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Custom Autonomy Allocation (Apa)
Verified 01 mai 2022 - Directorate of Legal and Administrative Information (Prime Minister), National Solidarity Fund for Autonomy (CNSA)
You can, under age and loss of autonomy conditions, getApa. The Apa is used to pay (in whole or in part) the expenses necessary to stay at home (Home Apa), or the dependency rate of the medical-social institution (example: Ehpad) where you live (Institutional Apa).
What applies to you ?
Depending on your personal situation, the steps to take may vary.
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Home Apa
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.
Video: What is the Apa?
Age condition
You must be at least 60 years old.
Please note : If you receive the third-party benefits supplement (PCRTP), you can file your application for Apa 2 months before its 60e anniversary.
Condition for loss of battery life
You must be in a situation of loss of autonomy (need of help to perform the acts of daily life, or health condition requiring constant monitoring).
The loss of autonomy is measured using the grid Act. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (the highest loss of autonomy) to Gir 6 (the lowest loss of autonomy).
Only the person classified in Gir 1, Gir 2, Gir 3 or Gir 4 can get the Apa.
Residence condition
You must reside:
- Either at home
- Either at the home of a relative who is hosting you
- Or at a friendly
- Either in a self-contained residence (formerly called shelter)
If you are a foreigner, you must have a resident card or a residence permit.
Resources not cumulative with Apa
The Apa cannot be combined with:
- Simple Allocation social assistance for the elderly
- Pension funds
- Financial assistance to pay for home help
- Disability Compensation Benefit (PCH)
- Increase for constant third-party assistance
- Third-Party Supplementary Benefit (PCRTP). However, the person who is receiving the TPRP can file an Apa application to then choose between these 2 allowances the one that suits him best.
General case
You must first obtain an Apa application file from the department, your town hall (CCAS), or a local information point dedicated to the elderly.
Parts to be supplied with the application file:
- Photocopy of your family booklet, identity card, passport or birth certificate or photocopy of your resident card or residence permit (if you are a non-European foreigner)
- Copy of your last tax or non-tax notice on income
- Photocopy of your latest notice of property tax on built and non-built properties (if you own)
- Annual Life Insurance Statement
- Bank Identity Statement (Rib)
Warning : some departments also require a medical certificate or, if you are homeless, proof of address or home selection.
After you have completed the file and added the documents to be provided, you can file or mail it back to the address indicated in the file.
Please note : the Apa application file also allows you to make a simplified application mobility inclusion card.
Department departments have 10 days to acknowledge receipt of your file. If your file is incomplete, the department will ask for the missing documents.
If your situation has a medical or social emergency (change in health status, social environment, ...), the flat-rate Apa can be awarded to you as a matter of urgency and on an interim basis.
To find out what you need to do, contact the department.
In Paris
On the Internet
Apa request in Paris
City of Paris
Perform a personalised autonomy allowance (Apa) request in Paris.
Please note : the Apa application file also allows you to make a simplified application mobility inclusion card.
If your situation has a medical or social emergency (change in health status, social environment, ...), the flat-rate Apa can be awarded to you as a matter of urgency and on an interim basis.
To find out what you need to do, ask the Centre d'action sociale in Paris.
Paper Folder
You must first obtain an application for Apa from the Centre d'action sociale de la ville de Paris (CASVP) or from a local information point dedicated to the elderly.
Who shall I contact
Parts to be supplied with the application file:
- Photocopy of your family booklet, identity card, passport or birth certificate or photocopy of your resident card or residence permit (if you are a non-European foreigner)
- Copy of your last tax or non-tax notice on income
- Photocopy of your latest notice of property tax on built and non-built properties (if you own)
- Annual Life Insurance Statement
- Bank Identity Statement (Rib)
Warning : some departments also require a medical certificate or, if you are homeless, proof of address or home selection.
After you have completed the file and added the documents to be provided, you can file or mail it back to the address indicated in the file.
Please note : the Apa application file also allows you to make a simplified application mobility inclusion card.
Department departments have 10 days to acknowledge receipt of your file. If your file is incomplete, the department will ask for the missing documents.
