Chapter DHS 73
SELECTED FISCAL MANAGEMENT PROCEDURES AND STANDARDS UNDER THE MEDICAL ASSISTANCE HOME AND COMMUNITY-BASED SERVICES WAIVER
DHS 73.01 Authority and purpose. DHS 73.04 Assessment and case plan. DHS 73.06 Development of service agreements. DHS 73.08 Supervisory review of payment decisions. DHS 73.09 Documentation that services have been provided. DHS 73.10 Individual hardship exceptions to limits on funding for CBRF care. DHS 73.11 Criteria for determination of the infeasibility of in-home services. Ch. DHS 73 NoteNote: Chapter HSS 73 was renumbered chapter HFS 73 under s. 13.93 (2m) (b) 1., Stats., and corrections were made under s. 13.93 (2m) (b) 6. and 7., Stats., Register, July, 2000, No. 535. Chapter HFS 73 was renumbered to chapter DHS 73 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 73.01DHS 73.01 Authority and purpose. This chapter is promulgated under the authority of ss. 46.277 (5) (d) 1n. b. and (5r), and 227.11 (2) (a), Stats., to establish certain standards and procedures related to assessments, case plans, service agreements, participant payment of service providers and verification that services have been received for county administration of home and community-based services waivers from medical assistance requirements that the department receives from the secretary of the U.S. department of health and human services under 42 USC 1396n (c), to establish conditions of hardship under which the department may grant exceptions in individual cases to limits on spending by counties for care provided in CBRFs and to establish criteria for county agency determination of the infeasibility of in-home services as a condition for paying for services provided to a program participant residing in a CBRF. DHS 73.01 HistoryHistory: Cr. Register, January, 1993, No. 445, eff. 2-1-93; emerg. am. eff. 1-1-96; am. Register, May, 1996, No. 485, eff. 6-1-96; CR 00-056: am. Register August 2001 No. 548, eff. 9-1-01; CR 22-026: am. Register May 2023 No. 809, eff. 6-1-23. DHS 73.02DHS 73.02 Applicability. This chapter applies to county departments and private non-profit agencies with which the department contracts to provide home and community-based services through a medical assistance waiver, and to vendors providing assessments, case plans or supportive home care services funded under a medical assistance waiver. DHS 73.03DHS 73.03 Definitions. In this chapter: DHS 73.03(1)(1) “Assessment” means a process for determining a person’s functional abilities and disabilities and the person’s need for and preferences in regard to medical and social long-term community support services. DHS 73.03(2)(2) “Case manager” means an employee of a county department or vendor agency responsible for locating, managing, coordinating and monitoring the services and informal community supports identified in a participant’s case plan. DHS 73.03(3)(3) “Case plan” means a comprehensive community services plan specifying the types and amounts of services to be provided, the methods of service delivery and the coordination with informal community supports.