Rock County asks to delay Family Care
What is Family Care?
Family Care provides managed care for many people—frail elderly, people with physical disabilities and people with developmental disabilities—who depend on public funding for their long-term care needs.
The state-managed program piloted in 2000 and officially launched in 2006.
Currently, 33 Wisconsin counties offer Family Care, according to the state’s Web site. Seven counties launched the program in 2009.
Rock County is scheduled to implement Family Care in 2010, but county officials this morning sent a letter to the state asking for a delay.
By taking the burden of services away from the county, the state proposes to save money and improve services. Family Care also promises to reduce the number of patients in nursing homes and get rid of waiting lists for those needing long-term care or temporary care after a disabling injury.
To fund the program, counties are required to hand over to the state the amount of money they normally devote to caring for the elderly, disabled and developmentally disabled. Much of that money comes from the state to pay for the mandated programs.
Rock County typically spends county tax dollars in addition to the state money to run the mandated programs, Assistant County Administrator Phil Boutwell said.
The state then contracts a managed care provider. That provider contracts locally for transportation, vocational, housing services or any others clients could need.
To learn more, visit dhs.wisconsin.gov/ltcare.
JANESVILLE Rock County is asking for a break.
Gov. Jim Doyle's proposed budget schedules Rock County in mid-2010 to phase into Family Care, a managed care program for many who depend on public money for support.
But the county's overloaded caseworkers and programs can't take on another project, Assistant Administrator Phil Boutwell said.
"Not at this time," Boutwell said. "Not with the economic situation we have and the caseloads we're already dealing with."
This morning, county officials sent a letter asking for more time.
In Dane County, Executive Kathleen Falk earlier this month made the same request. Rock and Dane counties last year shared a planning grant to get ready for Family Care.
Rock County's letter states three reasons not to implement Family Care in 2010:
-- The county's high unemployment rate already has increased demand for services.
The economic support office, located in the Rock County Job Center and run by the human services department, manages food share and state-paid health insurance programs, among other things.
As of March 30, workers were serving 15,174 unduplicated cases, according to county data. That was up about 625 cases in the first three months of 2009, Boutwell said.
Compare that to an increase of 1,300 in all of 2008, and you can see how the demand for services is accelerating, Boutwell said.
"We're on pace to double that," Boutwell said of last year's increase.
To ease the crush, the Rock County Board last fall approved the addition of two economic support workers and an administrative assistant for 2009. Those already busy workers are the ones who would implement Family Care, Boutwell said.
-- Doyle's budget proposes a $1.4 million cut for the county human services and developmental disabilities budgets. Those are the departments that serve people eligible for Family Care.
A $147,300 slice from the county's "income maintenance allocation" in 2010 takes money for the economic support office. More cuts could take state money from juvenile justice, child welfare and mental health programs.
-- Rock County would have to increase its budget for developmental disability services in 2010 to cover Family Care implementation.
The county gets an allocation from the state to pay for mandated human services and developmental disability services. Rock County adds county tax dollars to cover the cost of the mandated programs, Boutwell said.
To implement Family Care, the state would take back the allocation plus money the county is paying above and beyond the requirement.
Rock County Developmental Disabilities would have to pay $3.56 million more to get Family Care up and running in 2010, according to the letter.
Now is not the time for Rock County to ask taxpayers for more money, Boutwell said this morning.

Apr 15, 2009 at 4:18 p.m.
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I have no problem helping people in need. Especialy people that need short term help. What I am sick to death of is people that use the system as a way of life. Im sick of people that are not willing to help themselves and expect someone else to do and pay everything for them.
Apr 15, 2009 at 9:02 a.m.
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TomTiff465: The whole campaign had some major typos. Turns out they actually meant "Hope in Chains", not "Hope and Change". Weird!
Apr 14, 2009 at 9:24 p.m.
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But I thought President O'Bama was going to rescue everybody? What happened to "hope and change we can believe in"?
Apr 14, 2009 at 7:39 p.m.
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They have way too many people serviced by case workers. They should be watching the persons criminally charged, but they should not be serving the mentally-ill who are on meds and doing fine. The only person they need to see is their psychiatrist for their regular meds.
Apr 14, 2009 at 5:49 p.m.
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Looks like an opportunity to create somemore good paying jobs...that have insurance.
