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Patient rights (apply only to AFH residents receiving services for mental illness, developmental disability, or substance/alcohol abuse treatment): Documentation of successful completion of the training requirements under. or, if the residence is licensed as a treatment foster home, care and maintenance are provided to children, the combined total of adults and children so served being no more than four. b. Results will be readily available in the facility; Be notified in advance of any plans to change their room arrangements or change in roommate; Daily communications in the resident's language; and. Durable power of attorney for health care or financial decisions. To be treated with consideration, respect, and full recognition of personal dignity and individuality. %
Provide case Private and unrestricted communication with any person of their choice, including the right to send and receive unopened mail promptly, have access to stationary, postage, and writing implements (at resident expense); and reasonable access to make telephone calls in privacy. The assessment shall contain, unless unavailable despite the best efforts of the facility, the resident applicant, and other interested parties, the following minimum information: Recent medical history; necessary and contraindicated medications; a licensed medical or other health professional's diagnosis, unless the individual objects for religious reasons; significant known behaviors or symptoms that may cause concern or require special care; mental illness, except where protected by confidentiality laws; level of personal care needs; activities and service preferences; and preferences regarding other issues important to the resident applicant, such as food and daily routine. WebADULT FAMILY HOME INITIAL INSPECTION PREPARATION CHECKLIST This checklist is designed to assist the you must ensure resident safety per this WAC. The advertisements and documents must disclose those services that distinguish the care as applicable to, or suitable for, such persons. (1g)(a) to (d), (f) or (g). Training provided by home health agencies, hospitals, nursing homes, public health agencies, etc. Code DHS 88.04(2)(f), "the licensee may not permit the existence or continuation of a condition in the home which places the health, safety, or welfare of a resident at substantial risk of harm. Competency testing is required for this course. (2). ch. Code ch. Be informed, in writing, of all services available as well as the charge for each service; Have a copy of the adult family home' rules and regulations, including a written copy of resident rights; Be informed of the address and telephone number of the State Ombudsman, State survey agency office, and other advocacy groups; See the state survey reports of the nursing home and home's plan of correction. The staff Elements of emergency evacuation floor plan. Web(SAMPLE LETTER - PREPARE WITHOUT MODIFICATION ON FIELD OFFICE LETTER) THE DATE OF THIS LETTER MUST BE THE SAME DATE IT IS GIVEN TO THE TENANT Ms. This should be provided by a department-approved trainer for community-based residential facility training. L T $If gdR@
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Adult family home rules and policies related to abuse. (a) A facility must immediately consult with the resident's physician, and if known, make reasonable efforts to notify the resident representative to the extent provided by law when there is: (i) An accident involving the resident which requires or has the potential for requiring physician intervention; (ii) A significant change in the resident's physical, mental, or psychosocial status (i.e., a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications). *. R^[iFf gbok6D@ 4{
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The source of the training needs to be a recognized entity or trainer with experience in the subject area. Training provided by a managed care organization (MCO) or county human services department. x=]si tblH,' AI$q],.x|&?x|]\^WvN[\,y|zD$''yfN>|~$K>s\jg3K'"}>[xT_D*h'fnfj~bg+5D}EJ@WtS%>J&W0,42e8?~XSiYaW8ji& ,BI)Swi~RYj:0y*vrZ&_#m?+3{T>g|Rdffg^WN#)=9u C[ ?H9F{|@u>w?bz?gnsEAYE Based on China’s newly established Securities Investor Services Center (CSISC), a minority shareholder protection mechanism, we investigated how the CSISC shareholder influences the ESG performance of listed companies. That training should be given to all staff who may come in contact with the blood of a resident. (3) The facility shall only admit or retain individuals whose needs it can safely and appropriately serve in the facility with appropriate available staff and through the provision of reasonable accommodations required by state or federal law. )RSz*JPIMO'5CtD2OS% K6sfKA $m
