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«STATE OF WISCONSIN 1 West Wilson Street Department of Health Services PO Box 7851 Division of Mental Health and Substance Abuse Services Madison WI ...»

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Daily Living skills: The provision of services to clients whose health or well-being is at risk of deteriorating or for whom development is delayed due to inadequate knowledge or skills in routine daily living tasks. Services are intended to improve a client’s or caretaker’s ability to perform routine daily living tasks and utilize community resources.

Services which are educationally focused and are not primarily designed to provide substitute  task performance include, but are not limited to: education/training; assessment/diagnosis;

and case planning, monitoring and review.

This category excludes intensive home services, community treatment services, or  recreational activities. However, the funds may be used for these purposes for individuals served in psychosocial rehabilitation programs on the allowable service list such as CCS and CSP.

Family support: The provision of a material benefit in the form of cash to the caregivers of disabled children which enable the caregivers to obtain needed material benefits or services, consistent with provisions of the Family Support Plan for the purposes of enabling disabled DMHSAS Memo 2016-01 Community Mental Health Allocation Page 12 of 16 children to maintain a natural living arrangement, preventing institutional placement, alleviating family stress and/or preventing family dysfunction.

Services purchased by caretakers with approval of the county agency include but are not  limited to: personal care, household care, assessment/diagnosis, general physical health services (e.g., dental care) and therapy.

Interpreter services and adaptive equipment: The provision of services and material benefits to clients whose ability to access, participate and function in their community or homes is limited by physical, sensory or speech impairments, or lack of ability to effectively communicate in English, in order to maximize their opportunities to fully participate and function effectively in all aspects of community life, and to improve the community by making it fully accessible to all of its members.

Services include the purchase or direct provision of bilingual interpreters for persons with  limited English skills or interpreters capable of facilitating communication for persons with hearing impairments and others.

Types of items include adaptive household modifications which include ramps, vehicle  modifications, prosthetic or orthotic devices, communication devices, telecommunication devices for the deaf, signaling devices, aids and telecommunication devices for the deaf, signaling devices, aids and appliances for blind or visually impaired persons, special safety equipment, special clothing, etc.

Excludes training of service providers for purposes of developing or improving the ability of  their bilingual or signing staff to deliver services. Excludes the activities of staff that possess bilingual or signing skills functioning in other programs.

Congregate Meals: The provision of meals and services related to the provision of those meals to persons in natural or supportive service settings to promote socialization and adequate nutrition. Funds may be used for education/training.

Home delivered meals: The provision of meals to homebound persons at risk with regard to adequate nutrition in their own home to maintain or improve adequate nutrition. Funds may be used for transportation.

Protective Payment/Guardianship: The provision of services to persons who have an agency as a guardian and/or who have demonstrated a lack of ability to use their funds properly by a person or authorized agency responsible for managing the client’s money or supervising the client’s use of funds. Funds may be used for: case planning, monitoring, and review; and supervision.

Includes the services of an individual or corporate conservator, temporary guardian, guardian  of the person and/or guardian of the estate. Includes the services of a representative payee in SSI/Social Security Administration cases in which representative payees are required.

Services delivered with these funds should be reported using the following standard program

category codes in PPS:

DMHSAS Memo 2016-01 Community Mental Health Allocation Page 13 of 16

–  –  –

17. Adult Family Home The provision of a structured residential living arrangement for the purpose of providing care and support to adult clients whose physical, developmental, and emotional functioning is likely to be maximized in a family or other home-like living arrangement for less than five adults. Funds may be used for: supervision, dietary, personal care, and education/training.

Note that monies can only be used for the identified purposes if the client is not eligible for the CCS or CRS programs.

Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

18. Group home The provision of services in a community based group living setting to children for whom a living arrangement with peers or siblings is judged to be most beneficial. Funds may be used for: supervision, dietary, personal care, and transportation. Note that monies can only be used for the identified purposes if the client is not eligible for the CCS or CRS programs.





Services delivered with these funds should be reported using the following standard program

category code in PPS:

–  –  –

19. Community-Based Residential Facility The provision of services to clients in a Community Based Residential Facility (CBRF) for purposes of providing needed care or support and/or ameliorating personal, social,

behavioral, mental, developmental, or alcohol and drug Abuse disorders. Funds may include:

supervision, dietary, counseling/psychotherapy. Note that monies can only be used for the identified purposes if the client is not eligible for the CCS or CRS programs.

