DLTC Numbered Memo 2011-08
STATE OF WISCONSIN
Department of Health Services
Division of Long Term Care
DLTC Numbered Memo Series 2011-08
Date: December 20, 2011
Index Title: Alzheimer's Family & Caregiver Support Program (AFCSP)
2012 Allocation and Report Requirements
To: Listserv
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: Pris Boroniec
DLTC Administrator
Subject: Alzheimer's Family & Caregiver Support Program (AFCSP)
2012 Allocation and Report Requirements
Document Summary
This memo provides information on CY 2012 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 2012
The AFCSP funding continues as a Community Aids program. AFCSP
allocations for 2012 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 2012 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 2012
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 http://4.selectsurvey.net/dhs/TakeSurvey.aspx?SurveyID=980J7833.
The submission date for the 2012 budget is December 31, 2011. If you are
unable to complete your budget report by this date contact Barbara
Robinson so that an extension may be granted.
2012 Uniform Fee Schedule
Financial eligibility is to be re-assessed annually for each
participant. Links to the CY 2012 uniform fee schedule and the AFCSP
eligibility worksheets and instructions are listed at the bottom of this
memo.
Prior to 2011, AFCSP utilized an "ability to pay" schedule
specifically designed for AFCSP. As of 2011 the Department began using the
DHS "standard uniform fee" schedule for consistency with other
cost share programs. The standardized 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 2012 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 pre-2011 schedule (between 1% - 8%
depending on income; the percent of change goes up until $50,000 and then
goes down again). People enrolled in the program prior to 2011 will have
their cost share amount grandfathered at previous levels. New program
participants are subject to the new schedule.
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.
2011 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:
http://4.selectsurvey.net/dhs/TakeSurvey.aspx?SurveyID=980J7933
The fiscal report for 2011 is due on March 15, 2012.
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 Care.
- Complete AFCSP Budget Report before December 31, 2011.
- Complete and submit 2011 Annual Fiscal Report before March 15, 2012.
DHS Central Office Contact: Lynn Gall
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) 266-5743
FAX: (608) 267-3203
E-mail: lynn.gall@wisconsin.gov
Attachments and Links:
AFCSP 2012 Allocations (PDF, 243
KB)
AFCSP 2012 Budget Report http://4.selectsurvey.net/dhs/TakeSurvey.aspx?SurveyID=980J7833
AFCSP 2012 Uniform Fee Schedule http://www.dhs.wisconsin.gov/bfs/UniformFee/index.htm
AFCSP 2012 Financial Eligibility Instructions and Worksheets
- Financial Eligibility Screen - Worksheet 1 (F-21343A)
(MS Word, 42 KB)
- Financial Eligibility Determination - Worksheet 2 (F-21343B)
(MS Word, 84 KB)
- Cost-Share Calculation - Worksheet 3 (F-21343C)
(MS Word, 73 KB)
- Actual County Service Payment - Worksheet 4 (F-21343D)
(MS Word, 62 KB)
- General Information (F-21343E)
(MS Word, 47 KB)
- Instructions (F-21343I)
(MS Word, 71 KB)
AFCSP 2011 Fiscal Report http://4.selectsurvey.net/dhs/TakeSurvey.aspx?SurveyID=980J7933
Memo at: http://www.dhs.wisconsin.gov/dsl_info/NumberedMemos/DLTC/CY2011/index.htm
cc: Alzheimer's Association Chapters
Tribal Aging Units
Wisconsin Alzheimer's Institute
County Fiscal Contacts for Alzheimer's Family and Caregiver Support
Program
Last Revised: December 20, 2011 |
