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DLTC Memo Series 2007-22

To: Listserv

For: Area Administrators/Human Services Area Coordinators 
Bureau Directors/Office Directors 
County CIP II/COP Waiver Coordinators 
County Community Options Program Coordinators 
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 
DLTC Section Chiefs 
Tribal Chairpersons/Human Services Facilitators

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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