DDES Memo Series
2003-13
ACTION MEMO
December 17, 2003
STATE OF WISCONSIN
Department of Health and Family Services
Division of Disability and Elder Services
To:
Area Administrators/Assistant Area Administrators-Adult Services
DDES Bureau/Office Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
Cty. Lead Agencies for Alzheimer’s Fam. & Caregiver Support
Prog.
Tribal Chairpersons/Human Services Facilitators
From:
Sinikka Santala,
Administrator
Re: Alzheimer’s Family and Caregiver Support Program 2004 Allocation
and Requirements
DOCUMENT SUMMARY
This numbered memo provides notification of CY 2004 allocations to
lead agencies for the Alzheimer’s Family and Caregiver Support
Program. Agencies are to use this information to complete the 2004 Program Budget
Report which is to be submitted by February 27, 2004.
This memo provides information on CY 2004 county allocations, lead
agency identification, required reporting of program budgets, financial
eligibility and cost share calculation forms and instructions and CY 2004
maximum ability to pay schedule.
Alzheimer’s Family and Caregiver Support Program (AFCSP) lead
agencies are required to implement the program in accordance with
administrative rules HFS 68. Please review your program periodically to
assure compliance with the rules.
Allocations for CY 2004
The AFCSP funding continues as a Community Aids program. The 2004
contract amount for each lead agency is listed on the attached allocation
schedule.
Family Care Counties Piloting Care Management Organizations (CMO)
Family Care CMO counties may continue to enroll persons with
irreversible dementia into AFCSP if those persons are eligible for AFCSP
and not eligible for the Family Care benefit. Persons eligible for Family
Care but choosing not to enroll in Family Care are not eligible for AFCSP.
Lead Agency Designation
In accordance with s.46.87 (7), stats., and HFS 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,
written notification must be submitted with documentation of the county
board decision to the Bureau of Aging and Long Term Care Resources (BALTCR).
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 HFS 68.04 (6).
Program Budgets for CY 2004
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 either the model budget report
form (attached) or other form containing the same information to Susan
Veleke using one of the following methods:
Bureau of Aging and Long Term Care Resources
1 West Wilson Street, Room 450
P.O. Box 7851
Madison, WI 53707-7851
Phone: (608) 267-7285
Fax: (608)267-3203
E-mail: veleksj@dhfs.state.wi.us
In addition, a copy of the budget report is to be submitted to either
your OSF Assistant Area Administrator or to your Area Agency on
Aging.
The submission date for the 2004 budget is February 27, 2004. Contact
Janice Smith if you are unable to complete your budget report by this date
so that an extension may be granted.
2004 Maximum Ability to Pay Schedule and Eligibility Worksheets
Financial eligibility is to be re-assessed annually for each
participant. The CY 2004 maximum ability to pay schedule is attached.
Reformatted AFCSP eligibility worksheets and instructions for worksheet
use are attached. These were reformatted in 2002 and their use pilot
tested by counties in the Southeastern region in 2003. Changes were made
to make eligibility and cost sharing determinations easier. No program or
policy changes have been made. These forms along with this memo will be on
the Department’s website.
Program Questions
Please contact Janice Smith with questions about program eligibility,
allocations and other programmatic requirements for the Alzheimer’s
Family and Caregiver Support Program. She can be contacted by calling
(608) 266-7872 or via e-mail at smithja@dhfs.state.wi.us
For Alzheimer’s disease case consultation or related training,
contact Cathy Kehoe, Alzheimer’s Services Specialist, at 608-267-2439 or
via e-mail at kehoecb@dhfs.state.wi.us.
Check the following Department website for Alzheimer’s disease
related technical assistance www.dhfs.state.wi.us/aging/genage/alzfcgsp.htm.
Summary of Required Action
- Report changes in administering agency with documentation of county
board decision to the Department within fifteen working days of a
change.
- Submit AFCSP Budget Report to Susan Veleke before February 27, 2004.
Attachments (4):
AFCSP 2004 Allocations
AFCSP 2004 Model Budget Report Form
AFCSP 2004 Maximum Ability to Pay Schedule
AFCSP Financial Eligibility and Cost Share forms and Instructions
Regional Office Contact:
Assistant Area Administrator or Area Agency on Aging
Central Office Contact:
Janice Smith, Assistant Director
Bureau of Aging and Long Term Care Resources
1 West Wilson Street, Room 450
P.O. Box 7851
Madison, WI 53707-7851
Phone: (608) 267-7872
Fax: (608) 267-3203
E-mail: smithja@dhfs.state.wi.us
MEMO WEB SITE: http://www.dhfs.state.wi.us/partners/local.htm
c:
Alzheimer’s Association, Wisconsin Chapters
Area Agencies on Aging, Executive Directors
County/Tribal Aging Unit Directors
Wisconsin Alzheimer’s Institute
DDES Bureau Section Chiefs
County Departments of Community Programs Directors
County Departments of Developmental Disabilities Services Directors
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