or services which can be
21ordered by the court, and if one of the following applies:
SB59-SSA1,305,22 22(1) Who The child is without a parent or guardian;.
SB59-SSA1,305,23 23(2) Who The child has been abandoned;.
SB59-SSA1,305,25 24(2m) Whose The child's parent has relinquished custody of the child under s.
2548.195 (1);.
SB59-SSA1,306,2
1(3) Who The child has been the victim of abuse, as defined in s. 48.02 (1) (a) or
2(b) to (g), including injury that is self-inflicted or inflicted by another;.
SB59-SSA1,306,6 3(3m) Who The child is at substantial risk of becoming the victim of abuse, as
4defined in s. 48.02 (1) (a) or (b) to (g), including injury that is self-inflicted or inflicted
5by another, based on reliable and credible information that another child in the home
6has been the victim of such abuse;.
SB59-SSA1,306,9 7(4) Whose The child's parent or guardian signs the petition requesting
8jurisdiction under this subsection and is unable or needs assistance to care for or
9provide necessary special treatment or care for the child;.
SB59-SSA1,306,12 10(4m) Whose The child's guardian is unable or needs assistance to care for or
11provide necessary special treatment or care for the child, but is unwilling or unable
12to sign the petition requesting jurisdiction under this subsection ;.
SB59-SSA1,306,13 13(5) Who The child has been placed for care or adoption in violation of law; .
SB59-SSA1,306,15 14(8) Who The child is receiving inadequate care during the period of time a
15parent is missing, incarcerated, hospitalized or institutionalized ;.
SB59-SSA1,306,19 16(9) Who The child is at least age 12, signs the petition requesting jurisdiction
17under this subsection and is in need of special treatment or care which the parent,
18guardian or legal custodian is unwilling, neglecting, unable or needs assistance to
19provide;.
SB59-SSA1,306,23 20(10) Whose The child's parent, guardian or legal custodian neglects, refuses or
21is unable for reasons other than poverty to provide necessary care, food, clothing,
22medical or dental care or shelter so as to seriously endanger the physical health of
23the child;.
SB59-SSA1,307,6 24(10m) Whose The child's parent, guardian or legal custodian is at substantial
25risk of neglecting, refusing or being unable for reasons other than poverty to provide

1necessary care, food, clothing, medical or dental care or shelter so as to endanger
2seriously the physical health of the child, based on reliable and credible information
3that the child's parent, guardian or legal custodian has neglected, refused or been
4unable for reasons other than poverty to provide necessary care, food, clothing,
5medical or dental care or shelter so as to endanger seriously the physical health of
6another child in the home;.
SB59-SSA1,307,10 7(11) Who The child is suffering emotional damage for which the parent,
8guardian or legal custodian has neglected, refused or been unable and is neglecting,
9refusing or unable, for reasons other than poverty, to obtain necessary treatment or
10to take necessary steps to ameliorate the symptoms; .
SB59-SSA1,307,13 11(11m) Who The child is suffering from an alcohol and other drug abuse
12impairment, exhibited to a severe degree, for which the parent, guardian or legal
13custodian is neglecting, refusing or unable to provide treatment ; or.
SB59-SSA1,307,15 14(13) Who The child has not been immunized as required by s. 252.04 and not
15exempted under s. 252.04 (3).
SB59-SSA1,493 16Section 493 . 48.13 (14) of the statutes is created to read:
SB59-SSA1,307,2217 48.13 (14) The child's parent is residing in a qualifying residential
18family-based treatment facility or will be residing at such a facility at the time of a
19child's placement with the parent in the facility, signs the petition requesting
20jurisdiction under this subsection, and, with the department's consent, requests that
21the child reside with him or her at the qualifying residential family-based treatment
22facility.
SB59-SSA1,494 23Section 494 . 48.207 (1) (L) of the statutes is created to read:
SB59-SSA1,308,224 48.207 (1) (L) With a parent in a qualifying residential family-based treatment
25facility if the child's permanency plan includes a recommendation for such a

1placement under s. 48.38 (4) (em) before the placement is made and the parent
2consents to the placement.
SB59-SSA1,495 3Section 495 . 48.345 (3) (c) of the statutes is amended to read:
SB59-SSA1,308,64 48.345 (3) (c) A foster home licensed under s. 48.62, a group home licensed
5under s. 48.625, a foster home, group home, or similar facility regulated in another
6state,
or in the home of a guardian under s. 48.977 (2).
