Section DHS 73.08 - Supervisory review of payment decisions(1) The county department shall develop and implement written procedures for supervisory review of staff decisions regarding the competence of a participant to receive funds to pay a service provider and appropriateness of the levels of funds based upon the needs identified in the participant's assessment and services authorized in the case plan for the participant.(2) In conducting a review of a case in which a participant or participant's representative receives funds, the supervisor shall examine: (a) The capability of the participant or participant's representative to manage funds and act as employer of the service provider;(b) The adequacy of the funds provided compared to the level of need identified in the participant's assessment; and(c) The adequacy of any training provided to the participant or the participant's representative to enable the participant or participant's representative to manage funds and serve as an employer.(3) The supervisor's review shall occur within 3 months after the initial disbursement of funds to a participant who receives funds for the first time on or after February 1, 1993 and within 9 months after February 1, 1993 for a participant who was receiving payments prior to February 1, 1993, and thereafter whenever there is a substantial change to the participant's condition or need for services. Alternatively, the county department may conduct a supervisor's review on a random sample of at least 10% of cases or 25 cases, whichever is greater, in which a participant receives funds. County departments with fewer that 25 cases shall review all cases. This review shall be completed within 12 months after February 1, 1993 and within every 12 months thereafter.(4) A county department may contract with a third party for supervisory review under this section.Wis. Admin. Code Department of Health Services DHS 73.08
Cr. Register, January, 1993, No. 445, eff. 2-1-93.