Home & Community-Based Services: State-Only Funded Programs in Wisconsin
States may be required to contribute match funding to some federally funded
long-term care (LTC) programs and to different extents. In FY 2003 states spent
21.4% of total state expenditure on Medicaid (NASBO, 2004). Total expenditures
for HCBS are increasing and totaled $16.4 billion in FY 2001, with states paying
between 1.7% and 13.3% of total health care expenditures on HCBS in FY 2001
(Milbank 2003). Medicaid spending grew quickly in the early 2000s, forcing state
legislatures and officials to investigate ways to contain Medicaid costs rather
than expanding services (Coleman et al 2003).
Program Name: Community Options Program Regular (COP-R)4,40
Administrative Agency: Dept of Health & Family Services Division of Supported Living, Bureau of LTC resources
Population Served: Elderly, physically disabled, MR/DD
Annual Expenditure: $61,300,000 FY99
Funding Source: General Revenue
Number of People Served: 2,254 FY02
Eligibility Criteria: Individuals not requiring nursing home care & people with too high an income. Income limit FY02 $669/mth (individual) & a 6month resources allowance at/below $27,733. Also covers people likely to become eligible for Medicaid within 6 mths of entering a nu
Further Information: No cost caps. No service limits applied. Co-pay on a sliding fee scale determined by a cost share formula. Quality control: interviews, outcomes. Consumer direction Can be consumer directed. Any service necessary permitted
Administrative Agency: Dept of Health & Family Services
Population Served: Elderly 60+
Annual Expenditure: N/A
Funding Source: General Revenue
Number of People Served: N/A
Eligibility Criteria: No income or asset limits.
Further Information:
Abbreviations:
AAAs - Area Agencies on Aging.
ADL - Activities of Daily Living.
AT - Assistive Technology. Dept - Department.
FY - Financial Year.
HCBS - Home & Community-Based Services.
LTC - Long Term Care. Mth - month. Rehab - Rehabilitation.
SCI - Spinal Cord Injury.
SSBG - Soical Services Block Grant.
TBI - Traumatic Brain Injury.
Wk - week.
Yr - year.
Footnotes:
(a) Note that some figures listed are the yearly appropriation, not expenditure.
(b) Sources of funding are listed in the language with which they are reported.
(c) The figures for number of participants are not necessarily figures for
unduplicated participants.
Notes:
(1) The definitions of the services provided in programs may differ between
states.
(2) Unless otherwise stated, programs are statewide.
(3) Programs where it is known that funding may come from a variety of sources,
including non-state only funds (e.g. Older Americans Act) are indicated by
the program name in italics.
(4) The table does not include Mental Health Services programs.
(5) All information is the most up-to-date found from secondary sources noted
in the references.
(6) N/A means the information has not been found (not available).
(7) all programs primarily aim to support people to live in the community,
therefore there may be additional state only funded programs but these are
not directly to support HCBS.
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