If your situation has a medical or social emergency (change in health status, social environment, ...), the flat-rate Apa can be awarded to you as a matter of urgency and on an interim basis.
To find out what you need to do, ask the Centre d'action sociale in Paris.
Assessment of loss of autonomy
Once you have completed your application, a professional from the medical and social team (EMS) in your department will travel to your home.
During this visit , the trader determines your degree of loss of autonomy based on the gridAct. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (highest loss of autonomy) to Gir 6 (lowest loss of autonomy).
The professional also assesses your situation and needs. If necessary, it also assesses the situation and needs of your assisting.
Video: How is autonomy evaluated?
Proposal by the Medical Social Team (EMS)
The response to your request depends on your degree of loss of autonomy, as assessed by the medical and social team professional (EMS).
Reminder : the loss of autonomy is evaluated on the basis of the grid Act. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (highest loss of autonomy) to Gir 6 (lowest loss of autonomy).
You are classified in Gir 1, Gir 2, Gir 3 or Gir 4
The EMS professional offers you an assistance plan.
This assistance plan may include, for example:
- Remuneration of a home help or friendly
- Transport aid, meal delivery
- Technical aid and accommodation adaptation measures
- Temporary reception (in institutions or host families)
The amount of the APA that you receive may cover all or part of the aid provided for in the aid plan.
The EMS professional can also recommend other support measures (for the purpose of prevention or support to your caregivers) not supported by the Apa.
You have 10 days to accept the proposed assistance plan or to request changes.
You are classified in Gir 5 or Gir 6
You can't get the Apa at home.
But you can ask your pension fund.
Award Decision
Reminder : after you have been offered an assistance plan by the medical and social team, you have 10 days to accept it or to request changes.
Apa allocation is granted by the department. The decision of the department is yours notified after your acceptance of the help plan.
Please note : the department's decision must be made within 2 months of the date of receipt of your (complete) application.
Maximum monthly amount
The Home Apa is equal to the amount of the portion of the Help Plan that you use, to which a certain amount is deducted from your expenses (also called your financial contribution).
Its amount may not exceed a maximum monthly amount.
Gir | Maximum monthly amount |
|---|---|
Gir 1 | €1,807.89 |
Gir 2 | €1,462.08 |
Gir 3 | €1,056.57 |
Gir 4 | €705.13 |
FYI : if the Apa is less than €32.55, it is not paid.
Increase in case of close care
Increase for relief devices
The maximum monthly amount may be increased if the assisting I need a break.
To do this, the following 2 conditions must be met:
- The caregiver is essential to the home support of the recipient
- No other person (except a professional) can replace the assisting relative
This increase is used to finance respite arrangements (day reception, temporary accommodation...).
The maximum amount of the increase shall be fixed for one year at €510.26.
Increase in case of hospitalisation of the caregiver
The maximum monthly amount may be increased on an ad hoc basis in case of hospitalisation of assisting.
To do this, the following 2 conditions must be met:
- The caregiver is essential to the home support of the recipient
- No other person (except a professional) can replace the assisting relative
This increase is used to finance relay solutions (home help, temporary reception...).
The maximum amount of the mark-up is €1,013.77 by hospitalisation.
Recipient's financial contribution
Depending on your income and the amount of the assistance plan, one financial contribution can be left to your charge.
Payment Terms
The Apa is paid to its beneficiary:
- The part used to pay regular aid is paid monthly.
1to Payment is made the month following the month of the award decision, it includes the payment of the Apa due from the date of the opening of the rights. - The part used to pay the expenses relating to technical aids, accommodation adaptation and temporary care or respite at home, may be subject to a one-time payment.
- The part intended to compensate an employee employed in the home, a family home attendant or an authorised home help service may be paid in the form of Pre-funded Cesu.
Exceptions are possible:
- A portion of the APA can be paid directly to the recipient's home help service.
- A portion may be paid directly to the person or organisation providing the technical assistance, arranging the accommodation or providing temporary accommodation or respite at home.
Suspension
The payment of the Apa at home may be suspended in one of the following cases:
- If you don't file your home help report or host familywithin one month of notification Apa allocation. To make this declaration to the department, you must use the form cerfa 10544.
