DLTC Memo Series 2007-22
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For: Area Administrators/Human Services Area Coordinators
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From: Sinikka Santala Administrator
Subject: Maximum COP-W/CIP II Service Reimbursement for Person in RCACs
Starting January 1, 2008
Document Summary
This memo increases the maximum COP-W/CIP-II service reimbursement for
persons in RCACs to $88.22 beginning January 1, 2008.
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 $88.02 per day to
$88.22 per day effective January 1, 2008. 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 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.
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: Human Services Area Coordinators-LTS
CENTRAL OFFICE CONTACT:
Irene Anderson, Supervisor Bureau of Long-Term Support
P.O. Box 7851
Madison, WI 53707-7851 anderil@dhfs.state.wi.us
(608) 266-3884
MEMO WEB SITE: http://dhfs.wisconsin.gov/dsl_info/
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