Register November 2008 No. 635
Chapter DHS 68
SUPPORT FOR PERSONS WITH DEMENTIA AND THEIR CAREGIVERS
DHS 68.03 Allocation of funds. DHS 68.04 Selection and reporting responsibilities of administering agencies. DHS 68.05 Program budget requirement; county, tribal, or nonprofit agency. DHS 68.06 Allowable use of funds. DHS 68.07 Client eligibility. DHS 68.08 Determination of need. DHS 68.09 Method of payment. DHS 68.11 Exceptions to requirements. Ch. DHS 68 NoteNote: Chapter HSS 68 is renumbered chapter HFS 68 under s. 13.93 (2m) (b) 1.,Stats., and corrections made under s. 13.93 (2m) (b) 6. and 7., Stats., Register, July, 1997, No. 499. Chapter HFS 68 was renumbered to chapter DHS 68 under s. 13.92 (4) (b) 1., Stats., and corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635. DHS 68.01(1)(1) Authority and purpose. This chapter is promulgated pursuant to ss. 46.87 and 227.11 (2) (a), Stats., section 3023 (28m) of 1985 Wis. Act 29, and 2015 Wis. Act 273 to establish procedures and criteria for distributing funds for the provision of service payments, goods and services to persons with dementia and to their caregivers. The payments, goods and services provided in accordance with this chapter are intended to help make available a diverse array of community services directed at preventing or delaying institutionalization of persons who have dementia and enhancing the quality of their lives, and to provide assistance to family members and others who take care of persons with dementia without compensation. DHS 68.01(2)(2) To whom the chapter applies. The chapter applies to the department, county boards, administering agencies designated by county boards under s. 46.87 (3) (c), Stats., tribes, and private nonprofit organizations selected by the department under s. DHS 68.04. DHS 68.02DHS 68.02 Definitions. In this chapter: DHS 68.02(1)(1) “Administering agency” means any of the following: DHS 68.02(2)(a)(a) A home certified by a county department of social services established under s. 46.215 or 46.22, Stats., or a county department of human services established under s. 46.23, Stats., in which one or 2 adults unrelated to the operator reside and which provides a structured living arrangement for residents whose physical, developmental and emotional functioning is likely to be maximized in this family-type living arrangement; or DHS 68.02(4)(4) “Caregiver” means any person other than a paid provider who provides care for a person with dementia. DHS 68.02(5)(5) “Community-based residential facility” or “CBRF” means a facility licensed under ch. DHS 83 in which 3 [5] or more unrelated adults reside and receive care and treatment or services above the level of room and board but not including nursing care. DHS 68.02(6)(6) “County agency” means an agency designated by a county board under s. 46.87 (3) (c), Stats., to administer the program, namely, a county department of social services created under s. 46.215 or 46.22, Stats., a county department of human services created under s. 46.23, Stats., a county aging unit, or a resource center authorized under s. 46.283, Stats., and ch. DHS 10. DHS 68.02(6m)(6m) “Dementia” means a degenerative disease of the central nervous system characterized especially by premature cognitive deterioration. This includes Alzheimer’s disease and related diagnoses which are similarly marked by irreversible deterioration of intellectual faculties with concomitant emotional disturbance resulting from organic brain disorder, such as: DHS 68.02(6m)(j)(j) Any other neurocognitive brain disorder that results in the irreversible deterioration of intellectual faculties. DHS 68.02(7)(7) “Department” means the Wisconsin department of health services. DHS 68.02(8)(8) “Expand services” means to expand the staffing, size of physical plant, or programming for an existing service offered by a service provider and included in a category listed under s. DHS 68.06 (2) (b) in order to increase by at least 10% over the number served prior to expansion the number of persons with dementia or their caregivers who are served by the provider, or to significantly improve, in the judgment of the administering agency contracting with the provider, the quality of services or service delivery for persons with dementia or for their caregivers. A service is no longer defined as “expanded” 3 years after the starting date of its expansion. DHS 68.02(9)(9) “Goods and services” means, unless otherwise qualified, goods and services purchased or provided under any of the categories listed under s. DHS 68.06 (2) (b). DHS 68.02(10)(10) “Household” means a person with dementia living alone or a person with dementia and the caregiver or caregivers with whom he or she lives, except that for purposes of determining financial eligibility under s. DHS 68.07 (3) and for purposes of determining ability to pay for the cost of program goods and services under s. DHS 68.08, “household” means only the person with dementia and spouse. DHS 68.02(11)(11) “Income” means gross earnings including money, wages or salary, net income from non-farm self-employment and net income from farm self-employment, and unearned income including social security, dividends, interest on savings or on money loaned, income from estates or trusts, net rental income or royalties, public assistance, pensions or annuities, unemployment compensation, worker’s compensation, maintenance payments under s. 767.56, Stats., child support, family support, veterans’ pensions, and educational grants given for living expenses. DHS 68.02 NoteNote: “Public assistance” includes but is not limited to programs such as aid to families with dependent children (AFDC) and supplemental security income (SSI).
DHS 68.02(12)(12) “Medical assistance” means the assistance program operated by the department under ss. 49.43 to 49.497, Stats. DHS 68.02(13)(13) “New program” means any goods or services under one or more of the categories listed under s. DHS 68.06 (2) developed or offered for the first time by a service provider under contract with an administering agency, to clients or beneficiaries, at least half of whom are persons with dementia or their caregivers. A program is no longer defined as “new” 3 years after its starting date. DHS 68.02(14)(14) “Private nonprofit organization” has the meaning prescribed for“nonprofit organization” in s. 108.02 (19), Stats. DHS 68.02(15)(15) “Program” means, unless otherwise qualified, the Alzheimer’s family and caregiver support program under s. 46.87, Stats. DHS 68.02(16)(16) “Residential facility” means an adult family home or a community-based residential facility. DHS 68.02(17)(17) “Respite” means temporary relief from caregiving responsibilities. DHS 68.02(18)(18) “Respite services” means any service granting respite, which is provided at home, such as assisting services, help with household chores, assistance with providing personal care, medication management or wound care for the person with dementia, or provided by an adult day center or short-term in an institutional setting. Respite services may also include expenses related to caregivers attending support groups, receiving individual counseling, activities related to maintaining the caregiver’s physical or psychological well-being, or other services approved by the administering agency. DHS 68.02(19)(19) “Tribal government” means a governing body of a tribe. DHS 68.02(20)(20) “Tribal service area” means the geographic area designated by a tribe, and approved by the U.S. Bureau of Indian Affairs or Indian Health Service, in which a tribal government provides services to its members.
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