AB56,475,2018
g. Denial of an enrollee's request to dispute financial liability, including
19copayments, premiums, deductibles, coinsurance, other cost sharing, and other
20member financial liabilities.
AB56,475,2321
h. Denial of an enrollee, who is a resident of a rural area with only one care
22management organization, to obtain services outside the care management
23organization's network of contracted providers.
AB56,476,424
i. Development of a plan of care that is unacceptable to the enrollee because the
25plan of care requires the enrollee to live in a place that is unacceptable to the enrollee;
1the plan of care does not provide sufficient care, treatment, or support to meet the
2enrollee's needs and support the enrollee's identified outcomes; or the plan of care
3requires the enrollee to accept care, treatment, or support that is unnecessarily
4restrictive or unwanted by the enrollee.
AB56,476,55
j. Involuntary disenrollment from the care management organization.
AB56,480
6Section
480. 46.287 (2) (b) of the statutes is amended to read:
AB56,476,157
46.287
(2) (b) An enrollee may contest a decision, omission or action of a care
8management organization other than those specified in par. (a)
, or may contest the
9choice of service provider. In these instances, the enrollee shall first send a written
10request for review by the unit of the department that monitors care management
11organization contracts. This unit shall review and attempt to resolve the dispute.
121m. by filing a grievance with the care management organization. If the
dispute 13grievance is not resolved to the satisfaction of the enrollee, he or she may request
14a hearing under the procedures specified in par. (a) 1. (intro.) that the department
15review the decision of the care management organization.
AB56,481
16Section
481. 46.288 (2) (intro.) of the statutes is renumbered 46.288 (2) and
17amended to read:
AB56,476,2318
46.288
(2) Criteria and procedures for determining functional eligibility under
19s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost sharing under
20s. 46.286 (2) (a).
The rules for determining functional eligibility under s. 46.286 (1)
21(a) 1m. shall be substantially similar to eligibility criteria for receipt of the long-term
22support community options program under s. 46.27. Rules under this subsection
23shall include definitions of the following terms applicable to s. 46.286:
AB56,482
24Section
482. 46.288 (2) (d) to (j) of the statutes are repealed.
AB56,483
25Section
483. 46.2896 (1) (a) of the statutes is amended to read:
AB56,477,4
146.2896
(1) (a) “Long-term care program" means the long-term care program
2under s.
46.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing
3the benefit under s. 46.286; the Family Care Partnership program; or the long-term
4care program defined in s. 46.2899 (1).
AB56,484
5Section
484. 46.536 of the statutes is amended to read:
AB56,477,13
646.536 Mobile crisis team Crisis program enhancement grants. From
7the appropriation under s. 20.435 (5) (cf), the department shall award grants in the
8total amount of $250,000 in each fiscal biennium to counties or regions comprised of
9multiple counties to establish
certified or enhance crisis programs
that create mental
10health mobile crisis teams to serve individuals having
mental health crises in rural
11areas. The department shall award a grant under this section in an amount equal
12to one-half the amount of money the county or region provides to establish
certified 13or enhance crisis programs
that create mobile crisis teams.
AB56,485
14Section
485. 46.82 (3) (a) 13. of the statutes is repealed.
AB56,486
15Section
486. 46.854 of the statutes is created to read:
AB56,477,18
1646.854 Healthy aging grant program. From the appropriation under s.
1720.435 (1) (bk), the department shall award in each fiscal year a grant of $250,000
18to an entity that conducts programs in healthy aging.
AB56,487
19Section
487. 46.995 (4) of the statutes is created to read:
AB56,477,2320
46.995
(4) The department shall ensure that any child who is eligible and who
21applies for the disabled children's long-term support program that is operating
22under a waiver of federal law receives services under the disabled children's
23long-term support program that is operating under a waiver of federal law.
AB56,488
24Section
488. 47.07 of the statutes is created to read:
AB56,478,3
147.07 Project SEARCH.
(1) The department shall allocate for each fiscal
2year at least $250,000 from the appropriation under s. 20.445 (1) (b) for contracts
3entered into under this section.
AB56,478,6
4(2) The department may enter into contracts to provide services to persons with
5disabilities under the Project SEARCH program operated by the Cincinnati
6Children's Hospital or its successor organization.
AB56,489
7Section 489
. 48.02 (1d) of the statutes is amended to read:
AB56,478,118
48.02
(1d) “Adult" means a person who is 18 years of age or older
, except that
9for purposes of investigating or prosecuting a person who is alleged to have violated
10any state or federal criminal law or any civil law or municipal ordinance, “
adult"
11means a person who has attained 17 years of age.
AB56,490
12Section 490
. 48.02 (2) of the statutes is amended to read:
AB56,478,1713
48.02
(2) “Child," when used without further qualification, means a person who
14is less than 18 years of age
, except that for purposes of investigating or prosecuting
15a person who is alleged to have violated a state or federal criminal law or any civil
16law or municipal ordinance, “child" does not include a person who has attained 17
17years of age.
AB56,491
18Section
491. 48.02 (14m) of the statutes is created to read:
AB56,478,2119
48.02
(14m) “Qualifying residential family-based treatment facility” means a
20certified residential family-based alcohol or drug abuse treatment facility that
21meets all of the following criteria:
AB56,478,2422
(a) The treatment facility provides, as part of the treatment for substance
23abuse, parenting skills training, parent education, and individual and family
24counseling.
AB56,479,6
1(b) The substance abuse treatment, parenting skills training, parent
2education, and individual and family counseling is provided under an organizational
3structure and treatment framework that involves understanding, recognizing, and
4responding to the effects of all types of trauma and in accordance with recognized
5principles of a trauma-informed approach and trauma-specific interventions to
6address the consequences of trauma and facilitate healing.