SB59-SSA1,496 7Section 496 . 48.345 (3) (cm) of the statutes is amended to read:
SB59-SSA1,308,118 48.345 (3) (cm) A group home described in s. 48.625 (1m) or a similar facility
9regulated in another state,
if the child is at least 12 years of age, is a custodial parent,
10as defined in s. 49.141 (1) (b), or an expectant mother, is receiving inadequate care,
11and is in need of a safe and structured living arrangement.
SB59-SSA1,497 12Section 497 . 48.345 (3) (d) of the statutes is amended to read:
SB59-SSA1,308,1513 48.345 (3) (d) A residential treatment care center for children and youth
14operated by a child welfare agency licensed under s. 48.60, or a similar facility
15regulated in another state
.
SB59-SSA1,498 16Section 498 . 48.345 (3) (e) of the statutes is created to read:
SB59-SSA1,308,2017 48.345 (3) (e) With a parent in a qualifying residential family-based treatment
18facility, or a similar facility regulated in another state, if the child's permanency plan
19includes a recommendation for such a placement under s. 48.38 (4) (em) before the
20placement is made.
SB59-SSA1,499 21Section 499 . 48.38 (2) (intro.) of the statutes is amended to read:
SB59-SSA1,309,622 48.38 (2) Permanency plan required. (intro.) Except as provided in sub. (3),
23for each child living in a foster home, group home, residential care center for children
24and youth, juvenile detention facility, shelter care facility, qualifying residential
25family-based treatment facility with a parent,
or supervised independent living

1arrangement, the agency that placed the child or arranged the placement or the
2agency assigned primary responsibility for providing services to the child under s.
348.355 (2) (b) 6g. shall prepare a written permanency plan, if any of the following
4conditions exists, and, for each child living in the home of a guardian or a relative
5other than a parent, that agency shall prepare a written permanency plan, if any of
6the conditions specified in pars. (a) to (e) exists:
SB59-SSA1,500 7Section 500 . 48.38 (2) (d) of the statutes is amended to read:
SB59-SSA1,309,108 48.38 (2) (d) The child was placed under a voluntary agreement between the
9agency and the child's parent under s. 48.63 (1) (a) or (bm) or (5) (b) or under a
10voluntary transition-to-independent-living agreement under s. 48.366 (3).
SB59-SSA1,501 11Section 501 . 48.38 (4) (em) of the statutes is created to read:
SB59-SSA1,309,1312 48.38 (4) (em) A recommendation regarding placement with a parent in a
13qualifying residential family-based treatment facility.
SB59-SSA1,507 14Section 507 . 48.48 (17) (a) 3. of the statutes is amended to read:
SB59-SSA1,310,415 48.48 (17) (a) 3. Provide appropriate protection and services for children and
16the expectant mothers of unborn children in its care, including providing services for
17those children and their families and for those expectant mothers in their own
18homes, placing the those children in licensed foster homes or group homes in this
19state or similar facilities regulated in another state within a reasonable proximity
20to the agency with legal custody, placing the those children in the homes of guardians
21under s. 48.977 (2), placing those children in a qualifying residential family-based
22treatment facility with a parent or in similar facilities regulated in another state,
or
23contracting for services for those children by licensed child welfare agencies in this
24state or a similar child welfare agency regulated in another state
, except that the
25department may not purchase the educational component of private day treatment

1programs unless the department, the school board, as defined in s. 115.001 (7), and
2the state superintendent of public instruction all determine that an appropriate
3public education program is not available. Disputes between the department and the
4school district shall be resolved by the state superintendent of public instruction.
SB59-SSA1,508 5Section 508 . 48.48 (17) (c) 4. of the statutes is amended to read:
SB59-SSA1,310,96 48.48 (17) (c) 4. Is living in a foster home, group home, or residential care center
7for children and youth, qualifying residential family-based treatment facility, or a
8similar facility regulated in another state
or in a supervised independent living
9arrangement.
SB59-SSA1,509 10Section 509 . 48.481 (3) of the statutes is repealed.
SB59-SSA1,511 11Section 511 . 48.487 (1m) of the statutes is amended to read:
SB59-SSA1,310,1712 48.487 (1m) Tribal family services grants. From the appropriation account
13under s. 20.437 (1) (bd) (js), the department may distribute tribal family services
14grants to the elected governing bodies of the Indian tribes in this state. An elected
15governing body that receives a grant under this subsection may expend the grant
16moneys received for any of the purposes specified in subs. (2), (3) (b), (4m) (b), (5) (b),
17(6), and (7) as determined by that body.
