AB56-ASA1,302,19 e. Denial, in whole or in part, of payment for a service.

AB56-ASA1,302,22 f. The failure of a care management organization to act within the time frames provided in 42 CFR 438.408 (b) (1) and (2) regarding the standard resolution of grievances and appeals.

AB56-ASA1,302,25 g. Denial of an enrollee's request to dispute financial liability, including copayments, premiums, deductibles, coinsurance, other cost sharing, and other member financial liabilities.

AB56-ASA1,303,3 h. Denial of an enrollee, who is a resident of a rural area with only one care management organization, to obtain services outside the care management organization's network of contracted providers.

AB56-ASA1,303,9 i. Development of a plan of care that is unacceptable to the enrollee because the plan of care requires the enrollee to live in a place that is unacceptable to the enrollee; the plan of care does not provide sufficient care, treatment, or support to meet the enrollee's needs and support the enrollee's identified outcomes; or the plan of care requires the enrollee to accept care, treatment, or support that is unnecessarily restrictive or unwanted by the enrollee.

AB56-ASA1,303,10 j. Involuntary disenrollment from the care management organization.

AB56-ASA1,480 Section 480 . 46.287 (2) (b) of the statutes is amended to read:

AB56-ASA1,303,20 46.287 (2) (b) An enrollee may contest a decision, omission or action of a care management organization other than those specified in par. (a), or may contest the choice of service provider. In these instances, the enrollee shall first send a written request for review by the unit of the department that monitors care management organization contracts. This unit shall review and attempt to resolve the dispute. 1m. by filing a grievance with the care management organization. If the dispute grievance is not resolved to the satisfaction of the enrollee, he or she may request a hearing under the procedures specified in par. (a) 1. (intro.) that the department review the decision of the care management organization.

AB56-ASA1,481 Section 481 . 46.288 (2) (intro.) of the statutes is renumbered 46.288 (2) and amended to read:

AB56-ASA1,304,3 46.288 (2) Criteria and procedures for determining functional eligibility under s. 46.286 (1) (a), financial eligibility under s. 46.286 (1) (b), and cost sharing under s. 46.286 (2) (a). The rules for determining functional eligibility under s. 46.286 (1) (a) 1m. shall be substantially similar to eligibility criteria for receipt of the long-term support community options program under s. 46.27. Rules under this subsection shall include definitions of the following terms applicable to s. 46.286:

AB56-ASA1,482 Section 482 . 46.288 (2) (d) to (j) of the statutes are repealed.

AB56-ASA1,483 Section 483 . 46.2896 (1) (a) of the statutes is amended to read:

AB56-ASA1,304,9 46.2896 (1) (a) “Long-term care program" means the long-term care program under s. 46.27, 46.275, 46.277, 46.278, or 46.2785; the family care program providing the benefit under s. 46.286; the Family Care Partnership program; or the long-term care program defined in s. 46.2899 (1).

AB56-ASA1,484 Section 484 . 46.536 of the statutes is amended to read:

AB56-ASA1,304,18 46.536 Mobile crisis team Crisis program enhancement grants. From the appropriation under s. 20.435 (5) (cf), the department shall award grants in the total amount of $250,000 in each fiscal biennium to counties or regions comprised of multiple counties to establish certified or enhance crisis programs that create mental health mobile crisis teams to serve individuals having mental health crises in rural areas. The department shall award a grant under this section in an amount equal to one-half the amount of money the county or region provides to establish certified or enhance crisis programs that create mobile crisis teams.

AB56-ASA1,485 Section 485 . 46.82 (3) (a) 13. of the statutes is repealed.

AB56-ASA1,488 Section 488 . 47.07 of the statutes is created to read:

AB56-ASA1,304,23 47.07 Project SEARCH. (1) The department shall allocate for each fiscal year at least $250,000 from the appropriation under s. 20.445 (1) (b) for contracts entered into under this section.

AB56-ASA1,305,3 (2) The department may enter into contracts to provide services to persons with disabilities under the Project SEARCH program operated by the Cincinnati Children's Hospital or its successor organization.

AB56-ASA1,491 Section 491 . 48.02 (14m) of the statutes is created to read:

AB56-ASA1,305,7 48.02 (14m) “Qualifying residential family-based treatment facility” means a certified residential family-based alcohol or drug abuse treatment facility that meets all of the following criteria:

AB56-ASA1,305,10 (a) The treatment facility provides, as part of the treatment for substance abuse, parenting skills training, parent education, and individual and family counseling.

AB56-ASA1,305,16 (b) The substance abuse treatment, parenting skills training, parent education, and individual and family counseling is provided under an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma and in accordance with recognized principles of a trauma-informed approach and trauma-specific interventions to address the consequences of trauma and facilitate healing.

AB56-ASA1,492 Section 492 . 48.13 of the statutes is amended to read:

AB56-ASA1,305,21 48.13 Jurisdiction over children alleged to be in need of protection or services. Except as provided in s. 48.028 (3), the court has exclusive original jurisdiction over a child alleged to be in need of protection or services which can be ordered by the court, and if one of the following applies:

AB56-ASA1,305,22 (1) Who The child is without a parent or guardian;.

AB56-ASA1,305,23 (2) Who The child has been abandoned;.

AB56-ASA1,305,25 (2m) Whose The child's parent has relinquished custody of the child under s. 48.195 (1);.

AB56-ASA1,306,2 (3) Who The child has been the victim of abuse, as defined in s. 48.02 (1) (a) or (b) to (g), including injury that is self-inflicted or inflicted by another;.