HomeMy WebLinkAboutResolution 1987 (05) i • . •
EMERGENCY RESOLUTION ON ALZHEIMER
LETTER OF INTENT
WHEREAS, the State of Wisconsin has given $8227 to St. Croix County Human
Services for the Alzheimer's Family and Caregiver Support Program,
and;
WHEREAS, the St. Croix County Board of Supervisors must approve the letter of
of intent in order to receive such monies;
NOW, THEREFORE, BE IT RESOLVED, that the St. Croix County Board of Supervisors
authorize the County Board Chairman to sign the necessary letter of
intent.
Dated this "J day of ✓ <-i , 1
r
HUMAN SERVICES BOARD
HEALTH CENTER /FORM SUBCOMMITTEE
Negative Aff irmat3ve
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Due December 31, 1986
LETTER OF INTENT TO PARTICIPATE IN 1987
ALZHEIMER'S FAMILY AND CAREGIVER SUPPORT PROGRAM
TO: Donna McDowell, Director
State Bureau on Aging
Larry Willkom , Area Administrator
DCS t estern Region
Troy Keeling , Executive Director
Western Wisconsin Area Agency on Aging
FROM: Norma Anderson , Chairperson or Designee
St. Croix County Board of Supervisors
As chairperson of the County Board of Supervisors of the county noted above, and
under the requirements of s.46.87(3)(a), Wisconsin Statutes (as created by 1985
Wisconsin Act 29, the 1985 -89 Biennial Budget), I am informing you that our county
intends to administer the Alzheimer's Family and Caregiver Support Program for
Calendar Year 1987 in the following manner.
1. Administering Agency. Our 1987 administering agency will be St. Croix County
Human Services,1 renfaT1Tealth Services
2. Name(s) and Phone Number(s) of Responsible Contact Person(s):
a. Lucille Vorw (program contact) (715)246 - (phone)
b. Judy Ziegler (financial contact) (715)246 -6991 (phone)
3. Estimated Number of Households and CBRF /Adult Family Home Residents To Be
Enrolled and Served in 1987 (include enrolled households and residents carried
over from 1986): 5
4. Annual Maximum Service Payment: s.46.87(6)(b), Wisconsin Stats., and
HSS68.07(1)(b), Wis. Adm. Code, specify that no more than $4,000 may be paid
to or expended on behalf of an enrolled person with dementia in a calendar
year. Administering agencies are allowed to establish at the beginning of the
calendar year an annual maximum service payment that is less than $4,000 per
enrolled person with dementia. Our county will establish $ 500 per
enrolled person with dementia as the annual maximum.
5. Development of New or Expanded Out -of Home Services: In accordance with
s.46.87(5)(a), Wis. Stats., our county plans to spend at least some of our 1987
allocation by contracting with service providers to develop new or expanded
services for persons with irreversible dementia that are located out of the
homes of these persons or their caregivers. I understand that the beneficiaries
of these new or expanded out -of -home services need not be enrolled in the
•
program. We plan to spend funds by contract to develop or expand the
following out -of -home services
6.01 Outreach 4.08 Community Prevention 1.10 Daily Living Skills
6. Waiting Lists.
X Our county will use the same waiting list policy used in 1986.
Our county will use the following waiting list policy in 1987
(describe):
I understand that funds under this program are part of the 1987 state- county
contract, Appendix J (or the agency- county aging unit contract, if our county
aging unit will administer the program).
Finally, I understand that I must return this completed letter of intent to the
Wisconsin Department of Health and Social Services by December 31, 1986.
/ Date: I ic3 Signatu , /2Ci
County Board Chairperson or Designee