State of Wisconsin Delegation of Administrative Authority and Operational Roles and Responsibilities. The Wisconsin Department of Health Services (DHS) is the single state agency for the Medicaid program. The Health Services Secretary directly oversees the DHS divisions and offices that will be involved with implementing and monitoring the Demonstration. The Demonstration will benefit from the direct and ongoing involvement of staff and programs across DHS as described below. Within DHS, the Division of Long Term Care (DLTC) will have responsibility for implementation and oversight of the demonstration. The Wisconsin Integrated Demonstration team within the Bureau of Financial Management in DLTC will be primarily responsible for program implementation and oversight activities. For ICO oversight, ICO- specific teams will include Wisconsin Integrated Demonstration dedicated staff and other DLTC staff who oversee the entities contracting as ICOs in other managed long term care programs. DLTC teams will also interface with other divisions on reporting and regulatory issues. This will include interaction with the Division of Quality Assurance to coordinate on nursing home oversight and regulatory issues
