The Apa is used to pay (in whole or in part) the expenses necessary to allow you to stay at home.

It is paid by the department's services.

Video: What is the Apa?

You must meet 4 conditions:

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 help to perform everyday acts, or health condition requiring constant supervision).

The loss of autonomy is measured using 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).

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

3. Residence

You must be a stable and regular resident of France:

• Either at your home
• Or at the home of a person who is hosting you
• Either at a family friendly
• Either in a self-contained residence (formerly called home)

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

4. Benefits not cumulable with the Apa

It is not possible to receive the Apa when you receive at least one of the following benefits:

• Simple allocation social assistance for the elderly
• Aid from pension funds
• Financial assistance to compensate a home help
• Disability Compensation Benefit (DCP)
• Surcharge for constant assistance from a third party
• Third-party recourse top-up benefit (PCRTP). But the person who receives the PCRTP can file an Apa application, so that it can then choose between these two aids the one which suits it best.

Depending on your department, you can apply online or with a form.

To find out, enter your state number or postal code:

How do I apply for assisted living at home based on my department of residence?

You must provide the following proof:

• Photocopy of your identity card (front and back), passport or family booklet, or, if you are a foreigner outside EU, EEE and Switzerland, photocopy of your valid residence card or residence permit
• Photocopy of your last income tax or non-income tax notice
• Bank identity statement (Rib)
• Photocopy of your last property tax assessment notice (in some cases)
• Medical certificate (in some departments)

The department's departments have 10 days to acknowledge receipt of your file. If your file is incomplete, the department services will ask you for the missing documents.

If your situation is of a medical or social emergency nature (change in health status, social environment...), the flat-rate Apa can be assigned to you urgently and temporarily. It's from €971.75.

To find out what you need to do, ask the department's services.

There are several steps:

Assessment of loss of autonomy

Once your file is complete, a professional from your department's medical and social services team (EMS) travels to your home.

During this visit, the 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 range) to Gir 6 (least loss of range).

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

Video: How is autonomy evaluated?

Proposal for aid

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

Maximum Monthly Amount

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

Surcharge in the case of a necessary caregiver

Surcharge for respite devices for caregivers

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

To do this, the caregiver must be indispensable. This is the case when the following 2 conditions are met:

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

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

The maximum amount of the increase shall be fixed for one year at €548.54.

Surcharge in case of hospitalization of the caregiver

The maximum monthly amount may be increased on an ad hoc basis in the case of hospitalization of the caregiver .

To do this, the caregiver must be indispensable. This is the case when the following 2 conditions are met:

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

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

The maximum amount of the mark-up is €1,089.81 by hospitalization.

Financial contribution of the beneficiary

The Home Apa is the amount of the portion of the assistance plan you use, minus 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 every month.
  The 1^er Payment shall be made in the month following the month in which the award decision is taken and shall include payment of the Apa due from the date on which the rights are paid.
• The part used to pay for technical aids, accommodation adaptation and temporary reception or respite-at-home services may be paid on a one-off basis.
• The part used to pay a home-based employee, a foster family or an authorized home help service may be paid in the form of a Cesu pre-financed.

Exceptions are possible:

• Part of the Apa can be paid directly to the home care 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 any of the following :

• If you do not report your home care worker or your host family, within one month of notification Apa attribution. 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 department, within one month following this request
• If you don't pay your participation
• If the medico-social team finds that the service provided is not the one prescribed, or that it poses 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.

Repayment of overpayment

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

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

Overpayment of an amount less than or equal to €35.64 You're not being asked.

Recovery from succession

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

Within one month of notification of the award decision, you must fill out the cerfa form n°10544, indicating the employee(s) hired or the home help service you use.

Declaring a Custom Autonomy Allowance

This form must then be sent to the department's services.

You can request a reassessment of your needs (revision of your assistance plan and accordingly of the amount of your Apa), in case of modification:

• Either your personal or financial situation
• The personal situation of your caregiver.

This request may be made:

• Either by yourself
• Either by your legal representative
• Either by a caregiver

After receiving your complete application file, your application can be considered, either urgently or within 2 months, depending on the circumstances.

To find out how to apply, please contact:

You can challenge any decision regarding the Apa: denial of award, proposed amount, suspension of payment or reduction of its amount.

You have to go to a friendly remedy first and then you can go to a litigation remedy.

Compulsory prior administrative appeal (Rapo)

If you challenge a decision on the Apa, you can make a compulsory prior administrative appeal by contacting the department by registered letter with acknowledgement of receipt.

You must make this appeal within 2 months of notification of the decision you are challenging.

Litigation

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

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

You must make this appeal within 2 months of the notification of the decision you are challenging.

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