DLTC Memo Series
STATE OF WISCONSIN
Department of Health Services
Division of Long Term Care
DLTC Numbered Memo Series 2010-13 / ACTION
Date: November 24, 2010
Index Title: Alzheimer's Family & Caregiver Support Program
(AFCSP) 2011 Allocation and Report Requirements
For: Area Agencies on Aging
Aging & Disability Resource Centers
DLTC Bureau Directors
County Aging Units
County Departments of Community Programs Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
County Lead Agencies for Alzheimer's Family Caregiver Support Program
Tribal Chairpersons/Human Services Facilitators
From: Susan Crowley
Subject: Alzheimer's Family & Caregiver Support Program (AFCSP)
2011 Allocation and Report Requirements
This memo provides information on CY 2011 county allocations, lead
agency identification, required reporting of program budgets and
information on the Uniform Fee Schedule which will now replace the Ability
to Pay Schedule which counties use to determine cost share.
Alzheimer's Family Caregiver Support Program (AFCSP) lead agencies are
required to implement the program in accordance with administrative rules
DHS 68. Please review your program periodically to assure compliance with
the rules. For a copy of the rules, see website: http://legis.wisconsin.gov/rsb/code/dhs/dhs068.pdf.
Allocations for CY 2011
The AFCSP funding continues as a Community Aids program. AFCSP
allocations for 2011 include the following factors:
- The five original Family Care pilot sites are maintained at their
CY09 (current) base levels. These counties experienced a reduction in
AFCSP at their launch a decade ago.
- Counties that do not have service from a Family Care MCO at this
time are also maintained at their CY09 (current) base levels.
- For counties that are beginning to be served by Family Care, the
following method for reduction of AFCSP funding will be applied:
Counties will retain their base (CY09) level funding for 12 months
after the Family Care start date in that county. After this 12-month
"transition" period, Family Care counties are subject to a
proportional decrease from the base level to meet the budgeted funding
level in the biennial budget. These counties will be reduced by the
same proportion of their share of AFCSP funds, on a timetable that is
tied to when Family Care becomes available. The reduced funding level
in Family Care counties, after the transition period, is approximately
74% of the base level funding.
Persons eligible for Family Care but choosing not to enroll in Family
Care are not eligible for AFCSP. Some AFCSP funds will remain in each
county for persons not eligible for Family Care.
Lead Agency Designation
In accordance with s.46.87 (7), stats., and DHS 68.04 (5), the county
board is required to notify the Department in writing within 15 working
days whenever it designates a different county agency to administer the
program. If your county intends to change the administering agency for the
program in 2011 written notification must be submitted with documentation
of the county board decision to the Office on Aging, Bureau of Aging and
Disability Resources. Additionally, each participant/caregiver is to
receive written notification at least ten working days prior to
implementing a change in lead agency in accordance with DHS 68.04 (6).
Program Budget for CY 2011
Each lead agency is to prepare annually a distinct program budget for
AFCSP and submit the budget to the Department. The proposed budget must be
reviewed at the county's Community Aids or federal aging public review and
comment process. Upon approval, submit the budget using the Select Survey
located at https://doa.wi.gov/DHSSurveys/TakeSurvey.aspx?SurveyID=m8MM6l25.
The submission date for the 2011 budget is December 31, 2010. If
you are unable to complete your budget report by this date contact Barbara
Robinson so that an extension may be granted.
2011 Uniform Fee Schedule
Financial eligibility is to be re-assessed annually for each
participant. Links to the CY 2011 uniform fee schedule and the AFCSP
eligibility worksheets and instructions are listed at the bottom of this
In the past AFCSP has utilized an "ability to pay" schedule
specifically designed for AFCSP. As of 2011 the Department will use DHS
"standard uniform fee" schedule for consistency with other cost
share programs. The schedule calculates cost share based on monthly
income; therefore, AFCSP lead agencies must multiply the amounts in that
schedule by 12 to locate the cost share based on the person's annual
income (or divide the income by 12). See the last page of the memo for the
link to the 2011 schedule.
Based on a DHS analysis, people with annual incomes less than $40,000
will pay less in cost share. However, those with incomes above $40,000 may
pay more than they have under the current schedule (between 1% - 8%
depending on income; the percent of change goes up until $50,000 and then
goes down again). For those people already in the program whose cost share
would go up based on the new schedule (not because of income changes) they
will have their current cost share amount grandfathered, so the cost share
will be the same as they paid this year. New program participants are
subject to the new schedule. For the most part since most people have
incomes under $40,000, this may in fact be helpful to them. Note: Each
county has the discretion of determining cost share up to the schedule's
maximum amount or to adjust downward based on personal circumstances.
2010 Annual AFCSP Fiscal Report
As the lead agency for AFCSP, you are required under Department of
Health Services Administrative Code 68 (DHS 68) to complete and submit an
annual fiscal report. Please complete the Select Survey form at this link:
The fiscal report for 2010 is due on March 15, 2011.
Summary of Required Action
- Report changes in administering agency with documentation of county
board decision to the Department within fifteen working days. Notify
program participants within 10 days of the change.
- Family Care MCO counties may continue to admit new persons to AFCSP,
if they are eligible for AFCSP and are not eligible for Family
- Complete AFCSP Budget Report before December 31, 2010.
- Complete and submit 2010 Annual Fiscal Report before March 15, 2011.
CENTRAL OFFICE CONTACT:
Office on Aging
Bureau of Aging and Disability Resources
1 West Wilson Street, Room 450
P.O. Box 7851
Madison WI 53707-7851
Phone: (608) 266-7498
FAX: (608) 267-3203
MEMO WEB SITE: http://www.dhs.wisconsin.gov/dsl_info/NumberedMemos/DLTC/CY2010
Attachments (1) and Links:
cc: Alzheimer's Association Chapters
Tribal Aging Units
Wisconsin Alzheimer's Institute
County Fiscal Contacts for Alzheimer's Family and Caregiver Support
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