~q^M hl+M hRc CJ OJ QJ ^J aJ %hl+M h'W 56:@ OJ QJ ^J hl+M hJ OJ QJ ^J hl+M hJ 5:OJ QJ ^J hl+M hq OJ QJ ^J hl+M hRc OJ QJ ^J hl+M hm OJ QJ ^J hl+M hbgC OJ QJ ^J hl+M h2E OJ QJ ^J hl+M h~X OJ QJ ^J hl+M hZs OJ QJ ^J hl+M h6f OJ QJ ^J h OJ QJ ^J Wisconsin Admin. Be free from charge for services covered by Medicaid or Medicare. For all other training, the personnel record must include documentation of training. Why the patient is presenting with the specific symptoms described. This information outlines the training requirements for AFH service providers and licensees. la 3 / la 3 v 3. Home and community-based services (HCBS) NOTE: Providers who are HCBS compliant should note that all staff must receive initial resident rights during new employee training. _8 $ . (c) A statement that the resident may file a complaint with the appropriate state licensing agency concerning alleged resident abuse, neglect, and misappropriation of resident property in the facility. Right to remain in the facility without transfer or discharge unless: Resident's needs cannot be met in the facility. "Adult family home" does not include a place that is specified in sub. Fire drill plan and procedures for emergency evacuation. Reasonable visits by organizations or individuals providing health, social, legal, or other services. Patient rights (apply only to AFH residents receiving services for mental illness, developmental disability, or substance/alcohol abuse treatment): Wisconsin Stat. This certificate can be used for 12 hours of long-term care worker continuing education in the year it was taken. This OSHA Standard requires an employer to provide training when a worker is assigned tasks where they might be exposed to blood. Privacy in treatment and in the care of their personal needs; and. APD 0518. AFH & Meaningful Day DDA Sample Contract. Confidentiality regarding their medical, personal, or financial affairs outside of the facility unless otherwise provided by law. 1 0 obj
Allowing staff who aren't adequately trained to work in the AFH may result in a condition that puts the health, safety, and welfare of the residents at risk. sterling talent solutions drug test cutoff levels; house for rent in suffolk county, ny by owner; canned devonshire pheasant; primal fear why did aaron kill linda; Contact Us. 50. The Web[Correction Notice: An Erratum for this article was reported in Vol 58(3) of Family Court Review (see record 2020-55845-016). The facility must agree to manage the resident's personal funds as deposited in a separate account. *'H*m*
qts^EXlfacU JG. AFH Notice of Rights and Service Requirements, Disaster Plan and Policies.doc, Delegation is a very essential role of the registered nurse.docx, PBDS Nursing OrientationTravelers 2019 5142019-3.pdf, ET 429 Assignment 2 Philip Rasmussen (2).docx, Water balance Air quality Air flow Climate changes Visibility Biological, the-question-of-community-nursing-research.pdf, Importance of moving with young children in early childhood settings.docx, Laura__Westfall_HIS_200__Applied_History+(3).docx, Use Cases and Customer Adaptations - Assessment copy 3.pdf, regarded as 2 tier wireless sensor network Where cluster head is the upper tier, platforms based on algorithmic design and coding are having an impact on the, HKIN292MovieReflectionSTUDENTCharacterComparisonWorksheets-FenutaFall2021.docx, Interactional justice Bies Moag 1986 as more recently advanced in the justice, i Section 120561b 15 Validity Challenges Under Sections 120562 3 a Validity, Instructions Perform the tasks below as per the directions of your trainer, A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient's roommate. The documentation may include: If you have questions, please visit Division of Quality Assurance: Bureau of Assisted Living Regional Offices to contact the regional office for the county in which your facility is located. Authorize payment for the services provided by the Adult Family Home. Right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights. Recent Posts. WebEVERY RESIDENT SHALL HAVE THE FOLLOWING RIGHTS: (1). (5) The facility must furnish a written description of residents rights that includes: (a) A description of the manner of protecting personal funds, under RCW, (b) A posting of names, addresses, and telephone numbers of the state survey and certification agency, the state licensure office, the state ombuds program, and the protection and advocacy systems; and. AFH (1) The facility must inform the resident both orally and in writing in a language that the resident understands of his or her rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility. The notification must be made prior to or upon admission. Be informed of any changes in their medical condition; Participate in their assessment, care-planning, treatment, and discharge; Refuse chemical and physical restraints; and. Review their medical record. (Disaster Plan:WAC RefA plan for each type of natural and man-made emergencies and disasters388-76-10830List of actions to be taken by staff and residents during and directly after an emergency or disaster strikes388-76-10835Have a fire drill plan for evacuation of the home with a meeting place approximately 50 feet away from the home388-76-10835Comments Related to Your Disaster Plan:
