1. (1) A licensee may request that a Wisconsin public purchaser pay an extraordinary payment in addition to the rate established under ss. DCF 57.60 to 57.63 for a specific child in care.

2. (2) A licensee may request and a Wisconsin public purchaser may approve a child-specific extraordinary payment if all of the following conditions are met:

   1. (a) The child has service needs that are not accounted for in the maximum per client rate for the group home as determined by under s. DCF 57.62 (5) or 57.63, as applicable.
   2. (b) The child’s service needs are not paid for by another source.
   3. (c) The extraordinary payment will be used to cover expenses that are an allowable cost under s. DCF 57.61.

3. (3) A licensee shall submit a request for an extraordinary payment to the Wisconsin public purchaser on a form prescribed by the department. The request shall be dated and signed and include all of the following:

   1. (a) Name of the group home, licensee, and any authorized representative.
   2. (b) Name of the child for whom an extraordinary payment is being requested.
   3. (c) Amount of the extraordinary payment requested and time period that the extraordinary payment would cover.

   4. (d) A rationale for the request that includes all of the following:

      1. 1. An explanation of the child’s service needs.
      2. 2. The amount of money that the group home is currently spending to address the child’s needs.
      3. 3. Any services that are not being provided due to economic constraints.
      4. 4. Documentation of the need for additional services by a person with expertise in the child’s type of needs.

      5. 5. How additional dollars would be allocated and the means by which additional services would be provided.

         Note: An extraordinary payment request form is available at https://dcf.wisconsin.gov/ratereg.

4. (4) The Wisconsin public purchaser shall approve or deny the request or recommend an alternative to meet the child’s needs and shall notify the licensee of the determination within 10 working days after receipt of the request form. The Wisconsin public purchaser shall send a copy of the licensee request, the signed and dated determination, and the justification for the determination to the department within 20 days of the approval or non-approval of the request.

   Note: Send the required information to the Department of Children and Families, Division of Safety and Permanence, Extraordinary Payments Panel, 201 W. Washington Avenue, P.O. Box 8916, Madison WI 53708-8916.

5. (5) A licensee may not appeal the denial of a request for an extraordinary payment under this section.

History

History: EmR1106: emerg. cr., eff. 9-16-11; CR 11-026: cr. Register December 2011 No. 672, eff. 1-1-12.