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The superintendent of a county psychiatric institution may sign an application for a resident of the institution provided that the county social or human services director has delegated to them (in writing) the authority to sign and witness applications for residents of the institution. The IM agency must retain a copy of this written authorization. The social or human services director may end the delegation when there’s reason to believe that the delegated authority is not being carried out properly. 8. Patient's Representative (Wis. Stat. § 50.06) A patient's representative is an individual under Wis. Stat. § 50.06 who may consent to an incapacitated individual's admission to a nursing home or community-based residential facility from a hospital. A patient's representative can make health care decisions to the same extent as a guardian of the person and enroll an incapacitated individual in Medicaid and authorize expenditures related to health care to the same extent as a guardian of the estate. The authority of a patient's representative ends if any of the following occurs: • A court appoints a guardian to make decisions for the incapacitated individual • The incapacitated individual is discharged to a setting that is not a facility • A health care power of attorney that was not identified earlier is identified • The individual is determined to be no longer incapacitated When an application is signed by someone claiming to be a patient's representative, the IM agency does both of the following: • Obtains a copy of the patient's representative's Patient's Representative Declaration (F-03436) indicating that they have the authority to act on behalf of the incapacitated individual • Reviews the document to confirm the authority has not ended due to a change in circumstances The application is not properly signed unless both conditions are met. A patient's representative may not authorize expenditures related to health care if the incapacitated individual has an agent under a durable power of attorney for finances who may authorize expenditures related to health care. See #4, above. 25.5.2 Witnessing the Signature The signatures of two witnesses are required when the application is signed with a mark. An agency staff person is not required to witness the signature of a paper, online, or telephone application. Note This does not affect the State of Wisconsin’s ability to prosecute for fraud due to an applicant's or member’s misstatement or omission of fact. 25.5.3 Telephone Signature Requirements Telephonic signatures are valid forms of signatures for BadgerCare Plus. When an applicant calls to complete a Request for Assistance (RFA) but does not complete a full application on the same day, a telephonic signature must be collected for the RFA. Another telephonic signature is required when the full application is completed. However, if the RFA and full application are completed on the same day, a telephonic signature only has to be collected once, and it is valid for both the RFA and the application.