I have read the above information and have made any necessary changes to the Homes Disaster Plan to meet the requirements of the rules and regulations. The training should be repeated each year. (ii) A decision to transfer or discharge the resident from the facility. You will receive a certificate after successful completion of the adult family home administrator training course. A valid Instructor Card issued from American Red Cross, American Heart Association. WebThe purpose of this form is to assist you in developing your Adult Family Home (AFH) Notice of Rights and Service Requirement/s, Disaster Plan and Policies. 3ml$u`NO/
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HTML PDF: 388-76-10532: Resident rights Department standardized disclosure forms. A copy of this certificate must be kept in your AFH files. Home and community-based setting requirements. WebAFH Sample Contract. Code DHS 88.04(2)(h) includes: DHS will review documented training to determine if it is appropriate. A safe transfer or discharge through sufficient preparation by the adult family home. WebAdult Foster Home Back-up Provider Agreement. The sentence should read: The 2019 study, Warshak, supra (1) The facility must inform the resident both orally and in writing in a language that the resident understands of his or her Resident rightsNotice of rights and services. 50.01(1), adult family home means one of the following: (a) A private residence to which all of the following apply: 1. ", Section DHS 88.04(5)(b) states in part that "the licensee and each service provider shall complete eight hours of training approved by the licensing agency related to the health, safety, welfare, rights, and treatment of residents every year beginning with the calendar year after the year in which the initial training is received.". *. Receipt of the information must be acknowledged in writing. 736 0 obj
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kenneth mcgriff 50 cent. We offer links to statutes and other resources where you can learn how to comply with regulations on adult family homes (AFH) in Wisconsin. endstream
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(c) Laundry service. WebAssignment #4 - Write a Notice of Rights and Service Disclosure 1. is dedicated in providing a fun-filled, homey environment for each of the residents while ensuring a comfortable atmosphere that promotes diginity, independence, Course Hero is not sponsored or endorsed by any college or university. Learn more at Waivers, Approvals, Variances, and Exceptions: Assisted Living. A .gov website belongs to an official government organization in the United States. Energy Efficient Homes; Renovations; House Extensions; New Builds; About Us; News; Contact Us; notice of rights and services afh sample. With your love one living at our home, your 1 at least 12 months before any of the adults attained 18 years of age. Residential and Community-Based Care Licensing and Certification, Adult Family Homes: Rules and Regulations, Protecting and promoting the health and safety of the people of Wisconsin, American Rescue Plan Act Funding for Wisconsin, Governor Evers' Proposed 2023-2025 Budget, Statutory Boards, Committees and Councils, PRAMS (Pregnancy Risk Assessment Monitoring System), WISH (Wisconsin Interactive Statistics on Health) Query System, Find a Health Care Facility or Care Provider, Health Insurance Portability and Accountability Act (HIPAA), Long-Term Care Insurance Partnership (LTCIP), Psychosis, First Episode and Coordinated Specialty Care, Services for Children with Delays or Disabilities, Supplemental Security Income-Related Medicaid, Aging and Disability Resource Centers (ADRCs), Services for People with Developmental/Intellectual Disabilities, Services for People with Physical Disabilities, Nutrition, Physical Activity and Obesity Program, Real Talks: How WI changes the conversation on substance use, Small Talks: How WI prevents underage drinking, Health Emergency Preparedness and Response, Home and Community-Based Services Waivers, Medicaid Promoting Interoperability Program, Preadmission Screening and Resident Review, Alcohol and Other Drug Abuse (AODA) Treatment Programs, Environmental Certification, Licenses, and Permits, Health and Medical Care Licensing and Certification, Construction/Remodeling of Health Care Facilities, Wisconsin Admin. 