Wisconsin Community Options Program (COP)

Page Reviewed / Updated - May 2017

Program Description

 The Community Options Program (COP) is currently being phased out and transitioned into a managed care program called FamilyCare. At the time of this writing, only seven of the 72 counties in Wisconsin continued to operate COP. However, they are also in the process of transitioning to FamilyCare, with COP ending in July of 2017 and being completely phased out by September of 2017 for Adams, Florence, Forest, Oneida, Taylor, and Vilas. Dane county is expected to make the transition the beginning of 2018. This page is maintained strictly for historical purposes. 

COP is an assistance program that provides help for seniors and other persons who are eligible for nursing home care. The program aims to achieve the dual objectives of keeping the state's nursing home spending within budget, while enabling qualified individuals to receive care services in their homes or in the homes of their caregivers.

Under COP, a variety of services, supports, and funds are offered to program participants and their primary caregivers to help to prevent the premature or unnecessary placement of persons in skilled nursing facilities. Included among these are personal care at home, home health care, homemaker chore services, and respite care. All of which make it easier for families to care for loved ones in their home. The program also gives a hand to families and homeowners where the participant resides by giving towards the cost of modest home modifications. These minor home improvement projects should make it easier for aging persons to maintain their independence and live safely outside of an institution.

 This program includes support for home modifications such as walk-in tubs which make it easier for persons to live independently.  Free estimates are available here.

 

Eligibility Guidelines

 This program should not be confused with the Wisconsin COP-Waiver program, which is related but is specifically designed for Medicaid participants. 

COP considers the applicant's financial assets, their level of impairment and their length of residency in the state of Wisconsin. The applicant's age is not a factor. This program requires that all other sources of funding be considered and exhausted before eligibility is confirmed. As the program is intended to reduce nursing home admissions, the participant cannot reside in a nursing home.

Functional Ability - Applicants must require the same level of care typically provided in a nursing home.  This means they have a long term, irreversible, mental or physical disability.

Length of Residency - Applicants must have lived in the state for at least 180 days prior to acceptance into the program.

Assets - The asset determination is set by the county.  A rule of thumb is that should the applicant's financial assets be unable to sustain their required level of care for 6 months. 

Income - income is not a factor for eligibility but instead considered when determining if a co-payment for assistance is required and how much that co-payment will be.  In very approximate terms, applicants with monthly incomes up to $4,500 should be eligible for some level of financial assistance. Spousal income is generally excluded, but a spouse may be asked to contribute when their monthly income exceeds about $3,000.

 

Benefits and Services

The available services are selected specifically to assist individuals maintain their independence outside of nursing homes. Services are also available to assist the primary caregivers of program enrollees. Each participant has a care plan which outlines the services for which they are eligible. Care plans can include any of the following:

  • Adaptive and Communication Aids
  • Care Management
  • Financial Counseling
  • Home Health Care
  • Home Modifications
  • Housekeeping / Chore Services
  • Medication Management
  • Personal Care
  • Personal Emergency Response Services (LifeLine / Medical Alert)
  • Respite Care

 

How to Apply / Learn More

The primary administering body for the Community Options Program is the Wisconsin Bureau of Long-Term Support, DHS Division of Long Term Care. However, to apply for the program, interested individuals should contact their County Department of Health Services. A list of counties and contact information is available here

While this program is open to residents statewide, waiting lists may exist and if so they are at the county level. The state is not required to provide services beyond their budget. The complete policies and procedures for this program are available as downloadable PDFs here.