Wisconsin Code § 46.283

Resource centers
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(1) APPLICATION FOR CONTRACT. (a) A county board of supervisors and, in a county with
a county executive or a county administrator, the county executive or county administrator, may decide all of the following:
1. Whether to authorize one or more county departments under s. 46.21, 46.215, 46.22 or 46.23 or an aging unit under s.
46.82 (1) (a) 1., 2., or 3. to apply to the department for a contract
to operate a resource center and, if so, which to authorize and
what client group to serve.
2. Whether to create a long-term care district to apply to the
department for a contract to operate a resource center.
(b) The governing body of a tribe or band or of the Great
Lakes Inter-Tribal Council, Inc., may decide whether to authorize
a tribal agency to apply to the department for a contract to operate
a resource center for tribal members and, if so, which client group
to serve.

(c) A county board of supervisors may decide to apply to the
department for a contract to operate a multicounty resource center in conjunction with the county board or boards of one or more
other counties or a county-tribal resource center in conjunction
with the governing body of a tribe or band or the Great Lakes Inter-Tribal Council, Inc.
(d) The governing body of a tribe or band may decide to apply
to the department for a contract to operate a resource center in
conjunction with the governing body or governing bodies of one
or more other tribes or bands or the Great Lakes Inter-Tribal
Council, Inc., or with a county board of supervisors.
(2) EXCLUSIVE CONTRACT. The department may contract to
operate a resource center with counties, long-term care districts,
or the governing body of a tribe or band or the Great Lakes InterTribal Council, Inc., under a joint application of any of these, or
with a private nonprofit organization if the department determines that the organization has no significant connection to an
entity that operates a care management organization and if any of
the following applies:
(a) A county board of supervisors declines in writing to apply
for a contract to operate a resource center.
(b) A county agency or a long-term care district applies for a
contract but fails to meet the standards specified in sub. (3).
(3) STANDARDS FOR OPERATION. The department shall assure that at least all of the following are available to a person who
contacts a resource center for service:
(a) Information and referral services and other assistance at
hours that are convenient for the public.
(b) A determination of functional eligibility for the family
care benefit.
(c) Within the limits of available funding, prevention and intervention services.
(d) Counseling concerning public and private benefits
programs.
(e) A determination of financial eligibility and of the maximum amount of cost sharing required for a person who is seeking
long-term care services, under standards prescribed by the
department.
(f) Assistance to a person with respect to the person’s choice
of whether or not to enroll in the self-directed services option, as
defined in s. 46.2899 (1), a care management organization for the
family care benefit or the Family Care Partnership program, or
the program of all-inclusive care for the elderly and, if so, which
available long-term care program or care management organization would best meet his or her needs.
(g) Assistance in enrolling in a care management organization
for persons who choose to enroll.
(j) Transitional services to families whose children with physical or developmental disabilities are preparing to enter the adult
service system.
(k) A determination of eligibility for state supplemental payments under s. 49.77, medical assistance under s. 49.46, 49.468,
49.47, or 49.471, or the federal food stamp program under 7 USC
2011 to 2029.
(4) DUTIES. A resource center shall do all of the following:
(a) Provide services within the entire geographic area prescribed for the resource center by the department.
(b) Submit to the department all reports and data required or
requested by the department.
(c) Implement internal quality improvement and quality assurance processes that meet standards prescribed by the
department.
(d) Cooperate with any review by an external advocacy
organization.
(f) Perform a functional screening and a financial and costsharing screening for any resident who requests a screening and
assist any resident who is eligible and chooses to enroll in a care
management organization or the self-directed services option to
do so.
(g) Perform a functional screening and a financial and costsharing screening for any person seeking admission to a nursing
home, community-based residential facility, residential care
apartment complex, or adult family home, if the secretary has
certified that the resource center is available to the person and the
facility and the person is determined by the resource center to
have a condition that is expected to last at least 90 days that would
require care, assistance, or supervision. A resource center may
not require a financial and cost-sharing screening for a person
seeking admission or about to be admitted on a private pay basis
who waives the requirement for a financial and cost-sharing
screening under this paragraph, unless the person is expected to
become eligible for medical assistance within 6 months. A resource center need not perform a functional screening for a person seeking admission or about to be admitted for whom a functional screening was performed within the previous 6 months.
(h) Provide access to services under s. 46.90 and ch. 55 to a
person who is eligible for the services, through cooperation with
the elder-adult-at-risk agency or the adult-at-risk agency that provides the services.
(i) Assure that emergency calls to the resource center are responded to promptly, 24 hours per day.
(j) Target any outreach, education, and prevention services it
provides and any service development efforts it conducts on the
basis of findings made by the governing board of the resource
center under sub. (6) (b) 2. and 3.
(5) FUNDING. From the appropriation accounts under s.
20.435 (1) (n), (4) (b), (bd), (bm), (gm), (pa), and (w), and (7) (b)
and (md), the department may contract with organizations that
meet standards under sub. (3) for performance of the duties under
sub. (4) and shall distribute funds for services provided by resource centers.
(6) GOVERNING BOARD. (a) 1. A resource center shall have
a governing board that reflects the ethnic and economic diversity
of the geographic area served by the resource center.
2. At least one-fourth of the members of the governing board
shall be individuals who belong to a client group served by the resource center or their family members, guardians, or other advocates. The proportion of these board members who belong to
each client group, or their family members, guardians, or advocates, shall be the same, respectively, as the proportion of individuals in this state who receive services under s. 46.2805 to 46.2895
and belong to each client group.
3. An individual who has a financial interest in, or serves on
the governing board of, a care management organization or an organization that administers a program described under s. 46.2805
(1) (a) or (b) or a managed care program under s. 49.45 for individuals who are eligible to receive supplemental security income
under 42 USC 1381 to 1383c, which serves any geographic area
also served by a resource center, and the individual’s family
members, may not serve as members of the governing board of
the resource center.
(b) The governing board of a resource center shall do all of the
following:
1. Determine the structure, policies, and procedures of, and
oversee the operations of, the resource center. The operations of
a resource center that is operated by a county are subject to the
county’s ordinances and budget.
2. Annually gather information from consumers and
providers of long-term care services and other interested persons

