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DDES Memo Series 2004-03

February 5, 2004

STATE OF WISCONSIN
Department of Health and Family Services
Division of Disability and Elder Services

To:
Area Administrators/Assistant Area Administrators-Adult Services
DDES Bureau/Office Directors
COP Lead Agency Directors
County Aging Units Directors
County COP Coordinators
County COP-Waiver Coordinators
County Departments of Community Programs Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Service Directors
County Departments of Social Service Directors
County LTS Planning Committee Chairpersons Section Chiefs
Tribal Chairpersons/Human Services Facilitators

FROM: 
Sinikka Santala
Administrator

Re: Limiting COP Used as Match

Document Summary

Starting in 2004, the counties must limit the amount of COP used for CIP I match or overmatch to the amount spent in 2002 or to 25% of their COP regular service allocation, whichever is greater.

This memo establishes a requirement for the Community Options Program (COP) managers to comply with the statutory purposes of the program to serve a significant proportion of all target groups, including persons not eligible for a waiver, and to pay for goods and services not permitted within federal waivers (known as "gap-filling.") 

Community Options funds are increasingly used for match for the Community Integration Program to such an extent that people with physical disabilities, elderly people and people with serious mental illness in many counties do not have equitable access to the limited COP program funds. 

Beginning January 2004, County COP lead agencies are required to limit the amount of COP used as CIP I match or overmatch to 2002 levels or to 25% of its COP regular service allocation, whichever is greater.

Background
The Community Options Program provides flexible funding for persons who are low income and eligible for care in a nursing home. The statutes require that COP funding be used for a significant number of persons in each of five target groups. Department policy set the following percentages in 1995: elders-57%, individuals with developmental disabilities-14%, individuals with physical disabilities-6.6%, individuals with serious mental illness 6.6%, AODA-no minimum.

Although the target percentage for elderly people has not been increased to reflect the demographic growth of this population, the required proportion for elders has not been met statewide since 1999. Many counties do not meet the minimum requirement for serving persons with serious mental illness.

Over the years, with expansion of the federal home and community based waivers programs, the way COP funding has been used has changed. While originally it funded service alternatives to nursing homes, it later became a gap-filler when federal waiver funding was not appropriate. 

Recently it has been used as local match for capturing additional waiver funds. In 2002, 38% COP funding was used as match for waiver eligible persons, as 13% as overmatch for costs above the allocated slot value, 25% for persons not eligible for a waiver and 15% for non-waiver allowable services.

Almost all funding used for match and overmatch is used for persons with a developmental disability (in 2002, 87% was used as match and 90% used as overmatch for those with developmental disabilities). Over the past three years the amounts used in this way have increased each year. 

The COP funds used as overmatch are not generally one time expenditures but become a permanent part of the base funding for the CIP program, and not available in subsequent years for other target groups. As older persons and persons with physical disabilities leave the program, more funds are directed to serving people with developmental disabilities. 

COP funding for people who are elderly, physically disabled or mentally ill has remained constant or declined every year for the past five years. Legislative intent throughout the history of COP has been expressed in requirements to serve all target groups equitably.

Policy for CY 2004
In order to ensure a more equitable access to COP funds in the future, counties shall limit the amount of their COP allocation that is used as match or overmatch for CIP I to the levels used for this purpose in 2002.

  • Counties may increase the amount of COP funding used for CIP I match up to 25%, if their CY 2002 levels were below 25% of their COP expenditures.
  • Counties that have exceeded this level in 2003, will have to request a variance to go up to, but not exceed, their 2003 level.
  • The Department will monitor the outcome of this policy to determine whether the numbers of under-served target group members remains constant or increases.
  • The Department does not propose to reduce COP funding for any target group. Nevertheless, to ensure that COP continues to be available to all groups for its intended purposes, limits will be placed so that no additional COP is used as match for CIP I in counties that already use in excess of 25% of COP for match or overmatch.

In June 2003, counties were alerted to the Departmentís intent to implement this strategy when it was announced in DDES Informational Memo 2003-01 regarding time-limited federal match. Counties were notified at that time so they could plan for calendar year 2004 to equitably fund services for all target groups during the current fiscal crisis.

Attached is a chart which shows by county the percentage of COP service funds used for CIP I match or overmatch in 2002.

REGIONAL CONTACT:
Assistant Area Administrator-Adult Services

CENTRAL OFFICE CONTACTS:

Sue Liegel
Bureau of Aging and Long Term Care Resources
1 W. Wilson St., Room 450
P.O. Box 7851
Madison, WI 53707-7851
Phone: 608-266-9755
Fax: 608-267-3203
E-mail: liegesk@wisconsin.gov

 

Christy Pomerening
Bureau of Developmental Disability Services
1 W. Wilson St., Room 418
P.O. Box 7851
Madison, WI 53707-7851
Phone: 608-267-8933
E-mail: pomerca@wisconsin.gov

MEMO WEB SITE: 
http://www.dhs.wisconsin.gov/partners/local.htm

c: 
Area Agencies on Aging
Wisconsin Council of Developmental Disabilities
Wisconsin Coalition for Advocacy
Mental Health Council
Physical Disabilities Council

ATTACHMENT:

Date:  10/8/03
Maximum Amount of COP Funding Available in CY 04 for CIP I local match/overmatch

