State Codes and Statutes

Statutes > Wisconsin > 46 > 46.2805

46.2805

46.2805 Definitions; long-term care. In ss. 46.2805 to 46.2895:

46.2805(1)

(1) "Care management organization" means an entity that is certified as meeting the requirements for a care management organization under s. 46.284 (3) and that has a contract under s. 46.284 (2). "Care management organization" does not mean an entity that contracts with the department to operate one of the following:

46.2805(1)(a)

(a) A program of all-inclusive care for the elderly under 42 USC 1395eee or 1396u-4.

46.2805(1)(b)

(b) A demonstration program known as the Wisconsin partnership program under a federal waiver authorized under 42 USC 1315.

46.2805(2)

(2) "Eligible person" means a person who meets all eligibility criteria under s. 46.286 (1).

46.2805(3)

(3) "Enrollee" means a person who is enrolled in a care management organization.

46.2805(4)

(4) "Family care benefit" means financial assistance for long-term care and support items for an enrollee.

46.2805(6m)

(6m) "Family member" means a spouse or an individual related by blood, marriage, or adoption within the 3rd degree of kinship as computed under s. 990.001 (16).

46.2805(6r)

(6r) "Financial and cost-sharing screening" means a screening to determine financial eligibility under s. 46.286 (1) (b) or the self-directed services option and cost-sharing under s. 46.286 (2) using a uniform tool prescribed by the department.

46.2805(6v)

(6v) "Frail elder" means an individual who is 65 years of age or older and has a physical disability or irreversible dementia that restricts the individual's ability to perform normal daily tasks or that threatens the capacity of the individual to live independently.

46.2805(7)

(7) "Functional screening" means a screening to determine functional eligibility under s. 46.286 (1) (a) or the self-directed services option using a uniform tool prescribed by the department.

46.2805(7r)

(7r) "Long-term care district" means a special purpose district created under s. 46.2895 (1).

46.2805(7u)

(7u) "Long-term care district board" means the governing board of a long-term care district.

46.2805(8)

(8) "Nonprofit organization" has the meaning given in s. 108.02 (19).

46.2805(9)

(9) "Older person" means a person who is at least 65 years of age.

46.2805(10)

(10) "Resource center" means an entity that meets the standards for operation under s. 46.283 (3) or, if under contract to provide a portion of the services specified under s. 46.283 (3), meets the standards for operation with respect to those services.

46.2805(10m)

(10m) "Self-directed services option" means the program that is operated under a waiver from the secretary of the federal department of health and human services under 42 USC 1396n (c) in which an enrolled individual selects his or her own services and service providers.

46.2805(11)

(11) "Tribe or band" means a federally recognized American Indian tribe or band.

46.2805 - ANNOT.

History: 1999 a. 9, 185; 2003 a. 33; 2007 a. 20, 141; 2009 a. 247.

State Codes and Statutes

Statutes > Wisconsin > 46 > 46.2805

46.2805

46.2805 Definitions; long-term care. In ss. 46.2805 to 46.2895:

46.2805(1)

(1) "Care management organization" means an entity that is certified as meeting the requirements for a care management organization under s. 46.284 (3) and that has a contract under s. 46.284 (2). "Care management organization" does not mean an entity that contracts with the department to operate one of the following:

46.2805(1)(a)

(a) A program of all-inclusive care for the elderly under 42 USC 1395eee or 1396u-4.

46.2805(1)(b)

(b) A demonstration program known as the Wisconsin partnership program under a federal waiver authorized under 42 USC 1315.

46.2805(2)

(2) "Eligible person" means a person who meets all eligibility criteria under s. 46.286 (1).

46.2805(3)

(3) "Enrollee" means a person who is enrolled in a care management organization.

46.2805(4)

(4) "Family care benefit" means financial assistance for long-term care and support items for an enrollee.

46.2805(6m)

(6m) "Family member" means a spouse or an individual related by blood, marriage, or adoption within the 3rd degree of kinship as computed under s. 990.001 (16).

46.2805(6r)

(6r) "Financial and cost-sharing screening" means a screening to determine financial eligibility under s. 46.286 (1) (b) or the self-directed services option and cost-sharing under s. 46.286 (2) using a uniform tool prescribed by the department.

