INFO MEMO 2007-11
STATE OF WISCONSIN
Department of Health and Family Services
Division of Long Term Care
Info Memo Series
Date: November 5, 2007
To: Listserv
For: County Departments of Human Services Directors
County Departments of Social Services Directors
County 51 Coordinators
County Fiscal Contacts
County COP and Waiver Coordinators
Human Services Area Coordinators
Area Administrators
Community Integrations Specialists
From: Sinikka Santala Administrator
Subject: LTC Fiscal Update Memo - #1
This memo serves as an informational memo to update counties on changes
to the CY 2008 contracts for COP and COP-W, CIP II, CIP 1a, CIP 1b and BIW,
referred to hereafter as the waivers. The Department plans to implement
changes to the CY 2008 contracts in order to administratively simplify
areas of COP and the waivers, especially for counties that are
transitioning to managed long-term care. CY 2008 contracts for COP and the
waivers will continue to be adjusted periodically throughout the year for
all counties. For the counties transitioning to managed long-term care,
COP and waiver contracts will be adjusted to reflect individuals who are
no longer being served those programs; and are instead being served
through the Family Care program. These adjustments will be made based on
actual individuals leaving COP and the waivers and moving into Family
Care. Initial CY 2008 contracts are in process, please note the following
changes.
- New Language in the COP and Waiver Contracts
The COP, COP-W, CIP II,
CIP 1a, CIP 1b and BIW addenda to the State/County contract for all
counties will have language added to address the transition to managed
long-term care. The following language will be added:
As the INSERT PROGRAM NAME, transitions into managed long-term care, a
county's INSERT PROGRAM NAME allocation will be reduced to reflect
individuals who are no longer being served under the INSERT PROGRAM NAME;
and are instead being served through the Family Care Program.
This language clarifies that the Department will only reduce the COP
and waiver allocations after a person discontinues services on these
programs. It is the Department's intent to leave funding in the COP and
waiver allocations for individuals until they leave the program. The
Department is currently working to develop a process to determine how much
will be reduced for each person when they leave COP and the waivers. It is
possible that an average amount per person will be reduced once they leave
COP and the waivers rather then tracking each person's actual costs and
reducing the contract by that amount. This decision will be shared with
transitioning counties once it is finalized.
- Funding for CIP 1a, CIP 1b and BIW will be Treated as
Allocations
The Division of Long Term Care has been exploring ways to
simplify waiver program management for some time. Both COP-W and CIP
II are currently managed as allocations. We plan to now implement the
following simplification measure for the other adult waiver programs.
Effective January 1, 2008, counties may use their funding for CIP 1a,
CIP 1b and BIW as allocations and not be limited to serving the same
number of persons as slots allocated for each of these programs.
Counties will receive an allocation for each of the three programs
based on the current number of slots they have, the rate for these
slots and total number of days in the contract year (which are 366
days in CY 2008). Each program's allocation must be managed within
that waiver program. For example, funding from the BIW allocation
cannot be used to fund CIP 1b services.
A county's allocation for any of the three programs can increase or
decrease throughout CY 2008. For example, if a county has a new relocation
under CIP 1a or ICF-MR Restructuring, then the allocation for the
corresponding waiver would increase. As another example, if a county has
someone vacate its BIW program, its allocation would decrease. Increases
and decreases to contracts will continue as they have in the past.
However, by removing the slot restrictions, counties will gain more
flexibility within each of these programs. Counties will not have to
request slot switches to fill vacant slots within programs, will not be
held to the current slot value and will not have to return funding from
unused days. Instead, if counties have allowable expenses reported in HSRS
for the program, they will be paid up to the amount of their allocations.
The goal of this simplification measure is to allow each county the
flexibility to manage the allocations for each of these three programs
while continuing to provide high quality services to participants. The
Department remains committed to fully funding allowable waiver costs for
both ICF-MR Restructuring Initiative relocations and eligible Family Care
moves.
- Funding for Participants Under Age 18
The Department's intent is to
maintain COP and waiver funding identified for children and persons
with mental illness during and after the transition to managed
long-term care. In order to do this, CIP 1a and CIP 1b funding
identified for people under age 18 will move from CIP 1 contracts to
the Children's Long-Term Support (CLTS) contracts. The Department will
transfer the slot value for each of these individuals based on a
specific point in time, for example December 31st of the year prior to
transition. Changes will be implemented only in transitioning
counties. It may be extended to all counties at a later date.
- CRI Funding Moved to CIP II allocation
The CRI funding that has been
determined eligible to move to a county's base CIP II allocation will
not be included in the CY 08 initial contracts. This funding will be
added through a separate contract adjustment after January 1, 2008.
We hope you find these changes helpful. If you have questions or
concerns, please contact the following individuals:
MEMO WEB SITE: http://www.dhs.wisconsin.gov/dsl_info/
cc: FMBS Team
Fredi Bove, Deputy Director
Beth Wroblewski, Director, BLTS
Irene Anderson, BLTS
Mike Linak, BLTS
Last Revised: September 13, 2010 |