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Patient rights (apply only to AFH residents receiving services for mental illness, developmental disability, or substance/alcohol abuse treatment): Documentation of successful completion of the training requirements under. or, if the residence is licensed as a treatment foster home, care and maintenance are provided to children, the combined total of adults and children so served being no more than four. b. Results will be readily available in the facility; Be notified in advance of any plans to change their room arrangements or change in roommate; Daily communications in the resident's language; and. Durable power of attorney for health care or financial decisions. To be treated with consideration, respect, and full recognition of personal dignity and individuality. %
Provide case Private and unrestricted communication with any person of their choice, including the right to send and receive unopened mail promptly, have access to stationary, postage, and writing implements (at resident expense); and reasonable access to make telephone calls in privacy. The assessment shall contain, unless unavailable despite the best efforts of the facility, the resident applicant, and other interested parties, the following minimum information: Recent medical history; necessary and contraindicated medications; a licensed medical or other health professional's diagnosis, unless the individual objects for religious reasons; significant known behaviors or symptoms that may cause concern or require special care; mental illness, except where protected by confidentiality laws; level of personal care needs; activities and service preferences; and preferences regarding other issues important to the resident applicant, such as food and daily routine. WebADULT FAMILY HOME INITIAL INSPECTION PREPARATION CHECKLIST This checklist is designed to assist the you must ensure resident safety per this WAC. 
The advertisements and documents must disclose those services that distinguish the care as applicable to, or suitable for, such persons. (1g)(a) to (d), (f) or (g). Training provided by home health agencies, hospitals, nursing homes, public health agencies, etc. Code DHS 88.04(2)(f), "the licensee may not permit the existence or continuation of a condition in the home which places the health, safety, or welfare of a resident at substantial risk of harm. Competency testing is required for this course. (2). ch. Code ch. Be informed, in writing, of all services available as well as the charge for each service; Have a copy of the adult family home' rules and regulations, including a written copy of resident rights; Be informed of the address and telephone number of the State Ombudsman, State survey agency office, and other advocacy groups; See the state survey reports of the nursing home and home's plan of correction. The staff Elements of emergency evacuation floor plan. Web(SAMPLE LETTER - PREPARE WITHOUT MODIFICATION ON FIELD OFFICE LETTER) THE DATE OF THIS LETTER MUST BE THE SAME DATE IT IS GIVEN TO THE TENANT Ms. This should be provided by a department-approved trainer for community-based residential facility training. L T $If gdR@
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Adult family home rules and policies related to abuse. (a) A facility must immediately consult with the resident's physician, and if known, make reasonable efforts to notify the resident representative to the extent provided by law when there is: (i) An accident involving the resident which requires or has the potential for requiring physician intervention; (ii) A significant change in the resident's physical, mental, or psychosocial status (i.e., a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications). *. R^[iFf gbok6D@ 4{
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The source of the training needs to be a recognized entity or trainer with experience in the subject area. Training provided by a managed care organization (MCO) or county human services department. x=]si tblH,' AI$q],.x|&?x|]\^WvN[\,y|zD$''yfN>|~$K>s\jg3K'"}>[xT_D*h'fnfj~bg+5D}EJ@WtS%>J&W0,42e8?~XSiYaW8ji& ,BI)Swi~RYj:0y*vrZ&_#m?+3{T>g|Rdffg^WN#)=9u C[ ?H9F{|@u>w?bz?gnsEAYE Based on China’s newly established Securities Investor Services Center (CSISC), a minority shareholder protection mechanism, we investigated how the CSISC shareholder influences the ESG performance of listed companies. That training should be given to all staff who may come in contact with the blood of a resident. (3) The facility shall only admit or retain individuals whose needs it can safely and appropriately serve in the facility with appropriate available staff and through the provision of reasonable accommodations required by state or federal law. )RSz*JPIMO'5CtD2OS% K6sfKA $m