46.2805(6v)

(6v) "Frail elder" means an individual who is 65 years of age or older and has a physical disability or irreversible dementia that restricts the individual's ability to perform normal daily tasks or that threatens the capacity of the individual to live independently.

46.2805(7)

(7) "Functional screening" means a screening to determine functional eligibility under s. 46.286 (1) (a) or the self-directed services option using a uniform tool prescribed by the department.

46.2805(7r)

(7r) "Long-term care district" means a special purpose district created under s. 46.2895 (1).

46.2805(7u)

(7u) "Long-term care district board" means the governing board of a long-term care district.

46.2805(8)

(8) "Nonprofit organization" has the meaning given in s. 108.02 (19).

46.2805(9)

(9) "Older person" means a person who is at least 65 years of age.

46.2805(10)

(10) "Resource center" means an entity that meets the standards for operation under s. 46.283 (3) or, if under contract to provide a portion of the services specified under s. 46.283 (3), meets the standards for operation with respect to those services.

46.2805(10m)

(10m) "Self-directed services option" means the program that is operated under a waiver from the secretary of the federal department of health and human services under 42 USC 1396n (c) in which an enrolled individual selects his or her own services and service providers.

46.2805(11)

(11) "Tribe or band" means a federally recognized American Indian tribe or band.

46.2805 - ANNOT.

History: 1999 a. 9, 185; 2003 a. 33; 2007 a. 20, 141; 2009 a. 247.

State Codes and Statutes

State Codes and Statutes

Statutes > Wisconsin > 46 > 46.2805

46.2805

46.2805 Definitions; long-term care. In ss. 46.2805 to 46.2895:

46.2805(1)

(1) "Care management organization" means an entity that is certified as meeting the requirements for a care management organization under s. 46.284 (3) and that has a contract under s. 46.284 (2). "Care management organization" does not mean an entity that contracts with the department to operate one of the following:

46.2805(1)(a)

(a) A program of all-inclusive care for the elderly under 42 USC 1395eee or 1396u-4.

46.2805(1)(b)

(b) A demonstration program known as the Wisconsin partnership program under a federal waiver authorized under 42 USC 1315.

46.2805(2)

(2) "Eligible person" means a person who meets all eligibility criteria under s. 46.286 (1).

46.2805(3)

(3) "Enrollee" means a person who is enrolled in a care management organization.

46.2805(4)

(4) "Family care benefit" means financial assistance for long-term care and support items for an enrollee.

46.2805(6m)

(6m) "Family member" means a spouse or an individual related by blood, marriage, or adoption within the 3rd degree of kinship as computed under s. 990.001 (16).

46.2805(6r)

(6r) "Financial and cost-sharing screening" means a screening to determine financial eligibility under s. 46.286 (1) (b) or the self-directed services option and cost-sharing under s. 46.286 (2) using a uniform tool prescribed by the department.

46.2805(6v)

(6v) "Frail elder" means an individual who is 65 years of age or older and has a physical disability or irreversible dementia that restricts the individual's ability to perform normal daily tasks or that threatens the capacity of the individual to live independently.

46.2805(7)

(7) "Functional screening" means a screening to determine functional eligibility under s. 46.286 (1) (a) or the self-directed services option using a uniform tool prescribed by the department.

46.2805(7r)

(7r) "Long-term care district" means a special purpose district created under s. 46.2895 (1).

46.2805(7u)

(7u) "Long-term care district board" means the governing board of a long-term care district.

46.2805(8)

(8) "Nonprofit organization" has the meaning given in s. 108.02 (19).

46.2805(9)

(9) "Older person" means a person who is at least 65 years of age.

46.2805(10)

(10) "Resource center" means an entity that meets the standards for operation under s. 46.283 (3) or, if under contract to provide a portion of the services specified under s. 46.283 (3), meets the standards for operation with respect to those services.

46.2805(10m)

(10m) "Self-directed services option" means the program that is operated under a waiver from the secretary of the federal department of health and human services under 42 USC 1396n (c) in which an enrolled individual selects his or her own services and service providers.

46.2805(11)

(11) "Tribe or band" means a federally recognized American Indian tribe or band.

46.2805 - ANNOT.

History: 1999 a. 9, 185; 2003 a. 33; 2007 a. 20, 141; 2009 a. 247.

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