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DDES INFO MEMO 2007-02

STATE OF WISCONSIN
Department of Health and Family Services 
Division of Disability and Elder Services 
DDES Info Memo Series
Date: March 27, 2007

To: Listserv

For:  Area Administrators / Human Services Area Coordinators 
Bureau Directors 
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 Waiver Contacts 
Licensing Chiefs / Section Chiefs 
Tribal Chairpersons / Human Services Facilitators

From: Sinikka Santala Administrator

Subject: Additional 150 CIP II Diversion slots available to counties

I am pleased to announce that the Department has approval to fund an additional 150 CIP II Diversion slots available to counties to divert persons who are at high risk of entering a nursing home, as per DDES Memo Series 2006-7. The allocation of these funds will be per this numbered memo and will be available on a first come, first served basis. Funding for these new diversions slots will be effective March 27, 2007. Please note that this funding is for persons who are not currently receiving waiver services.

Results from the initial allocation of CIP II Diversion slots indicate that the program was a success and that counties were able to serve people who were on their waiting list and who were at high risk of entering a nursing home. The 150 slots were allocated to 38 counties within 8 weeks and, as slots have returned to the Department, all eligible counties have been offered at least one diversion slot.

I also want to take this opportunity to provide information regarding the use of the initial CIP II Diversion slots and to note the strong effort by counties to help people stay in the community.

  • 104 of the 150 persons served were registered on HSRS as waiting for services: 
    • 6 months or less 36 persons 
    • 7 months to 1 year 17 persons 
    • 13 months to 2 years 28 persons 
    • 25 months to 4 years 20 persons 
    • Greater than 4 years 3 persons
  • The average cost of diverting a person from a nursing home is an estimated $48.65 per day.
  • Counties served a diverse age group: 
    • 18-49 years 16 persons 
    • 50-64 years 29 persons 
    • 65-74 years 18 persons 
    • 74-84 years 46 persons 
    • 85-99 years 36 persons
  • Counties were also able to serve people in a wide variety of community settings and most people were able to stay in their existing home or continue to live with family: 
Current Setting 
(# of persons)
Proposed Setting 
(# of persons) 
AFH 2 4
CBRF 33 39
Home alone 39 33
Home w/family 60 61
Hospital 2 0
RCAC 9 8

I am very pleased that this funding is available that will allow counties to continue working with people in their community to stay at home. We appreciated the work of the county staff who previously submitted applications for diversion funding and their care in fully completing the seven steps outlined in DDES Memo Series 2006-07. Their attention to detail certainly helped our ability to proceed efficiently and quickly.

Attachments: DDES Memo Series 2006-07 
Criteria for High Risk of Nursing Home Admission-High Risk Worksheet (DDE-452) (PDF, 78 KB)
CIP II Diversion Cover Sheet (PDF, 15 KB)

REGIONAL OFFICE CONTACT: OSF/Human Service Area Coordinators

CENTRAL OFFICE CONTACT: 
Lisa Kelly, Bureau of Long Term Support 
P.O. Box 7851 Madison, WI 53707-7851 
(608) 267-3659 phone 
(608) 267-2913 fax 
kellylm@dhfs.state.wi.us 

MEMO WEB SITE: http://dhfs.wisconsin.gov/dsl_info/ 

cc: The Management Group (TMG) 
Independent Living Center Directors 
County/Tribal Aging Directors 
Area Agency on Agency Executive Directors 
Wisconsin Association of Homes and Services for the Aging, Inc.
Wisconsin Health Care Association 
Wisconsin Assisted Living Association 
Residential Services Association of Wisconsin 
Board on Aging and Long Term Care 
Coalition of Wisconsin Aging Groups 
Disability Rights Wisconsin

Last Revised: May 03, 2007