~q^M hl+M hRc CJ OJ QJ ^J aJ %hl+M h'W 56:@ OJ QJ ^J hl+M hJ OJ QJ ^J hl+M hJ 5:OJ QJ ^J hl+M hq OJ QJ ^J hl+M hRc OJ QJ ^J hl+M hm OJ QJ ^J hl+M hbgC OJ QJ ^J hl+M h2E OJ QJ ^J hl+M h~X OJ QJ ^J hl+M hZs OJ QJ ^J hl+M h6f OJ QJ ^J h OJ QJ ^J Wisconsin Admin. Be free from charge for services covered by Medicaid or Medicare. For all other training, the personnel record must include documentation of training. Why the patient is presenting with the specific symptoms described. This information outlines the training requirements for AFH service providers and licensees. la 3 / la 3 v 3. Home and community-based services (HCBS) NOTE: Providers who are HCBS compliant should note that all staff must receive initial resident rights during new employee training. _8 $ . (c) A statement that the resident may file a complaint with the appropriate state licensing agency concerning alleged resident abuse, neglect, and misappropriation of resident property in the facility. Right to remain in the facility without transfer or discharge unless: Resident's needs cannot be met in the facility. "Adult family home" does not include a place that is specified in sub. Fire drill plan and procedures for emergency evacuation. Reasonable visits by organizations or individuals providing health, social, legal, or other services. Patient rights (apply only to AFH residents receiving services for mental illness, developmental disability, or substance/alcohol abuse treatment): Wisconsin Stat. This certificate can be used for 12 hours of long-term care worker continuing education in the year it was taken. This OSHA Standard requires an employer to provide training when a worker is assigned tasks where they might be exposed to blood. Privacy in treatment and in the care of their personal needs; and. APD 0518. AFH & Meaningful Day DDA Sample Contract. Confidentiality regarding their medical, personal, or financial affairs outside of the facility unless otherwise provided by law. 1 0 obj
Allowing staff who aren't adequately trained to work in the AFH may result in a condition that puts the health, safety, and welfare of the residents at risk. sterling talent solutions drug test cutoff levels; house for rent in suffolk county, ny by owner; canned devonshire pheasant; primal fear why did aaron kill linda; Contact Us. 50. The Web[Correction Notice: An Erratum for this article was reported in Vol 58(3) of Family Court Review (see record 2020-55845-016). The facility must agree to manage the resident's personal funds as deposited in a separate account. *'H*m*
qts^EXlfacU JG. AFH Notice of Rights and Service Requirements, Disaster Plan and Policies.doc, Delegation is a very essential role of the registered nurse.docx, PBDS Nursing OrientationTravelers 2019 5142019-3.pdf, ET 429 Assignment 2 Philip Rasmussen (2).docx, Water balance Air quality Air flow Climate changes Visibility Biological, the-question-of-community-nursing-research.pdf, Importance of moving with young children in early childhood settings.docx, Laura__Westfall_HIS_200__Applied_History+(3).docx, Use Cases and Customer Adaptations - Assessment copy 3.pdf, regarded as 2 tier wireless sensor network Where cluster head is the upper tier, platforms based on algorithmic design and coding are having an impact on the, HKIN292MovieReflectionSTUDENTCharacterComparisonWorksheets-FenutaFall2021.docx, Interactional justice Bies Moag 1986 as more recently advanced in the justice, i Section 120561b 15 Validity Challenges Under Sections 120562 3 a Validity, Instructions Perform the tasks below as per the directions of your trainer, A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient's roommate. The documentation may include: If you have questions, please visit Division of Quality Assurance: Bureau of Assisted Living Regional Offices to contact the regional office for the county in which your facility is located. Authorize payment for the services provided by the Adult Family Home. Right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights. Recent Posts. WebEVERY RESIDENT SHALL HAVE THE FOLLOWING RIGHTS: (1). (5) The facility must furnish a written description of residents rights that includes: (a) A description of the manner of protecting personal funds, under RCW, (b) A posting of names, addresses, and telephone numbers of the state survey and certification agency, the state licensure office, the state ombuds program, and the protection and advocacy systems; and. AFH (1) The facility must inform the resident both orally and in writing in a language that the resident understands of his or her rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility. The notification must be made prior to or upon admission. Be informed of any changes in their medical condition; Participate in their assessment, care-planning, treatment, and discharge; Refuse chemical and physical restraints; and. Review their medical record. (Disaster Plan:WAC RefA plan for each type of natural and man-made emergencies and disasters388-76-10830List of actions to be taken by staff and residents during and directly after an emergency or disaster strikes388-76-10835Have a fire drill plan for evacuation of the home with a meeting place approximately 50 feet away from the home388-76-10835Comments Related to Your Disaster Plan:
