DSL MEMO SERIES 2001-06
May 10, 2001
STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living
To:
Area Administrators/Assistant Area Administrators
Bureau Directors
County Departments of Community Programs Directors
CIP II/COP Waiver Contacts
Community Options Program Contacts
County Departments of Developmental Disabilities
Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
Licensing Chiefs/Section Chiefs
Tribal Chairpersons/Human Services Facilitators
From:
Sinikka McCabe, Administrator
Division of Supportive Living
Re:
Maximum COP-W/CIP-II Service Reimbursement for Persons in RCACs (Replaces DSL
99-13)
Supportive, personal and nursing services provided to MA Waiver recipients residing in
a certified residential care apartment complex (RCAC) continue to qualify for
reimbursement under the COP-W and CIP II programs, at an amount not to exceed 85 percent
of the statewide average daily cost of Medical Assistance reimbursement for nursing home
care (s. 46.27(11)(c)7 and s. 46.277(5)(e), Wis. Stats.) This amount has been
redetermined.
As a result of this redetermination, the maximum funding limit that can be reimbursed
for services in a RCAC has changed from $62.42 per day to $68.58
per day effective January 8, 2001. This statutorily established reimbursement imposes a
ceiling on the total cost of supportive, personal and nursing services that can be paid
for by the Waiver for RCAC services for a person residing in a certified RCAC. This
maximum funding limit does not include the amounts counties can report for case management
or the seven percent administrative costs.
The maximum RCAC funding limit should not be considered to be a facility rate. The
amount of reimbursement the RCAC receives is the payment amount negotiated and contracted
by the county with a particular facility for a particular individual according to the
individual’s service needs. Not all participants in a RCAC will have the same level
of service needs, and the rates should be negotiated and contracted for on an individual
basis. For further detail, consult the MA Waiver Manual, Chapter VI, page 124a-b,
Residential Care Apartment Complex (SPC 711).
Questions related to MA waiver funding for this service can be directed to The
Management Group (TMG) liaisons, or persons listed below.
Regional Office Contact:
Assistant Area Administrator-Adult Services
Central Office Contact:
Carrie Molke
Long Term Support Residential Policy Specialist
Bureau of Aging & Long Term Care Resources
P. O. Box 7851
Madison, WI 53707-7851
Phone: (608) 267-5267
Fax: (608) 267-3203
E-mail: molkeca@wisconsin.gov
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