49.02 Relief block grant administration.

415 words·~2 min read·/wi/chapter-49/49-02

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(1)Eligibility for relief block grants. A tribal governing body is eligible to receive a relief block grant if all of the following conditions are met:

(a)The tribal governing body adopts a resolution applying for a relief block grant.

(b)The tribal governing body establishes written criteria to be used to determine dependency and reviews these written criteria at least annually.

(c)The tribal governing body submits to the department a plan for the provision of services to be funded by the relief block grant. The plan shall include all of the following:

1. How the tribal governing body will determine eligibility and how these eligibility determinations may be appealed. The procedures for determining eligibility and for notice, fair hearing, and review shall be consistent with rules promulgated by the department under sub.

(7m).

2. How the tribal governing body will determine which health care services are needed by a dependent person.

3. The cost containment mechanisms that will be used, including what limitations will be placed on the inappropriate use of emergency room care and what limitations will be placed on payments to providers contracted for under sub.

(2).

(d)The department has approved the plan under par.

(c). The department shall approve or disapprove the plan within a reasonable period of time after the plan is submitted.

(1e)Relief agencies. If a tribal governing body is eligible to receive a relief block grant, the tribal governing body shall establish or designate a relief agency to administer relief under this section.

(2)Contracting with private health care providers. A relief agency may use a relief block grant to provide health care services directly or, if the conditions in this subsection are met, by contracting with private health care providers, or by a combination of contracting with private health care providers and providing services directly. A relief agency may contract with a private health care provider to provide health care services under this subsection only if all of the following conditions are met:

(a)The relief agency enters into a contract with the private health care provider to provide specified health care services.

(b)The contract between the relief agency and the private health care provider provides that all records of the health care provider relating to the administration and provision of the health care services shall be open to inspection at all reasonable hours by authorized representatives of the tribal governing body and the department.