DHS 10.41 HistoryHistory: Cr. Register, October, 2000, No. 538, eff. 11-1-00; CR 22-026: am. (2) Register May 2023 No. 809, eff. 6-1-23; EmR2306: emerg. am. (2), eff. 5-1-23; CR 23-045: am. (2) Register January 2024 No. 817, eff. 2-1-24; correction in (2) made under s. 35.17, Stats., Register January 2024 No. 817. DHS 10.42DHS 10.42 Certification and contracting. DHS 10.42(1)(1) No entity may receive payment of funds for the family care benefit as a care management organization unless it is certified by the department as meeting all of the requirements of s. 46.284, Stats., and this chapter and is under contract with the department. DHS 10.42(2)(a)(a) To obtain and retain certification, an organization shall submit all information and documentation required by the department, in a format prescribed by the department. The department shall review and make a determination on the application within 90 calendar days of receipt of a complete application containing complete and accurate supporting documentation that the organization meets the standards under s. DHS 10.43. The department may conduct any necessary investigation to verify that the information submitted by the organization is accurate. The organization shall consent to disclosure by any third party of information the department determines is necessary to review the application. DHS 10.42(2)(am)(am) For initial certifications, or when a currently certified organization will provide or arrange for the provision of services to new eligibility groups, the organization shall submit to an onsite readiness review which will assess all of the following: DHS 10.42(2)(b)(b) If the department denies CMO certification for the organization, the department shall provide written notice to the organization that clearly states the reasons for the denial and describes the manner by which the organization may appeal the department’s decision. DHS 10.42(3)(3) If an organization applying to operate a CMO meets standards for certification under s. 46.284 (2) and (3), Stats., and s. DHS 10.43, the department shall certify the organization as meeting the requirements. Certification by the department does not bind the department to contracting with the organization to operate a CMO. The department may contract with a certified organization to operate a CMO only if all of the following apply: DHS 10.42(3)(c)(c) The department has determined that the organization’s services are needed to provide sufficient access to the family care benefit for eligible individuals. DHS 10.42(3)(d)(d) Before January 1, 2003, the organization is a county or a family care district, unless the governing body of a tribe or band or the Great Lakes inter–tribal council, inc., elects to operate a care management organization within the area and is certified under sub. (2). DHS 10.42(3)(e)(e) After December 31, 2002, and before January 1, 2004, the organization is a county or a family care district unless any of the following applies: