Facilities providing care for ventilator-dependent persons are regulated by the Division of Quality Assurance. The information below identifies approved facilities having vent units in Wisconsin and includes additional support and resource information. This web page also provides information to new and existing facilities providing care for ventilator-dependent persons.
The following is a list (alphabetized by city) of Wisconsin facilities that provide care for ventilator-dependent persons. If you have questions about any of these facilities, please select the facility link for additional information and/or call the contact person listed for the facility.
|Facility Name and Address||Capacity and Contact Information|
|Type of Program: Short, Long Term & Weaning
Capacity: 36 private rooms
Contact person: Janet Maier, CSW
Phone Number: 715-720-2274
|Type of Program: Long/Short Term Ventilator Care
Capacity: 29 private rooms
Contact person: Joe Tomisino
Phone Number: 414-607-4344
|Type of Program: Short/Long Term & Weaning
Capacity: 25 private rooms
Contact Person: Julie Lucko, CSW (Resident Relations/Admissions)
Phone Number: 715-581-3422
|Type of Program: Long/Short Term Ventilator Care
Capacity: 23 private rooms
Contact Person: Joe Tomisino
Phone Number: 414-607-4195
Support and Resources for Individuals who Require Mechanical Ventilation
These references are not inclusive but may provide you with information and resources you may be seeking.
United Spinal Association goals are to promote inclusion, improve access, foster independence, enhance mobility, and demand equality, along with their commitment to member service: http://www.unitedspinal.org
National Spinal Cord Injury Association (NSCIA) partners in providing support, resources and opportunities right in your own community: http://www.spinalcord.org
Please contact your county for information or contact the person identified in the Area Administration - County/Tribe Assignments.
To apply for healthcare through the Marketplace, go to www.healthcare.gov or call 1-800-318-2596 or 1-855-889-4325 (TTY).
- Family Care. The "Family Care" program, gradually being expanded to all WI counties, will replace the Brain Injury Waiver (BI-W). The county Support and Service Coordinator or Family Care intake staff or care manager will assist with applying for Family Care if the county has started that program. 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. Contact your county long-term care coordinator for more information.
- 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.
- Community Integration Program (CIP)
CIP 1A is a Medicaid home and community based waiver which combines federal and state Medicaid and serves adults with developmental disabilities 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 adults with developmental disabilities 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 adults with physical disabilities and elderly individuals 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.
- Community Options Program (COP) will pay for such things as room and board, which is not covered under Medicaid.
- Community Options Program Waiver (COP W) is federal Medicaid money with State General Program Revenue (GPR) money and is designed for people who are elderly or physically disabled. It provides supports in homes and other community settings and 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.
Since federal funding 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
DHS Contacts/Resources - Financial Questions
Hospital Fee-for-Service Reimbursement questions: Randy McElhose at 608 267-7127 or email at Randy.McElhose@dhs.wisconsin.gov
Prior Authorization (PA) Approval questions: Barb Evans at 608 261-7783 or email Barbara.Evans@dhs.wisconsin.gov PA criteria include the following:
- The recipient is ventilator (Vent) dependent. (Vent dependency means that the recipient is dependent on a ventilator for life support for no less than 6 hours per day.)
- The diagnosis must be consistent with ICD diagnosis codes for vent dependency.
- The request shows either that weaning attempts would be inappropriate or that weaning attempts have failed with at least 2 trials before admission.
- The request must document the care needs are consistent with the level of care of an SNF facility.
- The SNF facility must be approved for vent care.
- Providers must be specially trained and competent in respiratory and vent care.
The information below should be followed for facilities wanting to: start a new unit for persons dependent on mechanical ventilation, expand or decrease beds in a currently approved unit, or close a unit.
A certified letter of intent must be sent to:
Division of Quality Assurance
Attention: Denise Torgeson
1 West Wilson St, Room 450
Madison, WI 53701
The letter must contain all of the following:
- Defining the specific changes the facility (floor plan) is proposing to implement on the ventilator unit. (Additionally, a letter from the DQA Office of Plan Review and Inspection indicating approval of the new unit's construction plan, if applicable.)
- Clearly stated intention or rationale for the change in the ventilator unit.
- Where "beds" will be coming from or going to within the corporation pursuant to DHS 122.
- Estimated date the facility is 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 their area of responsibility or position.
- Unit or Care Coordinator name and credentials.
- Current Standards of Practice used for development of policies and procedures.
- Equipment: supportive supplies, etc.
- Electrical equipment, alternative sources.
- Plan for integration program back to the community (if applicable).
The facility will send a second packet for review within 15 days following the initial letter of intent to the Division of Quality Assurance (DQA) contact including:
- Staffing forms for each shift:
- Verification of background checks for newly hired staff working on the Ventilator unit, i.e. Integrated Background Information System (IBIS), Department of Justice (DOJ), Background Information Disclosure (BID) and Out-of-State and/or Military discharge papers.
- Policies and procedures for infection control (current Ventilator unit to send a line list for staff and residents with infections for the last two months).
- Completed pre-admission functional test(s) i.e. Functional Independence Measure.
- History and Physical information including computed tomography (CT) reports.
- Contracts for supplies, if any.
- All policies pertaining to patients requiring the use of mechanical ventilation including the continuing stay requirements.
- Medical Director's name and credentials along with a statement of agreement for responsibility for the patients of the ventilator unit.
- All contracted services for residents i.e. activities, therapies, sheltered work, etc.
- Policies or Plan of Care for residents as it pertains to respiratory therapy, activities, physical and occupational therapy, and discharge planning.
- Copy of the resident requirements and admission packet.
- Staff (ventilator unit) training records including certificates and licenses.
- List of facility staff name(s) and contact number(s) for any questions or needed information for DQA personnel.
- Quality Improvement Program Policy (current approved units to send a list of projects identified in last quarter and brief synopsis of plan to address identified QI issue(s).
Materials submitted will be reviewed in a timely matter and a letter of acceptance or denial will be sent via certified mail at least 7 days prior to the anticipated opening of the vent unit. The facility will notify the DQA, Denise Torgeson at 608-266-7345 when the unit has become operational and has at least 1 resident/client(s) in the unit. Within 10 working days an on-site survey will be conducted to verify the safety and welfare of the resident/client(s).
Please call the Division of Quality Assurance contact at 608-266-7345 if you need more information or or email firstname.lastname@example.org.