Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 73 - Selected Fiscal Management Procedures And Standards Under The Medical Assistance Home And Community-Based Services Waiver › Section DHS 73.03 - Definitions

Current through June 24, 2024
In this chapter:
(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.
(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.
(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.
(3m) "CBRF" or
				"community-based residential facility" has the meaning specified in s.
				50.01(1g),
				Stats.
(5) " County department"
				means a county department established under s.
				46.215,
				46.22,
				46.23,
				46.272,
				51.42, or
				51.437, Stats., which provides
				home and community-based services under a medical assistance waiver or a
				private non-profit agency designated by the department to provide services
				under a medical assistance waiver.
(6) "Department" means the Wisconsin
				department of health services.
(7)
				"Home and community-based services" means services that are provided under a
				medical assistance waiver as an alternative to institutional care.
(8) "Household care" means household tasks
				and home maintenance activities that do not change the physical structure of
				the home, including shopping, meal preparation, cleaning, laundry, bed-making,
				simple home repairs, errands and seasonal chores.
(8m) "Initially applies for services" means
				applies for the first time for services in addition to an assessment or care
				plan under the community integration program under s.
				46.277, Stats., and has not
				previously received the services.
(9) "Medical assistance" means the assistance
				program operated by the department under ss.
				49.43 to
				49.497, Stats.
(10) "Medical assistance waiver" means a
				waiver granted to the department by the secretary of the U.S. department of
				health and human services under
				42 USC
				1396n(c), authorizing the
				department to provide home and community-based services as part of the medical
				assistance program.
(11)
				"Participant" means a person receiving an assessment, case plan or supportive
				home care services funded under a medical assistance waiver.
(12) "Participant's representative" means a
				person designated in writing by the participant to act on behalf of the
				participant in making decisions about or directing the provision of services
				received by the participant.
(13)
				"Primary caregiver" means the person providing the majority of unpaid, informal
				care to the participant.
(14)
				"Private non-profit agency" means a nonprofit corporation, as defined in s.
				181.0103(17),
				Stats., that provides a program of all-inclusive care for the elderly under
				42 USC
				1395ee e or 1396u-4.
(15) "Respite care" means care and
				supervision to a participant in a homelike environment for purposes of giving
				the primary caregiver temporary relief, relieving the primary caregiver of the
				stress of giving continuous support.
(16) "Service provider" means an individual
				employed to provide supportive home care services to a participant, whether
				that individual is employed by the participant, the participant's
				representative, a county department or a vendor agency.
(17) "Supportive home care" means the
				provision of services except nursing care that are intended to maintain
				participants in independent or supervised living in the participant's own home
				or the home of the participant's friends or relatives, which help the
				participant meet his or her daily living needs, address the participant's needs
				for social contact, ensure the participant's well being, and reduce the
				likelihood that the participant will have to move to a nursing home or other
				alternate living arrangement.
(17m)
				"Terminally ill" means a medical prognosis that an individual's life expectancy
				is less than 12 months.
(18)
				"Vendor agency" means an agency from which a county department purchases
				supportive home care services for participants.