DSL Memo Series 2001 - 27 28
ACTION MEMO
REISSUE UNDER NEW NUMBER
December 13, 2001
STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living
To:
Area Administrators/Assistant Area Administrators
Bureau Directors
Council on Mental Health
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
Licensing Chiefs/Section Chiefs
Mental Health Association - Milwaukee
Mental Health Consumer Organizations
NAMI of Wisconsin
Tribal Chairpersons/Human Services Facilitators
From: Sinikka McCabe, Administrator
Re:
ALLOCATION PROCEDURE FOR COMMUNITY SUPPORT
PROGRAM (CSP) WAIT LIST FUNDS
Background Information
2001 Wisconsin Act 16 appropriated $1 million annually for certified
Community Support Programs (CSP) to serve persons who are on Medicaid and
eligible for CSP but unable to receive these services due to a lack of
county funding to provide the non-federal match. For certified CSP’s,
the county receives the federal share of Medicaid for CSP services that a
program provides to Medicaid eligible individuals. The county is
responsible to pay the non-federal share of Medicaid.
Because of this funding agreement, if a county does not have the funds
to pay the non-federal share, eligible persons are placed on a waiting
list but may be receiving less intensive services. The additional annual
one million general purpose revenue funds are to be used to serve these
individuals in a certified CSP and to assist in their recovery process.
Purpose of Funds
The purpose of these ongoing funds is to pay the non-federal share of
Medicaid reimbursement for individuals who are Medicaid eligible, who have
been determined to be eligible for CSP and who do not receive these
services due to lack of funding.
Eligible persons are on a waiting list for a CSP, but may be served in
some other less intensive program than a CSP; i.e. targeted case
management, outpatient, or day treatment. CSP eligible individuals also
may reside in nursing homes, institutions for mental disease (IMD),
inpatient units or Community Based Residential Facilities (CBRFs).
The purpose of these funds is to expand services, therefore counties
may not use these funds to supplant other state or county funds currently
budgeted for CSPs.
County Application Process
Counties interested in applying for these additional funds for
certified CSPs must provide the following information to the Bureau of
Community Mental Health by January 3, 2002:
A listing of persons eligible for these funds. An eligible person must
be Medicaid eligible, have been assessed as meeting the eligibility
criteria in HFS 63 and not receiving services in a certified CSP. NOTE:
Documentation that the person has been assessed and determined eligible
for a certified CSP must be available if requested by BCMH, but it does
not need to be submitted with the application.
Indicate what services the individual is currently receiving.
Please use Attachment I when submitting your request.
In addition, the county must provide a budget to apply for these
additional funds. The budget must estimate the annual cost to provide CSP
services to the individuals identified as eligible for these funds. The
budget must provide detailed information on the types of resources that
will be expanded in CSP (i.e. personnel, other capacity expansion) to
serve these MA eligible persons. Since these funds will be awarded on a
calendar year basis and not all wait list individuals will start receiving
CSP services in January 1, 2002, start up funds will be available. Up to
15% of the first year budget request may include a budget for
one-time-only expenses. Please specify and justify these one-time-only
expenses. The budget also must include an assurance that no existing state
or county funds will be supplanted. The budget must also include the
projected federal Medicaid reimbursement based on the CSP’s billing
record over the last twelve month period. The federal share should be
subtracted from the total budget amount with the balance being the amount
requested from these additional funds. Funds allocated to a county will
become part of their annual allocation of funds through the state/county
contract, if outcome activities are achieved. Please use format in
Attachment 2 for budget request.
State Review Process
Staff in the Bureau of Community Mental Health will review each
application and the budget calculations to determine each county's
approved allocation. We plan to notify each county of its allocation by
January 28, 2002.
We understand county staff may have questions regarding this
application process. Therefore a question and answer session will be held
at Coalition of Wisconsin Aging Groups, 2850 Dairy Dr., Madison, WI on
December 10, 2001, 9:30-12 p.m. Teleconferencing will also be made
available. If a county is interested in connecting with this session by
telephone, please contact Amy Weinberger, BCMH at (608) 261-6747 after
December 3, 2001.
Completed application packets must be submitted by January 3, 2002 to
Sally Raschick, Section Chief, Bureau of Community Mental Health, P.O. Box
7851, Madison, WI, 53707-7851.
To assist in our ability to answer your questions on December 10, 2001,
we would appreciate it if you would e-mail or fax your questions to Sally
Raschick by December 3, 2001.
ACTION STATEMENT:
1. Submit any questions to Sally Raschick, Bureau of Community Mental
Health by December 3, 2001. Questions may be faxed or e-mailed.
2. If interested, attend a question and answer session at Coalition of
Wisconsin Aging Groups on December 10, 2001 from 9:30 - 12:00.
Teleconference will be available.
3. Submit application for CSP Wait List funds to Sally Raschick, Bureau
of Community Mental Health by January 3, 2002.
4. BCMH will notify counties of their approved allocation by January
28, 2002.
REGIONAL CONTACT: Area Administrator
CENTRAL OFFICE CONTACT: Sally Raschick
Bureau of Community Mental Health
1 W Wilson, room 850
P.O. Box 7851
Madison, WI 53707-7851
Phone: (608) 267-9391
Fax: (608) 267-7793
email: Raschsc@wisconsin.gov
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