COP High Cost (COP HC) one-time funding is unspent state-wide COP funds from the previous calendar year. The fund was created primarily to provide one-time funding to assist counties in serving persons with above average costs who have exceptional one-time service needs.
COP HC funds are used for exceptional expenses such as the purchase of specialized training for providers, start-up costs for developing needed services, home modifications, and/or the purchase of medical equipment or other specially adapted equipment. This funding source is not used for routine costs of care. It is a funding of last resort and therefore other funding possibilities must be explored before the use of COP HC. Examples of other resources: Medicaid, Medicare, DVR, private insurance, trust fund, no- or low-interest loans, or funding made available by charitable organizations.
Criteria for Submission
Priorities for funding requests:
Very expensive one-time needs or completely unexpected happenings or emergencies.
- For an individual to remain in their home, extensive/expensive home modifications are necessary.
- For someone to function as independently as possible, expensive non-MA allowable medical or other specially adapted equipment is necessary.
- Essential expensive equipment unexpectedly needs to be replaced.
- Someone’s condition deteriorates unexpectedly resulting in a sudden increase in costs.
- A caregiver dies or is suddenly unable to continue resulting in a sudden increase in costs.
- Home catastrophes occur such as tornado damage and furnace or septic system failures.
- Help for people who are moving from nursing homes with necessary start-up costs if they need to set up new households in the community. Much of this funding may be for non-waiver allowable items.
Limitations and Rules:
- Developmental Disabilities managers will determine when COP HC will be used for exceptional expense requests.
- The minimum request for an individual item or project should be $1,000 per individual item or project.
- Funds may only be used for individuals who are participants in one of the Waiver Programs (CIP 1A, CIP 1B, CIP II, BIW, or CLTS) or COP.
- Documentation of MA denial for MA allowable items and estimates with separate materials and labor charges may be submitted with request form.
- A support broker is given approval for an exceptional expense request and COP HC will be used to fund the item or project.
- The support broker will complete a COP HC Request Form and other necessary documentation.
- The form and all necessary documentation will need to be completed and submitted within of approval.
Request one-time COP funding using the most recent version of the Exceptional Expense request form available from the DHS Forms Library at: www.dhs.wisconsin.gov/forms1/F2/F21353.docx.