Apr 14, 2009 at 5:27 p.m.
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I see Tallman. Let's cut the working county emplyees income and benefits so that people that don't work can have more. Nevermind the fact that they work for a living and pay taxes. Nevermind the fact that the benefits such as health insurance have already been cut back. Not all the county employees even have health insurance! There have been lay offs at the county. And more to come. Why don't we go after people that are abusing the system? Did you know that you can collect SSDI for being a drug addict or alcoholic? So taxpayers pay for them to sit home and continue to drink and do drugs. The amount of foodstamp fraud is out of control as well. The Sheriff employees do not make enough money for what they do on a daily basis. Putting their life on the line everyday they go to work. Everyone screams that departments such as Crisis "don't do their job!" Well maybe people don't understand that departments such as Crisis and CPS have budgets that they have to follow. THERE ISNT ENOUGH MONEY TO DO EVERYTHING FOR EVERYONE. Plain and simple. If you want to pay much higher taxes so that people can go to a psych hospital when ever they are having a bad day (yes there are people that need to go in patient, but not everyone that requests to go needs in patient) and alcoholics and herion adddicts that want to go to detox and treatment for the umpteenth time can go, keep complaining the County doesn't do their job. What about personal responsibility? Why is the tax payers problem that people chose to continue to drink and do drugs? Why are we paying their rent, heat, food, and daily expenses including their drugs, alcohol and cigarettes?
Apr 14, 2009 at 4:24 p.m.
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So you're picking on people that actually work hard and have jobs? Are you bitter because you didn't make the sherriff's department, or something, tallman?
Wow.
Those people go out and risk their lives every single day. I understand that there is record unemployment and people are hurting, but sorry, people at GM weren't risking their lives like the deputies out there are, and they made DOUBLE or TRIPLE what the officers make.
The government workers, too, are taxpayers.
Apr 14, 2009 at 3:12 p.m.
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Mr. Tallman - I'd like to point out the fact that the Sheriff's Dept is in a different union than the IM division. Just because one dept. saw an increase doesn't mean that all depts saw the same increase. Unfortunately, the IM union's recent raise didn't even cover the cost of living increase NOR the health insurance premium they are now being asked to pay. I think that shows a benefit CUT not increase.
Apr 14, 2009 at 2:28 p.m.
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If we're going to talk about what needs to be changed and about govt. waste, I'd point to the fact that we taxpayers subsidize WalMart, one of the wealthiest companies in the world. Many of their low-income employees are on our state healthcare plan.
Apr 14, 2009 at 1:58 p.m.
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Maybe the county board should wake up when it comes to making decisions regarding raises, retirement, health care and all the other benefits government workers receive. Just take the recent promotions handed out at the Sheriff's Dept. They moved all Lt's to Captains with a 18% pay increase. Remember it's not only the pay increases because we as tax payers also must pay a higher amount into their state retirement according to pay. Then we also furnish lifetime health care to these individuals. I know this is only one example of government workers that always get raises regardless of others losing jobs, homes, health care and 401k's disappearing. Besides all this our state legislators hand themselves a 5.3% pay raise which also raises the amount we as taxpayers must pay into their retirement system. Government workers have always enjoyed pay raises and increased benefits regardless of the economic atmosphere for others. Just take a look at what Janesville pays for a city manger and administrators. Government must start to cut their own and put that money back into the public that supports the entire governmental agencies workers. We cannot continue to favor only the few. It's no different than the GM crisis. One can't expect to make $75,000.00 plus benefits and believe that the rest of society making $10-15 an hour to purchase the vehicles. These numbers don't compute economically.
Apr 14, 2009 at 12:52 p.m.
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I dod not believe that Rock County is asking for special treatment. I think that they are simply trying to bring this issue to light. All counties are overloaded at the current time due to the current economic crisis. I also feel that is a bad idea to cut funding to the Income Maintenance programs when they are already so strapped and over worked. If money is taken away from the IM budget, programs that serve the population in need will suffer.
Apr 14, 2009 at 12:41 p.m.
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I have no doubt that Rock County will get what it is seeking, with Rep. Sheridan as Assembly Speaker. Yet Doyle's proposed budget puts a strain on EVERYBODY, so I'm left to wonder why Rock County should receive special treatment?
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