I have read the above information and have made any necessary changes to the Homes Disaster Plan to meet the requirements of the rules and regulations. The training should be repeated each year. (ii) A decision to transfer or discharge the resident from the facility. You will receive a certificate after successful completion of the adult family home administrator training course. A valid Instructor Card issued from American Red Cross, American Heart Association. WebThe purpose of this form is to assist you in developing your Adult Family Home (AFH) Notice of Rights and Service Requirement/s, Disaster Plan and Policies. 3ml$u`NO/
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HTML PDF: 388-76-10532: Resident rights Department standardized disclosure forms. A copy of this certificate must be kept in your AFH files. Home and community-based setting requirements. WebAFH Sample Contract. Code DHS 88.04(2)(h) includes: DHS will review documented training to determine if it is appropriate. A safe transfer or discharge through sufficient preparation by the adult family home. WebAdult Foster Home Back-up Provider Agreement. The sentence should read: The 2019 study, Warshak, supra (1) The facility must inform the resident both orally and in writing in a language that the resident understands of his or her Resident rightsNotice of rights and services. 50.01(1), adult family home means one of the following: (a) A private residence to which all of the following apply: 1. ", Section DHS 88.04(5)(b) states in part that "the licensee and each service provider shall complete eight hours of training approved by the licensing agency related to the health, safety, welfare, rights, and treatment of residents every year beginning with the calendar year after the year in which the initial training is received.". *. Receipt of the information must be acknowledged in writing. 736 0 obj
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kenneth mcgriff 50 cent. We offer links to statutes and other resources where you can learn how to comply with regulations on adult family homes (AFH) in Wisconsin. endstream
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(c) Laundry service. WebAssignment #4 - Write a Notice of Rights and Service Disclosure 1. is dedicated in providing a fun-filled, homey environment for each of the residents while ensuring a comfortable atmosphere that promotes diginity, independence, Course Hero is not sponsored or endorsed by any college or university. Learn more at Waivers, Approvals, Variances, and Exceptions: Assisted Living. A .gov website belongs to an official government organization in the United States. Energy Efficient Homes; Renovations; House Extensions; New Builds; About Us; News; Contact Us; notice of rights and services afh sample. With your love one living at our home, your 1 at least 12 months before any of the adults attained 18 years of age. Residential and Community-Based Care Licensing and Certification, Adult Family Homes: Rules and Regulations, Protecting and promoting the health and safety of the people of Wisconsin, American Rescue Plan Act Funding for Wisconsin, Governor Evers' Proposed 2023-2025 Budget, Statutory Boards, Committees and Councils, PRAMS (Pregnancy Risk Assessment Monitoring System), WISH (Wisconsin Interactive Statistics on Health) Query System, Find a Health Care Facility or Care Provider, Health Insurance Portability and Accountability Act (HIPAA), Long-Term Care Insurance Partnership (LTCIP), Psychosis, First Episode and Coordinated Specialty Care, Services for Children with Delays or Disabilities, Supplemental Security Income-Related Medicaid, Aging and Disability Resource Centers (ADRCs), Services for People with Developmental/Intellectual Disabilities, Services for People with Physical Disabilities, Nutrition, Physical Activity and Obesity Program, Real Talks: How WI changes the conversation on substance use, Small Talks: How WI prevents underage drinking, Health Emergency Preparedness and Response, Home and Community-Based Services Waivers, Medicaid Promoting Interoperability Program, Preadmission Screening and Resident Review, Alcohol and Other Drug Abuse (AODA) Treatment Programs, Environmental Certification, Licenses, and Permits, Health and Medical Care Licensing and Certification, Construction/Remodeling of Health Care Facilities, Wisconsin Admin. 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