concerning the adequacy of long-term care services offered in the
area served by the resource center. The board shall provide welladvertised opportunities for persons to participate in the board’s
information gathering activities conducted under this
subdivision.
3. Identify any gaps in services, living arrangements, and
community resources needed by individuals belonging to the
client groups served by the resource center, especially those with
long-term care needs.
5. Recommend strategies for building local capacity to serve
older persons and persons with physical or developmental disabilities, as appropriate, to local elected officials or the
department.
6. Identify potential new sources of community resources
and funding for needed services for individuals belonging to the
client groups served by the resource center.
8. Annually review interagency agreements between the resource center and care management organizations that provide
services in the area served by the resource center and make recommendations, as appropriate, on the interaction between the resource center and the care management organizations to assure
coordination between or among them and to assure access to and
timeliness in provision of services by the resource center and the
care management organizations.
9. Review the number and types of grievances and appeals
related to the resource center to determine if a need exists for system changes and recommend system or other changes if
appropriate.
(7) CONFIDENTIALITY; EXCHANGE OF INFORMATION. No
record, as defined in s. 19.32 (2), of a resource center that contains personally identifiable information, as defined in s. 19.62
(5), concerning an individual who receives services from the resource center may be disclosed by the resource center without the
individual’s informed consent, except as follows:
(a) A resource center may provide information as required to
comply with s. 16.009 (2) (p) or 49.45 (4) or as necessary for the
department to administer the program under ss. 46.2805 to
46.2895.
(b) Notwithstanding ss. 48.78 (2) (a), 49.45 (4), 49.83, 51.30,
51.45 (14) (a), 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and
938.78 (2) (a), a resource center acting under this section may exchange confidential information about a client, as defined in s.
46.287 (1), without the informed consent of the client, under s.
46.21 (2m) (c) , 46.215 (1m) , 46.22 (1) (dm) , 46.23 (3) (e) ,
46.284 (7), 46.2895 (10), 51.42 (3) (e) or 51.437 (4r) (b) in the
county of the resource center, if necessary to enable the resource
center to perform its duties or to coordinate the delivery of services to the client.

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