County

Agency

COP used for match for CIP IB/CSLA &/or BIW

COP used for CIP I overmatch CY 02

Total CY 02 COP Reimbursed for CIP 1 Local Match/Overmatch

Percent of CY 02 COP Base Service Dollars used for CIP 1 Match

ADAMS

DSS

23,899

-

23,899

14.9%

ADAMS

USB

98,336

2,805

101,141

99.1%

ASHLAND

HSD

219,201

10,528

229,729

71.6%

BARRON

DSS

217,155

-

217,155

50.2%

BAYFIELD

USB

109,085

-

109,085

42.0%

BROWN

DSS

199,556

-

199,556

8.5%

BUFFALO

HSD

144,356

-

144,356

64.3%

BURNETT

DSS

163,275

-

163,275

71.5%

CALUMET

HSD

-

-

-

0.0%

CHIPPEWA

HSD

221,184

132,518

353,702

57.0%

CLARK

DSS

282,974

-

282,974

64.9%

COLUMBIA

HSD

318,274

40,249

358,523

54.6%

CRAWFORD

HSD

68,788

25,115

93,903

37.6%

DANE

CSHSD

-

3,068,364

3,068,364

63.1%

DODGE

HSD

213,074

210,484

423,558

72.8%

DOOR

DSS

-

-

-

0.0%

DOOR

DCP

177,757

1,836

179,593

100.0%

DOUGLAS

HSD

329,029

328,131

657,160

80.4%

DUNN

HSD

155,674

160,144

315,818

84.9%

EAU CLAIRE

HSD

294,796

29,630

324,426

36.2%

FLORENCE

HSD

10,181

3,336

13,517

16.7%

FOND DU LAC

DSS**

66,863

30,392

97,255

17.5%

FOREST

DSS

26,565

23,479

50,044

28.2%

GRANT

DSS

162,237

-

162,237

27.9%

GREEN

HSD

106,219

10,482

116,701

31.2%

GREEN LAKE

HSD

47,156

40,000

87,156

63.8%

IOWA

USB

97,091

19,318

116,409

54.8%

IRON

HSD

82,012

17,750

99,762

80.2%

JACKSON

HSD

159,638

80,809

240,447

95.5%

JEFFERSON

HSD

174,235

156,864

331,099

59.0%

JUNEAU

HSD

53,059

70,342

123,401

46.0%

KENOSHA

AGING

281,961

40,205

322,166

20.9%

KEWAUNEE

USB

8,389

12,556

20,945

9.8%

LACROSSE -

HSD**

24,414

-

24,414

5.2%

LAFAYETTE

HSD

79,864

46,748

126,612

62.0%

LANGLADE

DSS

92,936

12,806

105,742

34.5%

LINCOLN

DSS

64,914

-

64,914

28.2%

MANITOWOC

HSD

259,053

44,256

303,309

40.3%

MARATHON

DSS

388,704

137,052

525,756

50.5%

MARINETTE

HSD

204,383

35,720

240,103

52.9%

MARQUETTE

DSS

82,696

-

82,696

56.8%

MENOMINEE

HSD

47,673

22,967

70,640

48.2%

MILWAUKEE

DHSS

7,221,788

-

7,221,788

89.0%

MILWAUKEE

AGING**

-

-

-

0.0%

MONROE

HSD

132,422

-

132,422

32.7%

OCONTO

HSD

304,651

-

304,651

95.9%

ONEIDA

DSS

89,234

131

89,365

23.7%

OUTAGAMIE

HSD

287,737

234,099

521,836

43.4%

OZAUKEE

DSS

155,572

-

155,572

34.7%

PEPIN

HSD

93,001

8,157

101,158

72.9%

PIERCE

HSD

13,324

231,594

244,918

65.8%

POLK

DSS

80,082

-

80,082

18.9%

PORTAGE

HSD**

100,672

-

100,672

48.9%

PRICE

HSD

109,635

7,489

117,124

46.1%

RACINE

HSD

678,448

458,975

1,137,423

50.8%

RICHLAND

DSS

-

-

0.0%

ROCK

DD BD*

635,915

222,924

858,839

106.4%

ROCK

HSD

-

7,897

7,897

0.7%

RUSK

DSS

93,686

-

93,686

50.7%

ST. CROIX

HSD

-

-

-

0.0%

SAUK

HSD

235,207

-

235,207

54.8%

SAWYER

HSD

72,017

51,974

123,991

55.2%

SHAWANO

DSS

-

-

-

0.0%

SHAWANO

DCP

176,978

-

176,978

73.0%

SHEBOYGAN

HSD

359,207

157,786

516,993

44.5%

TAYLOR

HSD

77,467

-

77,467

38.3%

TREMPEALEAU

DSS

205,032

36,619

241,651

47.9%

VERNON

HSD

27,737

-

27,737

14.5%

VILAS

DSS

71,039

-

71,039

29.6%

WALWORTH

HSD

484,370

-

484,370

76.5%

WASHBURN

DSS

169,740

-

169,740

69.9%

WASHINGTON

DSS

158,355

165,403

323,758

52.3%

WAUKESHA

HSD

942,376

726,032

1,668,408

50.5%

WAUPACA

HSD

224,855

14,777

239,632

42.0%

WAUSHARA

DSS

70,022

-

70,022

33.6%

WINNEBAGO

DSS

740,828

6,023

746,851

46.8%

WOOD

DSS

323,157

-

323,157

44.5%

Oneida Tribe

74,952

-

74,952

71.0%

Grand Totals

20,166,162

7,144,766

27,310,928

53.3%

*County Agency is exempt from this cap
**Family Care Counties - exempt from this cap
Source: COP CY 02 reconciliation schedules

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