SB59-SSA1,512 18Section 512 . 48.526 (7) (intro.) of the statutes is amended to read:
SB59-SSA1,310,2319 48.526 (7) Allocations of funds. (intro.) Within the limits of the availability
20of the appropriations under s. 20.437 (1) (cj) and (o), the department shall allocate
21funds for community youth and family aids for the period beginning on July 1, 2015
222019, and ending on June 30, 2017 2021, as provided in this subsection to county
23departments under ss. 46.215, 46.22, and 46.23 as follows:
SB59-SSA1,513m 24Section 513m. 48.526 (7) (a) of the statutes is amended to read:
SB59-SSA1,311,4
148.526 (7) (a) For community youth and family aids under this section,
2amounts not to exceed $45,572,100 $45,383,600 for the last 6 months of 2015,
3$91,150,200
2019, $90,767,200 for 2016 2020, and $45,578,100 $45,383,600 for the
4first 6 months of 2017 2021.
SB59-SSA1,514 5Section 514 . 48.526 (7) (b) (intro.) of the statutes is amended to read:
SB59-SSA1,311,96 48.526 (7) (b) (intro.) Of the amounts specified in par. (a), the department shall
7allocate $2,000,000 for the last 6 months of 2015 2019, $4,000,000 for 2016 2020, and
8$2,000,000 for the first 6 months of 2017 2021 to counties based on each of the
9following factors weighted equally:
SB59-SSA1,515 10Section 515 . 48.526 (7) (bm) of the statutes is amended to read:
SB59-SSA1,311,1611 48.526 (7) (bm) Of the amounts specified in par. (a), the department shall
12allocate $6,250,000 for the last 6 months of 2015 2019, $12,500,000 for 2016 2020,
13and $6,250,000 for the first 6 months of 2017 2021 to counties based on each county's
14proportion of the number of juveniles statewide who are placed in a juvenile
15correctional facility or a secured residential care center for children and youth during
16the most recent 3-year period for which that information is available.
SB59-SSA1,516 17Section 516 . 48.526 (7) (c) of the statutes is amended to read:
SB59-SSA1,311,2518 48.526 (7) (c) Of the amounts specified in par. (a), the department shall allocate
19$1,053,200 for the last 6 months of 2015 2019, $2,106,500 for 2016 2020, and
20$1,053,300 for the first 6 months of 2017 2021 to counties based on each of the factors
21specified in par. (b) 1. to 3. weighted equally, except that no county may receive an
22allocation under this paragraph that is less than 93 percent nor more than 115
23percent of the amount that the county would have received under this paragraph if
24the allocation had been distributed only on the basis of the factor specified in par. (b)
253.
SB59-SSA1,517
1Section 517. 48.526 (7) (e) of the statutes is amended to read:
SB59-SSA1,312,62 48.526 (7) (e) For emergencies related to community youth and family aids
3under this section, amounts not to exceed $125,000 for the last 6 months of 2015
42019, $250,000 for 2016 2020, and $125,000 for the first 6 months of 2017 2021. A
5county is eligible for payments under this paragraph only if it has a population of not
6more than 45,000.
SB59-SSA1,518 7Section 518 . 48.526 (7) (h) of the statutes is amended to read:
SB59-SSA1,312,188 48.526 (7) (h) For counties that are purchasing community supervision
9services under s. 938.533 (2), $1,062,400 in the last 6 months of 2017 2019,
10$2,124,800 in 2018 2020, and $1,062,400 in the first 6 months of 2019 2021 for the
11provision of community supervision services for juveniles from that county. In
12distributing funds to counties under this paragraph, the department shall distribute
13to each county the full amount of the charges for the services purchased by that
14county, except that if the amounts available under this paragraph are insufficient to
15distribute that full amount, the department shall distribute those available amounts
16to each county that purchases community supervision services based on the ratio
17that the charges to that county for those services bear to the total charges to all
18counties that purchase those services.
SB59-SSA1,519 19Section 519 . 48.526 (8) of the statutes is amended to read:
SB59-SSA1,312,2320 48.526 (8) Alcohol and other drug abuse treatment. From the amount of the
21allocations specified in sub. (7) (a), the department shall allocate $666,700 in the last
226 months of 2015 2019, $1,333,400 in 2016 2020, and $666,700 in the first 6 months
23of 2017 2021 for alcohol and other drug abuse treatment programs.
Loading...
Loading...