DLTC Numbered Memo 2012-04
STATE OF WISCONSIN
Department of Health Services
Division of Long Term Care
DLTC Numbered Memo Series 2012-04
Date: December 6, 2012
Index Title: Alzheimer’s Family & Caregiver Support Program (AFCSP)
2013 Allocation and Report Requirements
To: Listserv
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
Division of Long Term Care Administrator
Department of Health Services
Document Summary
This memo provides information on CY 2013 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 2013
The AFCSP funding continues as a Community Aids program. AFCSP
allocations for 2013 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
2013 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 2013
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=9l037964.
The submission date for the 2013 budget is December 31, 2012. If you
are unable to complete your budget report by this date contact Barbara
Robinson so that an extension may be granted.
2013 Uniform Fee Schedule
Financial eligibility is to be re-assessed annually for each participant.
Links to the CY 2013 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 2013
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.
2012 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=9l037l64.
The fiscal report for 2012 is due on March 15, 2013.
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 2013 AFCSP Budget Report before December 31, 2012.
- Complete and submit 2012 Annual Fiscal Report before March 15,
2013.
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 2013 Allocations - Attachment
AFCSP 2013 Budget Report
http://4.selectsurvey.net/DHS/TakeSurvey.aspx?SurveyID=9l037964
AFCSP 2013 Uniform Fee Schedule
http://www.dhs.wisconsin.gov/bfs/UniformFee/index.htm
AFCSP 2013 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)
(PDF, 71 KB)
AFCSP 2012 Fiscal Report
http://4.selectsurvey.net/DHS/TakeSurvey.aspx?SurveyID=9l037l64
Memo at:
http://www.dhs.wisconsin.gov/dsl_info/NumberedMemos/DLTC/CY2012/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 14, 2012 |
