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created using the Microsoft Forms program, the same program as the monthly Adult Services <br />Survey. <br /> <br />The information required to submit the APS Essential Services Fund Reporting Tool includes: <br /> The county name submitting the invoice <br /> The first and last name of the county staff completing the invoice <br /> The email address of the staff completing the invoice <br /> The SIS ID of the individual open for 204 services receiving services through the <br />Essential Services Fund <br /> The amount spent in each of the applicable categories for that individual: <br />o Medication/medical care <br />o Housing supports (rent/mortgage payments, taxes, hotels) <br />o Groceries <br />o Personal hygiene/clothing <br />o Household supplies (appliances/furniture) <br />o Home repairs/modifications <br />o Personal Care (sitter/respite/personal care aid, life alert, adult day care) <br />o Utilities (electric, gas, telephone, water, internet) <br />o Health and wellness supplies <br />o Transportation <br />o Other (please describe) <br />The APS Essential Services Fund is available for use beginning February 1, 2022, through <br />December 31, 2022. Your agency will be asked to complete one invoice for each individual <br />receiving the APS Essential Services funding for each month funding is available. A link to <br />submit the monthly invoices is provided in the attachment, APS Essential Services Fund <br />Reporting Tool. Please enter all of February reimbursements on the February tool by March 1, <br />2022. Moving forward the tool must be completed by 5:00 p.m. on the first working day of the <br />month for the previous month. For example, all requested reimbursements for March 2022 <br />should be entered in the monthly tool by 5:00 p.m. on April 1, 2022. If you are unable to submit <br />an invoice in the APS Essential Services Reporting Tool by the due date, you may submit the <br />invoice the following month for reimbursement. <br /> <br />No prior approval is needed by your agency to utilize this funding. Your agency will complete <br />the DSS-1571 Part II to receive reimbursement for the previous month. The invoices should be <br />submitted to DAAS via the APS Essential Services Fund Reporting Tool as a part of this <br />reimbursement process. <br /> <br />Please see the attached document, APS Essential Services Funding Authorizations SFY 2021- <br />2022, with each county’s allocation. Counties should track their monthly invoices to ensure you <br />do not expend beyond your allocation. Any unused allocation for SFY 2021-2022, may be <br />utilized in SFY 2022-2023, until December 31, 2022. If more than 20% of the funds remain on <br />September 1, 2022, counties will be contacted to determine their plans and if the funds will be <br />expended by December 31, 2022. If there are remaining funds, they will be reallocated <br />according to the formula for those counties who have submitted invoices for the year and are <br />able to utilize the funding. The funding formula for allocations is based on the number of <br />individuals who received Protective Services in each county in SFY 2021-2022 and a weighted <br />percent of 10% for SIS Code 202, 70% for SIS Code 204, and 20% based on the number of <br />citizens at or below the poverty level for 2019. <br /> <br />2 <br /> <br />