A List of COP and Medicaid Home and
Community-based Waivers Managed by
Wisconsin Counties
The Community Options Program (COP) or "regular Community Options" uses state funds
monitored by the Department of Health Services and administered by local county
agencies to deliver community-based services to Wisconsin citizens who need long term
assistance in performing the activities of daily living. Any person regardless of age who,
due to chronic disabilities, needs a level of care for which Medical Assistance would
purchase nursing home care is eligible for Community Options. Began in some counties in
1982; expanded state-wide in 1986. COP may pay for persons not
eligible for a waiver or may be used as state match to expand the Medicaid
waivers described below.
Medical Assistance Waiver Programs
Community Options Program Waiver
(COP-Waiver; COP-W): Provides Medical Assistance funding for home and community-based care
for elderly and individuals with physical disabilities who have long term care needs and who would
otherwise be eligible for Medical Assistance reimbursement in a nursing home. County
participation was mandated effective January 1, 1990.
Community Integration Program II
(CIP
II): A Medical Assistance funded program to provide community long-term
care services to elderly and individual with physical disabilities
whereby medical assistance funds were made available after a nursing home bed is closed. County
participation was mandated effective January 1, 1990.
As of September 2005, Community Relocation
Initiative funding was created within CIP II for people residing
in a nursing home seeking to relocate to a home/apartment or assisted
living setting.
Community Integration Program
IA
(CIP IA): A Medical Assistance funded program to provide community services to persons
who are relocated from the State Centers for the Developmentally Disabled. County
participation was mandated effective January 1, 1996.
Community Integration Program
IB
(CIP IB): A Medical Assistance funded program to provide community services to persons
with developmental disabilities who are relocated or diverted from nursing homes and
Intermediate Care Facilities-Mental Retardation (ICFs-MR) other than the State Centers for
the Developmentally Disabled. County participation was mandated effective January 1, 1996.
Brain Injury Waiver:
A Medical Assistance waiver for a limited number of people with brain injuries who need
significant supports in the community. Persons eligible for the brain injury waiver must
be eligible for Medicaid and meet the definition of brain injury in
s.
51.01 (2g),
Wis. Stats. In addition, the persons must be receiving or be eligible to
receive post acute rehabilitation services in a nursing home or hospital designated as a
special unit for brain injury rehabilitation by the Wisconsin Medical Assistance Program
(WMAP). the person must also have, as a result of the injury, significant physical,
cognitive, emotional and/or behavioral impairments. This program began January 1, 1995.
Community Opportunities and Recovery Waiver
(COR):
Provides Medical Assistance funding for home and community-based
services for adult persons with serious mental illness who are
receiving specialized psychiatric rehabilitative services, a
co-occurring physical disability and who choose to relocate from a
nursing home to the community. Administered by the Division of
Mental Health and Substance Abuse Services (DMHSAS), COR is a recovery
focused waiver program designed to support the individual in
conjunction with a county Comprehensive Community Services (CCS) or
Community Support Program (CSP) and the individual's personal MA
card. Eligibility for COR will be based on initial and
continuing Long Term Care Functional Screen eligibility, a diagnosis
of serious mental illness, with a need for specialized psychiatric
rehabilitative services, and the interest and the ability of the
individual to live in a a community setting. The COR waiver uses
the existing financial and functional eligibility processes in place
for the Community Options Program - Waiver (COP-W) participants.
Individuals seeking diversion from nursing home placement are not
included in COR. DMHSAS Action Memo 2007-17 titled "Community
Opportunities and Recovery (COR) Waiver" was issued on
September 20, 2007, and provides details on how a county or tribe can
participate in the COR home and community based services waiver
program.
Children's Long-Term Support
(CLTS) Waivers:
These waivers are called home and community-based service (HCBS)
waivers. The waivers give the state the flexibility to develop and
implement creative alternatives to placing Medicaid-eligible
individuals in hospitals, nursing facilities or intermediate care
facilities for persons with mental retardation. The HCBS waiver
program recognizes that many individuals at risk of being placed in
these facilities can be cared for in their homes and communities,
preserving their independence and ties to family and friends at a cost
on average that is no more than that of institutional care.
Last Revised: October 24, 2008 |
