DSL Memo Series 99-01

February 18, 1999

STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living

To:
Area Administrators/Assistant Area Administrators
Bureau Directors
County COP Coordinators
County DD Coordinators
County Departments of Community Program Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
Section Chiefs
Tribal Chairpersons/Human Services Facilitators

From: 
Sinikka McCabe
Administrator

Re:  Brain Injury And CIP 1B Waiver Slots

Document Summary

This memo serves as an update on the status of the Brain Injury Waiver and CIP IB waiver slots for the remainder of SFY 99 through June 30, 1999.

Due to fiscal constraints in the state’s Medicaid budget, the following actions have been taken for the Brain Injury Waiver (BIW) and the Community Integration Program IB (CIP1B) for the remainder of the state fiscal year.

Brain Injury Waiver:

• A maximum of 30 new slots (in addition to those filled currently) will be available during the six-month period ending June 30, 1999. If all of those slots are not filled in this fiscal year, we hope to carry the vacant slots over into the next fiscal year pending biennial budget action.

• Individuals on the Wisconsin Medical Assistance Program (WMAP) who are relocating from the specialized units at Clearview North in Dodge County and Lakeview in Waterford are given priority for all new slots. The maximum individual daily rate for the new slots is $167.00. The funding for these slots will be based on a per person daily rate as indicated on the individual service plan, not to exceed $167.00 a day.

• For the existing 178 slots, funding is available at an average daily rate of $151.88. This amount is based on the actual average statewide cost of services to individuals currently on the program. The funding for these slots will continue to be based on a statewide average. This daily rate covers the period July 1, 1998, to June 30, 1999. The average per diem for July 1, 1999 and after will be set in the biennial budget.

• The level of care will continue to be determined by the nurse consultant in the Bureau of Quality Assurance. A method to ensure cost effectiveness has been established in order to maintain all costs within the funding available. Each plan will be reviewed for cost effectiveness as part of the Bureau of Developmental Disabilities Services plan review process. Annual re-certification reviews will also be subject to these procedures.

• The Bureau of Developmental Disabilities Services is monitoring HSRS on a monthly basis for individuals on the BIW to ensure that expenditures for both existing and new slots remain within budgeted amounts. Counties were notified previously regarding the need to adhere to the reporting requirements in the state/county contract. For any waiver participant whose ongoing costs increase or decrease from the initial individual service plan, a new service plan with the new funding costs must be submitted during the month the change occurred. If necessary, county contracts will be adjusted on a quarterly basis.

CIP1B:

• In order to meet current fiscal demands, no new state-matched CIP1B relocation slots will be filled through June 30, 1999 without an accompanying nursing home or ICF-MR bed closure. Counties may choose to use local-matched CIP1B slots for nursing home or ICF-MR relocations during this time period.

• There are 17 remaining slots for individuals relocating from St. Coletta available through June 30, 1999.

The status of new CIP1B or BIW slots beyond this fiscal year is dependent upon legislative action on the Governor’s biennial budget proposal.

REGIONAL OFFICE CONTACT:
Assistant Area Administrator

CENTRAL OFFICE CONTACT FOR BIW:
Sonja Stoffels
Brain Injury Program Coordinator
Bureau of Developmental Disabilities Services
1 W. Wilson St.
P. O. Box 7851
Madison, WI 53707-7851
(608) 267-9840

CENTRAL OFFICE CONTACT FOR CIP IB: 
Tom Swant
Community Integration Specialist
Bureau of Developmental Disabilities Services
1 W. Wilson St.
P. O. Box 7851
Madison, WI 53707-7851
(608) 266-3717

cc: 
Brain Injury Association
Wisconsin Coalition for Advocacy

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