Current through October 28, 2024
Section DHS 73.03 - Definitions 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.Wis. Admin. Code Department of Health Services DHS 73.03
Cr. Register, January, 1993, No. 445, eff. 2-1-93; emerg. cr. (3m) and (8m), eff. 1-1-96; cr. (3m), (8m) and (17m), Register, May, 1996, No. 485, eff. 6-1-96; correction in (6) made under s. 13.92(4) (b) 6, Stats., Register November 2008 No. 635.Amended by, CR 22-026: r. (4), am. (5), (8m), (11), (14) Register May 2023 No. 809, eff. 6-1-23; correction in (14) made under s. 35.17, Stats., Register May 2023 No. 809, eff. 6/1/2023