DHS 10.24(1)(b) (b) Respecting individuals’ rights and dignity and giving consumers a strong role in program and policy development.

DHS 10.24(1)(c) (c) Providing early intervention and prevention services.

DHS 10.24(2) (2) Indicators. In order to monitor the performance of the resource center, the department shall develop and use indicators to measure and assess the performance of the resource center in the areas specified in sub. (1). The department shall use indicators to compare performance both within and across resource centers and against other programs in order to enable resource centers to improve the quality of their services. Where possible, the department shall measure indicators against available or created benchmarks and evaluate the resource centers’ performance.

DHS 10.24(3) (3) Measurement indicators. The department shall measure at least the following indicators:

DHS 10.24(3)(a) (a) Information and assistance contacts and follow-ups:

DHS 10.24(3)(b) (b) Persons who have received enrollment counseling who subsequently enroll in family care or who subsequently receive non-family care medical assistance-funded long-term care services.

DHS 10.24(3)(c) (c) Referrals for, and timeliness of, pre-admission consultation under s. 46.283 (4) (g), Stats., and the functional screening.

DHS 10.24(3)(d) (d) Referrals for medical assistance, supplemental security income, including the increased or exceptional payments, and food stamps.

DHS 10.24(3)(e) (e) Referrals for emergency help, protective services, and other long-term care services.

DHS 10.24(3)(f) (f) Grievances, appeals and fair hearings and their disposition.

DHS 10.24(4) (4) Assessment indicators. The department shall use the following indicators to assess the performance of the resource center:

DHS 10.24(4)(a) (a) Fair treatment.

DHS 10.24(4)(b) (b) Consumer satisfaction.

DHS 10.24(4)(c) (c) Consumer involvement in the planning and governance of the resource center.

DHS 10.24(4)(d) (d) Collaborative arrangements with community agencies whose services are focused on preventing loss of health or the capacity to function independently in performing activities of daily living.

DHS 10.24(5) (5) Cost-effectiveness. The department shall measure resource center cost-effectiveness in carrying out its program responsibilities.

DHS 10.24(6) (6) Required referrals. The department shall measure compliance with requirements for referrals to the resource center under subch. VII.

DHS 10.24(7) (7) Functional screening accuracy and reliability. The department shall measure the accuracy and reliability of functional screenings, including whether screens result in payment of appropriate rates to CMOs.

DHS 10.24 History History: Cr. Register, October, 2000, No. 538, eff. 11-1-00; CR 04-040: am. (3) (c) and (f) and (7) Register November 2004 No. 587, eff. 12-1-04.

subch. III of ch. DHS 10 Subchapter III — Access to the Family Care Benefit

DHS 10.31 DHS 10.31 Application and eligibility determination.

DHS 10.31(1) (1) Definition. In this section, “agency” means any county agency, or any resource center that is not a county agency, that is responsible for all or part of determination of functional, financial, and other conditions of eligibility for the family care benefit.

DHS 10.31(2) (2) General requirement. Application for the family care benefit shall be made and reviewed in accordance with the provisions of this chapter.

DHS 10.31(3) (3) Access to information. The agency shall provide information to persons inquiring about or applying for the family care benefit as required under s. DHS 10.23 (2) (c) and (h).

DHS 10.31(4) (4) Application.

DHS 10.31(4)(a) (a) Making application. Any person in the target population served by resource centers may apply for a family care benefit. Application for the family care benefit requires that a person apply for financial, non-financial and functional eligibility. Financial and non-financial eligibility determination shall be made by the income maintenance agency serving the county or tribe in which the person resides. Functional eligibility determination shall be made by the resource center serving the county or tribe in which the person resides.

DHS 10.31(4)(b) (b) Signing the financial and non-financial eligibility application. The applicant or the applicant’s legal guardian, authorized representative or, where the applicant is incapacitated, someone acting responsibly for the applicant, shall sign each application form. The signatures of 2 witnesses are required when the applicant signs the application with a mark.

DHS 10.31 Note Note: This provision allows anyone acting responsibly for a person who is incapacitated to begin the application process for financial assistance with the costs of long-term care services. Other decisions regarding receipt of health or long-term care services, including placement in a long-term care facility, require consent of the individual or authorization by a person or court with the specific authority to make treatment or placement decisions.

DHS 10.31(5) (5) Verification of information. A financial and non-financial eligibility application for the family care benefit shall be denied when the applicant or enrollee is able to produce required verifications but refuses or fails to do so. If the applicant or enrollee is not able to produce verifications or requires assistance to do so, the agency taking the application may not deny assistance but shall proceed immediately to assist the person to secure necessary verifications.