Wisconsin Facilities with Approved Dedicated Units for the Care of Traumatic Brain Injured (TBI) Persons

Consumer Information

The following is a list (alphabetized by city) of Wisconsin facilities that provide care for traumatic brain injured persons.

Support and Resources for individuals with Traumatic Brain Injuries

These support groups are not inclusive but may give information and resources you may be seeking.

• Center for Disease Control and Prevention (CDC) (exit DHS) guidance and recommendations for traumatic brain injury.

• The Brain Injury Recovery Network (exit DHS) providers advice for brain injury survivors and families.

• Brain Injury Alliance of Wisconsin (exit DHS) provides education, advocacy, prevention, and support.

• CaringBridge (exit DHS) connects people experiencing a health challenge with family and friends.

• Make the Connection (exit DHS) provides Veterans and their friends and family members with information, and resources.

• Brain Injury Association of American (BIAA) (exit DHS) is a nationwide network. 

• Brain Injury Resource Center (exit DHS) provides best practices and additional information.   

Community Placement and Funding

There are three primary sources of Medicaid waiver funding to assist in community placement and maintenance.  In counties where Family Care is operational and the patient is enrolled, this program becomes the source of funding.  There are other funding sources that may be applicable based on current age, age at the time of the brain injury and residual injury.  These include:  Katie Becket, Community Integration Program (CIP) and Community Options Program (COP).  Because money is not readily available at this time, there may be waiting lists for these primary funding sources. The following website will give additional information to the above programs: http://www.dhs.wisconsin.gov/managedltc/otherlinks.htm

Family Care.  In counties where this is operational, the entitlement to benefits includes any individual who is disabled enough to qualify for institutional care or is less disabled but is eligible for Medicaid, plus everyone who needs protective services.  It includes such things as therapy, and other services and supports.

Brain Injury Waiver (BI-W). It provides home and community based services for people who need significant supports. The person must be eligible for Medicaid, be receiving or eligible to receive post acute rehabilitation services in one of the approved programs listed above. The person must also have as a result of the TBI, significant physical, cognitive, emotional and/or behavioral impairments.

Community Integration Program (CIP 1A, CIP 1B, and CIP II)

CIP 1A is a Medicaid home and community based waiver which combines federal and state Medicaid and serves developmentally disabled adults who have relocated from one of the state centers.

CIP 1B is a Medicaid home and community based waiver which combines federal and state Medicaid and serves developmentally disabled adults who have relocated or are diverted from a nursing home

CIP II is a Medicaid home and community based waiver which combines federal and state Medicaid and serves physically disabled adults and elderly who have relocated or are diverted from a nursing home. CIP II includes the Community Relocation Initiative (CRI) which includes current relocations from nursing homes.

COP will pay for such things as room and board, which is not covered under Medicaid.

COP W is federal Medicaid money with state GPR money and designed for people who are elderly, or physically disabled. It provides supports in homes and other community settings. It is designed for people who are elderly mentally ill or physically and/or developmentally disabled. It includes people who do not qualify for Medicaid or a waiver.

Katie Beckett Program is a special eligibility process that allows certain children, under the age of 19, with long term disabilities or complex medical needs, living at home with their families, to obtain a Wisconsin Medicaid card.

Provider Information

The information below should be followed for facilities wanting to have a current program approved, start a new TBI unit, expand or decrease beds, or close a TBI unit.

A letter of intent must be sent to:

Division of Quality Assurance
Attention: Denise Torgeson
P.O. Box 2969
Madison, WI 53701-2969

The letter must contain all of the following:

• Defining the specific changes the facility (floor plan) is proposing to implement the TBI unit.

• A clear stated intention or rational for the change of a TBI unit.

• Where beds will be coming from or going to within the corporation pursuant to DHS 122 (exit DHS).

• Estimated date the facility was intending to implement their requested changes.

• Mission Statement and Unit Goals including length of program.

• Advisory committee or method of oversight.

• On call consultants- list who and what responsibility or position.

• Unit or Care Coordinator name and credentials.

• Current Standards of Practice used for development of policies and procedures.

• Integration program back to the community.

• Equipment: supportive supplies, etc.

• Electrical equipment, alternative sources.

The letter must be submitted via certified letter to the above address no less than 45 days prior to date of opening. The facility will send a second packet for review within 15 days following the initial letter of intent to the DQA Contact including:

• Floor plan with new unit identified.

• Staffing forms completed for each shift (day, evening, night):
  Registered Nurse
  F62023 (Word, 171 KB), F62025 (Word, 171 KB), F62027 (Word, 171 KB)
  Licensed Practical Nurse
  F62164 (Word, 171 KB), F62165 (Word, 171 KB), F62166 (Word, 171 KB)
  Nurse Aide
  F62024 (Word, 171 KB), F62026 (Word, 171 KB), F62028 (Word, 171 KB)
  Other Direct Care Nurse Aide (used for therapy staff)
  F62441 (Word, 171 KB), F62441 (Word, 171 KB), F62442 (Word, 171 KB)

• Background checks for staff working on the TBI unit.

• Policies and procedures for infection control.

• Disaster plan.

• Completed pre-admission functional test(s) ( i.e. Functional Independence Measure).

• History and Physical including CAT scan reports.

• Contracts for supplies, if any.

• All policies pertaining to TBI patients including the continuing stay requirements.

• Medical Director's name and credentials along with a statement of agreement for responsibility for the patients of the TBI unit.

• All contracted services for TBI residents i.e. activities, therapies.

• Policies or Plan of care for residents as it pertains to respiratory therapy, activities, physical and occupational therapy, and discharge planning.

• A copy of the Resident requirements and admission packet.

• A list of name(s) and contact number(s) for any questions or needed information for DQA personnel.

• Staff training records including certificates and licenses.

Materials submitted will be reviewed in a timely matter and a letter of acceptance or denial will be sent via certified mail 7 days prior to the anticipated opening of the TBI unit. The facility will notify the DQA contact Denise Torgeson at (608) 266-7345 when the unit has become operational and has resident(s) in the unit. Within 10 working days an on-site survey will be conducted to verify the safety and welfare of the residents.

Please call the Division of Quality Assurance contact at (608) 266-7345 or email denise.torgeson@dhs.wisconsin.gov if you need more information.

Last Updated: May 02, 2013