May 10, 1999
The Honorable, The Legislature:
We have completed an evaluation of community long-term care programs operated by local governments and administered by the Department of Health and Family Services. We focused our analysis on two Medical Assistance waiver programs whose participants are primarily elderly and physically disabled: the Community Integration Program II (CIP II) and Community Options Program Waiver (COP-W) programs, and on participants whose services were funded exclusively through the general purpose revenue-funded Community Options Program (COP-R). In 1997, 15,699 participants received services through these programs, for which reported expenditures were $120,893,900.
Among local community long-term care programs, we found significant variation in the amount of time individuals wait for program services. As of June 1998, approximately 11,000 individuals statewide were waiting to receive program services. However, 11 counties reported no waiting lists, while 12 others had waiting lists of more than 100 individuals. The maximum wait for developmentally disabled individuals was nine years; for elderly individuals, it was four years.
In addition to variation in waiting times, we found variation in the types of services these local programs provide and in the per participant expenditures they report. For example, statewide expenditures averaged $7,701 per participant in 1997, but local programs reported average per participant expenditures ranging from $3,394 to $17,195.
Variation among local programs is possible because community long-term care places primary responsibility for program management with local governments. The Family Care proposal currently before the Legislature as part of Assembly Bill 133 addresses some of the causes of the variation we found. To assist in analyzing the effect this proposal could have on community long-term care, we include questions the Legislature may wish to explore during its deliberations.
We appreciate the courtesy and cooperation extended to us by the Department and staff of local programs. The Department's response is Appendix IV.
Sincerely,
Janice Mueller
State Auditor
State of Wisconsin
Ethics Board
May 4, 1999
The Honorable, The Senate:
The following lobbyists have been authorized to act on behalf of the organizations set opposite their names.
For more detailed information about these lobbyists and organizations and a complete list
of organizations and people authorized to lobby the 1999 session of the legislature, visit the Ethics Board's web site at
http://ethics.state.wi.us
Bartkowski, John Sixteenth Street Community Health Center
Boyce, Lisa Wisconsin Library Association
Brennan, Ryan Advantage Capital Partners
Winters, Amy Wisconsin Capital Partners
Carey, Ray Youth Leadership Academy
Dickert, John T Nicolet Minerals Company
Dickert, John T TDS Telecom
Doyle, Maurice Advantage Capital Partners
Eleby, Jr., Calvin Wisconsin Insurance Alliance
Elliott, Brian CenturyTel Service Group, LLC
Gallo, Donald P Wisconsin Fabricare Institute
Hottenroth, Theresa M Wisconsin School Food Service Association
Leitch, Laura J Wisconsin School Food Service Association
McClenahan, William Superior Services Inc
Mueller, H Carl Journal Communications Inc
Phillips, Joe Wisconsin Fabricare Institute
Potter, Rosemary Youth Leadership Academy
Rogowski, Michael CenturyTel Service Group, LLC
Strohl, Joseph Goodwill Industries of Southeastern Wisconsin, Inc
Tenuta, James Advantage Capital Partners
Thomas, Phillip Christmas Tree Producers Association
Zajac, Scott Advantage Capital Partners
Also available from the Wisconsin Ethics Board are reports identifying the amount and value of time state agencies have spent to affect legislative action and reports of expenditures for lobbying activities filed by the organizations that employ lobbyists.
Sincerely,
Roth Judd
Director
State of Wisconsin
Office of the Governor
May 3, 1999
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Smith
, Jerry E.,
of Madison, as Chair of the Parole Commission, to serve for the term ending March 1, 2001.
Sincerely,
TOMMY G. THOMPSON
Governor
Read and referred to committee on Insurance, Tourism, Transportation and Corrections.
State of Wisconsin
Office of the Governor
May 3, 1999
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Lundberg, William S.,
of Wisconsin Rapids, as a member of the Lower Wisconsin State Riverway Board, to serve for the term ending May 1, 2002.
Sincerely,
TOMMY G. THOMPSON
Governor
Read and referred to committee on Agriculture, Environmental Resources and Campaign Finance Reform.
State of Wisconsin
Office of the Governor
May 3, 1999
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Willoughby, E. Ray,
of Eau Claire, as a member of the Rural Health Development Council, to serve for the term ending July 1, 2004.
Sincerely,
TOMMY G. THOMPSON
Governor
Read and referred to committee on Health, Utilities, Veterans and Military Affairs.
State of Wisconsin
Office of the Governor
May 3, 1999
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Adrian
, Linda S.,
of Platteville, as a member of the Rural Health Development Council, to serve for the term ending July 1, 2004.
Sincerely,
TOMMY G. THOMPSON
Governor
Read and referred to committee on Health, Utilities, Veterans and Military Affairs.
State of Wisconsin
Office of the Governor
May 3, 1999
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Whitemarsh, Darylann T.,
of Oshkosh, as a member of the Educational Communications Board, to serve for the term ending May 1, 2003.
Sincerely,
TOMMY G. THOMPSON
Governor
Read and referred to committee on Education.
