Personalized Autonomy Allowance (Apa)

1. Age

You must be at least 60 years old.

2. Loss of autonomy

You must be in a situation of loss of autonomy (need for help to perform the acts of everyday life, or state of health requiring constant monitoring).

The loss of autonomy is measured using the grid Act: titleContent. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (strongest loss of autonomy) to Gir 6 (weakest loss of autonomy).

Only the person classified as Gir 1, Gir 2, Gir 3 or Gir 4 can get the Apa.

3. Residence

You must reside in France on a stable and regular basis:

• Either at your home
• Either at the home of a close to you that hosts you
• Either at a welcoming family
• Either in an independent residence (formerly called home-dwelling)

If you are a foreigner, you must have a residence card or residence permit.

4. Benefits not cumulative with the Apa

Apa is not available when you receive at least one of the following benefits:

• Simple Allocation social assistance for the elderly
• Aid from pension funds
• Financial assistance to pay a home help
• Disability Compensation Benefit (DCP)
• Constant Third-Party Assistance mark-up
• Third Party Supplementary Benefit (TPIP). But the person who receives the PSSRB may file an Apa application fileso that it can then choose, between these two aids, the one that suits it best.

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Assessment of loss of autonomy

When your complete file, a professional from the medical-social team (EMS) of your department travels to your home.

During this visit, this professional determines your degree of loss of autonomy based on the grid Act: titleContent. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (greatest loss of autonomy) to Gir 6 (smallest loss of autonomy).

The professional also assesses your situation and needs. If necessary, it also assesses the situation and needs of your caregiver.

Video: How is autonomy assessed?

Proposal for aid

The response to your request depends on your degree of loss of autonomy, as assessed by the medical-social team (EMS) professional.

Maximum monthly amount

Home Apa cannot exceed a maximum monthly amount, which depends on your Gir: titleContent :

Surcharge in case of essential caregiver

Surcharge for respite devices for the caregiver

The maximum monthly amount may be increased if the caregiver needs a break.

For this, the caregiver must be indispensable. This is the case when the following two conditions are met:

• You would be in danger without the caregiver's supervision
• No other person (except a professional) can replace the caregiver

This increase is used to finance respite measures (day care, temporary accommodation, etc.).

The maximum amount of the increase shall be fixed, for one year, at €583.52.

This amount must be used within one year of its allocation.

Increase in case of hospitalization of the caregiver

The maximum monthly amount can be increased occasionally in case of hospitalization of the caregiver .

For this, the caregiver must be indispensable. This is the case when the following two conditions are met:

• You would be in danger without the caregiver's supervision
• No other person (except a professional) can replace the caregiver

This increase is used to finance relay solutions (home help, temporary reception...).

The maximum amount of the surcharge shall be €1,159.32 by hospitalization.

This amount must be used during the period of hospitalization concerned.

Financial contribution from the beneficiary

The Home Apa is equal to the amount of the portion of the assistance plan you use, less any amount remaining at your expense (also known as your financial contribution).

This amount depends on your income and the amount of your assistance plan.

Conditions for payment

The Apa is paid to you as follows:

• The part used to pay regular aid is paid monthly. On 1^er payment shall be made in the month following that of the award decision, including the payment of the Apa due from the date of the opening of rights.
• The part used to pay the expenses related to technical aids, accommodation adaptation and temporary reception or respite at home, may be subject to a one-time payment.
• The part used to pay an employee employed at home, a family caregiver or an authorized home help service may be paid in the form of Cesu pre-funded.

Exceptions are possible:

• A portion of the Apa can be paid directly to the home help service you have chosen.
• A portion can be paid directly to the person or organization that provides you with technical assistance, arranges the accommodation or provides temporary reception or respite at home.

Suspension

The payment of the Home Apa can be suspended in at least one of the following :

• If you do not declare your home help or host family that hosts you, within one month of the notification of allocation of the Apa. To make this declaration to the department services, you must use the form cerfa no. 10544.
• If you do not provide the proof of expenses requested by the services of the department, within the month following this request
• If you do not pay your participation
• If the medico-social team finds that the service provided is not the one prescribed, or that it presents a risk to your health, safety or physical or moral well-being
• If you are hospitalized for more than 30 days. Suspension starts on 31^e day of hospitalization.

But you can challenge the suspension of the payment of the home payment.

You must first make an amicable appeal to then be able to make a contentious appeal.

Mandatory Prior Administrative Remedy (Rapo)

If you are challenging a decision on the AoA, you can make a compulsory prior administrative appeal in front of the department. You must do so within 2 months of the notification the decision you are challenging.

To do this, you must write a letter explaining why you disagree with the decision related to your APA. You must attach a copy of the notification the decision, as well as any documents you consider useful.

You must either send these documents by registered mail with acknowledgement of receipt, or deposit them at the reception of the services of the department.

The president of the departmental council has 2 months to answer you, after receiving your appeal.

Litigation

You can appeal the decision rendered under the compulsory prior administrative appeal.

To do this, you must file a contentious appeal before the administrative court.

You must do so within 2 months of notification of the decision you are challenging.

If you wish, you can challenge the decision of the Administrative Court by a appeal to the Council of State.

Reimbursement of overpayment

If the amount of Apa you receive is not actually due to you (in whole or in part), you must repay it. This reimbursement shall be made:

• Either by monthly deductions from the amount of future allowances (up to 20% maximum of the monthly amount of the allowance)
• Either, if you can no longer receive the Apa because your situation has changed, in one or more installments

Overpayment of an amount equal to or less than €36.06 is not claimed from you.

Recovery on succession

After the death of the elderly person, the amount of the Apa that he received is not to be repaid. This amount is therefore not recoverable from the estate, nor from a legatee, of a donee, or a beneficiary of life insurance contract.