 Excludes residential care for the primary purpose of detoxification. Excludes unlicensed living arrangements even if supervision is provided or live-in staff are present. Excludes AODA residential care in nursing homes. Excludes AODA residential inpatient programs in CBRFs. Excludes homes serving three or four residents which are licensed as CBRFs when the home is also the residence of the sponsor and homes certified under Ch. DHS 82.

DMHSAS Memo 2016-01 Community Mental Health Allocation Page 14 of 16 Services delivered with these funds should be reported using the following standard program

category code in PPS:

506 Community-based residential facility

20. Transportation The provision of transportation and transportation related supervision to the elderly, handicapped, or other persons with limited ability to access needed community resources (other than human services). Includes provision of tickets or cash for their purchase designed to provide safe, comfortable, and accessible conveyance. Limited to that transportation which assists in improving a person’s general mobility and ability to perform daily tasks such as shopping, visiting with friends, competitive employment, etc., independently.

Services delivered with these funds could be reported using the following standard program

category code in PPS as appropriate:

107 Specialized Transportation and Escort

21. Assistance for people relocating from an IMD/Medicaid-certified skilled nursing facility to community placement The provision of community-based care and services provided to any person who has a mental illness and is 22 up through 64 years of age at the time the person is relocated from an institution for mental diseases (IMD) or a Medicaid-certified nursing facility (NF).

These funds may be used for services that assist in the recovery process of the individual, and  are not billable under Medical Assistance.

No standard program categories are available to record a relocation from an IMD or nursing home, but any of the other allowable services in this list of program priority areas may be funded and reported for relocated clients.

22. Coordinated Services Teams Initiatives (CST) The Coordinated Services Team (CST) Initiative is based on the traditional wraparound philosophy emphasizing a collaborative system change approach for youth. CST is an intervention/support model that offers a collaborative, team-centered, strengths-based assessment and planning process.

No standard program category exists for a CST, but any services in the list of allowable services should be recorded in the PPS mental health data system if provided to youth. For example, case management (SPC 604) and counseling (SPC 507) would be typical mental health services provided to youth in a CST.

DMHSAS Memo 2016-01 Community Mental Health Allocation Page 15 of 16 In addition, enrollment in a CST must be recorded in the PPS Mental Health Participation module. Within this module, “CST” must be selected as the “program” in which the youth is enrolled followed by an enrollment date, disenrollment date, and disenrollment reason.

C. Guidance on Uses of Expenditures:

1. Agencies may not expend the Community Mental Health Allocation to pay for the federal share of the FFP for MA programs when billing has, or will be, claimed for the federal share. Monies may be used to cover the county match to the federal share.

2. Agencies may not utilize funding for Comprehensive Community Services (CCS) for clients receiving MA or private insurance with the exception of services associated with CCS which are not eligible for MA reimbursement. Funding may be utilized to provide services to CCS clients who are in the process of being approved for MA, private insurance, or insurance via the Marketplace.

3. Funds may be utilized to provide non-MA reimbursable services approved by DHS.

4. Funds may be used for development (start-up costs), expansion or build-out of certified programming (such as CSP, CCS or Crisis services). Sources and uses of funds must be clearly identified and reported in the Cost Reporting Tool if using funds to pay the nonfederal share of Medicaid services.

5. County/agency shall not expend the monies to provide inpatient or IMD/nursing facility services.

For additional information and questions regarding this memo:

REGIONAL OFFICE CONTACT:

Area Administrators

CENTRAL OFFICE CONTACT:

Maura Klein Department of Health Services Division of Mental Health and Substance Abuse Services 1 W Wilson St., Room 851 Madison, WI 53703-7851 Telephone: (608) 266-7072 Fax: (608) 267-7793 Email: Maura.Klein@wisconsin.gov DMHSAS Memo 2016-01 Community Mental Health Allocation Page 16 of 16

Attachments:

Attachment 1: Community Mental Health Allocation for Calendar Year 2016 Attachment 2: State Community Mental Health Allocation Report – F-01684 (01/2016)

Memo Websites:

DLTC / DMHSAS Memo Series web page.

The Division information and numbered memos are distributed electronically via a Listserv. The Listserv is free, but does require an active e-mail address. The memos are posted in PDF format.

DLTC and DMHSAS Memo Series E-mail Subscription Services web page.

Subscribing to the DLTC and DMHSAS Memo Series Listserv can be done from this page. You will receive a notice each time a new memo is released, which will include a link to the online

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