DLTC INFO MEMO 2008-09
STATE OF WISCONSIN
Department of Health Services DLTC Memo Series 2008-09
Division of Long Term Care Date: October 10, 2008
Index Title: Changes to ICF-MR Restructuring Initiative
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
Tribal Chairpersons
Facilities for the Developmentally Disabled
From: Sinikka Santala
Administrator
Re: ICF-MR Restructuring Initiative
Document Summary
The Department is revising the eligibility criteria for the ICF-MR
Restructuring Initiative to include certain people admitted to ICFs-MR on
or after January 1, 2005.
BACKGROUND
Starting in 2005, the ICF-MR Restructuring Initiative provided two
fundamental changes: (1) New admission restrictions and corresponding
changes in periodic review processes, and (2) Realignment of existing
funding mechanisms and responsibilities so that funding that supported
persons in ICFs-MR and nursing facilities at a DD Level of Care could be
used to support those persons in smaller community settings. See DDES Info
Memo 2005-03 at http://dhs.wisconsin.gov/dsl_info/InfoMemos/DDES/CY_2005/InfoMemo2005-03.htm
Since the establishment of the program, eligibility for relocation
under the ICF-MR Restructuring Initiative has been limited to those
persons in facilities at a DD Level of Care at the end of 2004. Since the
start of the initiative over 600 persons have been relocated. Of the
original cohort of eligible persons, there are now fewer people in
facilities eligible for relocation than have been relocated into the
community. This is a tremendous accomplishment and would not have been
possible without the hard work of facilities, counties and Department
staff.
NEW ELIGIBLITY CRITERIA
The Department is revising the eligibility criteria for the ICF-MR
Restructuring Initiative to extend the opportunity for relocation to those
persons admitted after January 1, 2005 who have been admitted on a long
term basis following the procedures in 2003 Wisconsin Act 33. In order to
be eligible persons admitted after January 1, 2005 will have to have been
admitted via a court proceeding in which the court found that the facility
was the most integrated setting taking into consideration a county
prepared plan for home or community based care. In addition, in a
subsequent Watts review or court proceeding, a court will have to find
that a plan for home or community based care now provides the most
integrated setting for the individual.
In order to relocate a person from a facility using Restructuring
funding, the county proposing a change in placement will have to submit
the documentation for the person's placement in the facility including the
court determination and plan for home or community based care. In addition
the county will have to submit the new plan if the plan has changed, along
with an explanation of the changed circumstances that now make the
community the appropriate placement for the individual.
Counties are encouraged to include those people who relocate under the
Restructuring initiative in the Money Follows the Person demonstration.
This federal demonstration provides the state with enhanced federal match
for expenditures on home and community-based services for persons
relocated to the community. For more information on Money Follows the
Person see DLTC Numbered Memo Series 2008-05. http://dhs.wisconsin.gov/dsl_info/NumberedMemos/DLTC/CY2008/sharednm01and05.pdf
REGIONAL OFFICE CONTACT:
Human Service Area Coordinators
CENTRAL OFFICE CONTACT:
Sam Moore
Department of Health Services
1 W. Wilson St., Rm. 418
Madison, WI 53703
608-266-2905
sam.moore@wisconsin.gov
MEMO WEB SITE: http://dhfs.wisconsin.gov/dsl_info/
Last Revised: October 24, 2008 |
