DHS 10.23(2)(a)2.c.c. Identifying service providers capable of meeting the person’s needs.
DHS 10.23(2)(a)2.d.d. Actively assisting the consumer in accessing services when necessary.
DHS 10.23(2)(a)3.3. Continued contact with people, as needed, to determine the outcomes of previous contacts and to offer additional assistance in locating or using services as necessary.
DHS 10.23(2)(b)(b) Advocacy. Advocacy on behalf of individuals and groups when needed services are not being adequately provided by an organization within the service delivery system.
DHS 10.23(2)(c)(c) Long-term care options counseling. The resource center shall provide members of its target population and their families or other representatives with professional counseling about options available to meet long-term care needs and about factors to consider in making long-term care decisions. The resource center shall offer this counseling to any person in its target population who is seeking or who the resource center determines appears to need long-term care services, and to his or her family members or other representatives if applicable. In making the offer, the resource center shall inform the person that participation in counseling is voluntary on the part of any individual. Information provided shall be timely, factual, thorough, accurate, unbiased and appropriate to the individual’s needs and situation. The resource center shall conduct long-term care options counseling at a location preferred by and at a time convenient to the individual consumer. Long-term care options counseling shall inform and advise the person concerning all of the following:
DHS 10.23(2)(c)1.1. The availability of any long-term care options open to the individual, including home care, community services, case management services, residential care and nursing home options.
DHS 10.23(2)(c)2.2. Sources and methods of both public and private payment for long-term care services, including family care and the fee-for-service system.
DHS 10.23(2)(c)3.3. Factors to consider when choosing among the available programs, services and benefits, including cost, quality, outcomes, estate recovery and compatibility with the person’s preferred lifestyle and residential setting.
DHS 10.23(2)(c)4.4. Advantages and disadvantages of the various options in light of the individual’s situation, values, capacities, knowledge and resources and the urgency of the individual’s situation.
DHS 10.23(2)(c)5.5. Opportunities and methods for maximizing independence and self-reliance, including the utilization of supports from family, friends and community.
DHS 10.23(2)(d)(d) Benefits counseling.
DHS 10.23(2)(d)1.1. The resource center shall ensure that people from its target populations have access to the services of a benefit specialist, including information about and assistance in applying for public and private benefits for which they may be eligible, assistance in preparing and filing grievances, appeals, requests for department review or fair hearing, and representation in grievance resolution and fair hearings.
DHS 10.23(2)(d)2.2. Notwithstanding sub. (7) (b), a disability benefit specialist may not disclose information about a client without the informed consent of the client, unless required by law. A disability benefit specialist may also disclose information about a client without the informed consent of the client as permitted under s. 55.043 (1m) (br), Stats., if there is reasonable cause to believe that the adult at risk is at imminent risk of serious bodily harm, death, sexual assault, or significant property loss and is unable to make an informed judgment about whether to report the risk or if an adult at risk other than the subject of the report is at risk of serious bodily harm, death, sexual assault, or significant property loss inflicted by a suspected perpetrator.
DHS 10.23(2)(d)3.3. When a benefit specialist represents a client in a matter in which a decision or administrative action under s. HA 3.03 of the resource center is at issue, the resource center may not attempt to influence the benefit specialist’s representation of the client.
DHS 10.23(2)(e)(e) Transitional services. A resource center that serves young adults age 17 years and 6 months or older with physical or developmental disabilities shall coordinate with school districts, boards appointed under s. 51.437, Stats., county human services departments or departments of community programs to assist in making the transition from children’s services to the adult long-term care system.
DHS 10.23(2)(f)(f) Prevention and early intervention. The resource center shall develop a prevention and early intervention plan based on department priorities established through contract and provide prevention and intervention services consistent with the plan and within the limits of available funding. The plan shall include how the resource center will do both of the following:
DHS 10.23(2)(f)1.1. Educate communities in its area on prevention of disabling conditions.
DHS 10.23(2)(f)2.2. Provide specific prevention advice and education to individuals in its target group, regardless of whether they are eligible for the family care benefit.
DHS 10.23(2)(g)(g) Emergency response. The resource center shall assure that emergency calls to the resource center are received 24 hours a day, seven days a week, responded to promptly and that people are connected promptly with the appropriate providers of emergency services.
DHS 10.23(2)(h)(h) Choice counseling. The resource center shall provide information and counseling to assist persons who are eligible for the family care benefit and their families or other representatives with respect to the person’s choice of whether or not to enroll in a care management organization and, if so, which available care management organization would best meet their needs. To assure that persons receive choice counseling in an environment that is free from conflict of interest, resource center staff in the choice counseling session may not have a direct or indirect financial interest in a care management organization. Information provided under this paragraph shall include information about all of the following:
DHS 10.23(2)(h)1.1. The availability of mechanisms for self-management of service funding under s. DHS 10.44 (2) (d) and (6), through which an enrollee may manage the funding for some or all of his or her own services under the family care benefit.
DHS 10.23(2)(h)2.2. How to find additional assistance within or outside the resource center, a care management organization and the family care benefit.
DHS 10.23(2)(h)3.3. Opportunities for enrollees in a CMO to do as much for themselves as possible and desired and for full participation in service planning and delivery.
DHS 10.23(2)(i)(i) Enrollment assistance. The resource center shall assist a person found eligible for the family care benefit and wishing to enroll in a care management organization to enroll in the care management organization of the person’s choice.
DHS 10.23(2)(j)(j) Disenrollment counseling. The resource center shall provide information and counseling to assist persons in the process of voluntarily or involuntarily disenrolling from a care management organization, including all of the following:
DHS 10.23(2)(j)1.1. Information about clients’ rights and grievance procedures.
DHS 10.23(2)(j)2.2. Advocacy resources available to assist the person in resolving appeals and grievances.
DHS 10.23(2)(j)3.3. Service and program options available to the person if the disenrollment occurs.
DHS 10.23(2)(j)4.4. Information about the availability of assistance with re-enrollment.