DHS 68.06(2)(b)12.12. Home-delivered meals for people with dementia and caregivers that are not Title III-C2 eligible. DHS 68.06(2)(b)15.15. Inpatient treatments not covered by the person’s primary health insurance. DHS 68.06(2)(b)20.20. Recreation and social activities, including Memory Cafés and social events. DHS 68.06(2)(b)24.24. Any other goods and services necessary to maintain the person with dementia as a member of the household. DHS 68.06(3)(3) Administration. Administering agencies may use program funds to pay for the cost of administering the program only if the costs are incurred under one or both of the following categories: DHS 68.06 NoteNote: For descriptions of the categories listed under subs.(2) and (3), write the Division of Disability and Elder Services, Bureau on Aging and Long-Term Care Resources, P.O. Box 7851, Madison, Wisconsin 53707.
DHS 68.06(4)(4) Non-Supplanting. Program funds may not be used to purchase goods and services that are otherwise covered by a person’s private health or long term care insurance, or be spent in place of other federal, state or local programs that would, in the absence of the Alzheimer’s and Dementia Family Caregiver Program, be available to the family. DHS 68.06 HistoryHistory: Cr. Register, March, 1989, No. 399, eff. 4-1-89; CR 17-032: am. (1) (intro.), (a) to (d), r. and recr. (2) (b), am. (3) (a), cr. (4) Register June 2018 No. 750, eff. 7-1-18; correction in (2) (a), (b) (intro.) made under s. 13.92 (4) (b) 7., Stats., Register June 2018 No. 750. DHS 68.07DHS 68.07 Client eligibility. In accordance with s. 46.87 (5), Stats., the administering agency of each county or tribe shall determine the eligibility of each household that applies to participate in that county or tribe’s program by establishing that the household or person meets all of the following conditions: DHS 68.07(1)(1) Diagnosis of condition. At least one member of the household or the person who lives in a residential facility has received a final, tentative or preliminary documented diagnosis of dementia from a physician or other qualified medical provider. DHS 68.07(2)(2) residency. The person in the household who has dementia, or that person’s caregiver, meets one of the following conditions: DHS 68.07(2)(b)(b) The person with dementia lives in a residential facility located in the county or tribal service area. DHS 68.07(3)(3) Household income. The person with dementia and that person’s spouse are expected to have a joint income of no more than $48,000 for the 12-month period immediately following application for the program, except that in determining the income of a household with a joint gross income of more than $48,000, the administering agency shall subtract any expenses attributable to the dementia-related needs of the person with a dementia diagnosis or of the person’s caregiver. If the net income determined by subtracting dementia-related expenses for a household is $48,000 or less, the household shall be considered as having met the household income eligibility condition. DHS 68.07 HistoryHistory: Cr. Register, March, 1989, No. 399, eff. 4-1-89; CR 17-032: am. Register June 2018 No. 750, eff. 7-1-18; correction in (2) (b) made under s. 35.17, Stats., Register June 2018 No. 750. DHS 68.08DHS 68.08 Determination of need. The amount paid or expended for each person diagnosed with dementia may not exceed $4,000 in any calendar year. For the purpose of calculating the funds to be paid to or expended for a household or individual participating in the program, the administering agency shall conduct a needs assessment to determine all of the following: DHS 68.08(1)(1) The goods and services needed by the household to enable it to maintain the person with dementia as a member of the household. DHS 68.08(2)(2) The goods and services reasonably needed by a person with dementia living in a residential facility that are not included in residential fees paid to the facility.