Agenda 02/26/2019 Item #16D302/26/2019
EXECUTIVE SUMMARY
Recommendation to adopt a resolution to implement a co-payment waiver procedure for seniors
who are enrolled in the Community Care for the Elderly and Alzheimer’s Disease Initiative state
grants administered by the Community and Human Services Division (CHS).
OBJECTIVE: To adopt a resolution that establishes a co-payment waiver procedure consistent with the
grantor, the Area Agency on Aging of Southwest Florida (AAASWFL) directives.
CONSIDERATIONS: The Services for Seniors Program is the lead case management agency in Collier
County that serves seniors with in home services. CHS provides case management services to seniors
enrolled in two state funded grants, the Community Care for the Elderly (CCE) and the Alzheimer’s
Disease Initiative (ADI).
Co-payment is a requirement per state statutes (Chapters 430.204 and 430.503, F.S.) to be collected for
CCE and ADI services. The grant funding is awarded from AAASWFL.
Co-payment is collected to offset some of the cost of the services received by the client. The co-payment
amount is determined by the financial worksheet and is in accordance with the Department of Elder
Affairs (DOEA) published schedule, that is completed between the case manager and the client at the
time of intake. The continued determination of the client’s ability to pay is re-assessed annually and can
be done at any other time deemed necessary by the agency due to a change in the client’s financial
circumstances.
Non-payment of co-payments and the failure to pay when billed may result in termination of client
services. AAASWFL guidance allows Collier County to waive up to ten percent (10%) of the annualized
goal in co-payments for clients. CHS is currently working toward implementation of a credit card
payment method to increase co-payment receivables.
The proposed Resolution is intended to establish a process to waive any outstanding co-payments for
clients who can no longer pay their outstanding co-payment due to circumstances beyond their control
including death, placement in a long-term facility, relocation without a forwarding address and the
senior’s family refusal to pay the outstanding debt. In the event, past due co -payments cannot be
collected, CHS is requesting the right to waive the amount past due provided it does not exceed the
DOEA allowable ten percent (10%) total co-payment waiver.
It is the intent of CHS for those clients who are thirty (30) days or more in arrears, whose fees are not
waived as part of the allowable ten percent (10%), to follow Collier County Resolution 2006-252. All
referrals for collection will be made to the County’s contracted collection agency. It should be noted that
clients who leave the program are still responsible for the co-payments owed and the AAASWFL may
also determine what course of action to take to recoup what is owed or to waive the co-payment fee.
FISCAL IMPACT: There is no Fiscal impact at this time. Any costs associated with the collection of co-
payments will reside in Human Services Grant Fund (707), Projects 33561 (CCE Co-pays) and 33559
(ADI Co-pays).
GROWTH MANAGEMENT IMPACT: None
LEGAL CONSIDERATIONS: This Item is approved for form and legality and requires a majority vote
for Board approval. -JAB
16.D.3
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02/26/2019
RECOMMENDATION: To adopt a resolution to implement a co-payment waiver procedure for seniors
who are enrolled in the Community Care for the Elderly and Alzheimer’s Disease Initiative state grants
administered by the Community and Human Services Division (CHS).
Prepared By: Louise Pelletier, Manager, Senior Programs and Social Services, Community and Human
Services Division
ATTACHMENT(S)
1. Final Resolution (PDF)
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02/26/2019
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.3
Doc ID: 7831
Item Summary: Recommendation to adopt a resolution to implement a co-payment waiver
procedure for seniors who are enrolled in the Community Care for the Elderly and Alzheimer’s Disease
Initiative state grants administered by the Community and Human Services Division (CHS).
Meeting Date: 02/26/2019
Prepared by:
Title: Manager - Senior Prg and Social Service – Community & Human Services
Name: Louise Pelletier
01/23/2019 8:22 AM
Submitted by:
Title: Manager - Federal/State Grants Operation – Community & Human Services
Name: Kristi Sonntag
01/23/2019 8:22 AM
Approved By:
Review:
Community & Human Services Maggie Lopez Additional Reviewer Completed 01/28/2019 5:10 PM
Community & Human Services Kristi Sonntag CHS Review Completed 01/29/2019 8:00 AM
Public Services Department Kimberley Grant Level 1 Reviewer Completed 01/30/2019 3:11 PM
Public Services Department Todd Henry Level 1 Division Reviewer Completed 02/04/2019 11:44 AM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 02/05/2019 9:29 AM
Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 02/05/2019 2:46 PM
Grants Erica Robinson Level 2 Grants Review Completed 02/08/2019 1:34 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 02/11/2019 9:26 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/13/2019 8:22 AM
Grants Therese Stanley Additional Reviewer Completed 02/14/2019 11:48 AM
County Manager's Office Geoffrey Willig Level 4 County Manager Review Completed 02/19/2019 5:10 PM
Board of County Commissioners MaryJo Brock Meeting Pending 02/26/2019 9:00 AM
16.D.3
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16.D.3.aPacket Pg. 831Attachment: Final Resolution (7831 : Copayment Waiver for ADI/CCE)
16.D.3.aPacket Pg. 832Attachment: Final Resolution (7831 : Copayment Waiver for ADI/CCE)