- If you do not provide proof of expenditure requested by the department's departments, within one month of the request
- If you don't pay your participation
- If the medical/social team finds that the service provided is not the prescribed service or that it poses a risk to your health, safety or physical or moral well-being
- If you are hospitalised for more than 30 days. Suspension begins on the 31ste day of hospitalisation.
Reimbursement of overpayments
If the amount of Apa you receive is not actually owed to you (in whole or in part), you must repay it. This refund is made:
- Either by monthly deductions from the amount of future allowances (up to 20% of the monthly amount of the allowance paid)
- Or, if you can no longer receive the Apa because your situation has changed, in one or more instalments
Overpayment of an amount less than or equal to €32.55 is not claimed.
Estate Recovery
After the senior's death, the amount of the Apa she received is not refundable. This amount is therefore not recoverable from the estate or from a legatee, a doneeor a beneficiary of a life insurance contract.
Within one month of receiving notification of the award decision, you must complete form cerfa n°10544, indicating the employee(s) hired or the home help service you are using.
Declaring a Custom Autonomy Allocation
Cerfa n° 10544*02 - Urssaf National Fund (ex Acoss)
This form must then be sent to the department.
Warning : if your situation changes (relocation, hospitalisation, change of family or employee status, change of resources...), you must report this change to the department.
You can request a reassessment of your needs (review of your Help Plan and consequent revision of your APA amount), if you change:
- Either your personal or financial situation
- Either the personal situation of your caregiver
This request may be made:
- Either by yourself
- Either by your legal representative
- Either by a caregiver
Depending on the circumstances, your application may be considered either as an emergency or within the time limits set for a 1re request.
To find out how to apply, you must contact the following organisation:
General case
In Paris
Who shall I contact
You can challenge any decision regarding the Apa: refusal to grant, proposed amount, suspension of payment or reduction of amount.
You must first make an amicable appeal before you can make a contentious appeal.
Compulsory prior administrative appeal (Rapo)
If you dispute a decision regarding the Apa, you can 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 may appeal the decision made under prior administrative appeal.
To do this, you must file a contentious appeal before the Administrative Court.
You must file this appeal within 2 months of notification of the decision you are challenging.
Then, if you wish, you can challenge the decision of the Administrative Court by appeal to the Council of State.
Institutional Apa
If you are staying in a medical-social institution (for example, a Ehpad or USLD),Apa covers part of the dependency rate set by the establishment.
Age condition
You must be at least 60 years old.
Please note : If you receive the third-party benefits supplement (PCRTP), you can file your application for Apa 2 months before its 60e anniversary.
Condition for loss of battery life
You must be in a situation of loss of autonomy (need of help to perform the acts of daily life, or health condition requiring constant monitoring).
The loss of autonomy is measured using the grid Act. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (the highest loss of autonomy) to Gir 6 (the lowest loss of autonomy).
Only the person classified in Gir 1, Gir 2, Gir 3 or Gir 4 can get the Apa.
Residence condition
Your host institution must be located in France and accommodate at least 25 elderly dependents. If this property has fewer rooms, ask the Apa at home.
Resources not cumulative with Apa
The Apa cannot be combined with:
- Simple Allocation social assistance for the elderly
- Pension funds
- Financial assistance to pay for home help
- Disability Compensation Benefit (PCH)
- Increase for constant third-party assistance
- Third-Party Supplementary Benefit (PCRTP). However, the person who is receiving the TPRP can file an Apa application to then choose between these 2 allowances the one that suits him best.
You do not need to apply for a residential Apa if the following 2 conditions are met:
- The hotel you are going to live in receives a Apa Global Endowment services for all its residents
- Your emergency home is located in the same department as the establishment
If at least one of these conditions is not met, you must apply.
You can enquire directly with the institution to find out if it receives a Apa Global Endowment.
General case
You must first obtain an Apa application file:
- either with the department's services, a CASE or a local information point for the elderly
- Either directly at the establishment where you are going to live, or on your department's website
After completing the file, you can file or mail it back to the address in the file.
The file shall be accompanied by the following documents:
- Photocopy of your family booklet, identity card, passport or birth certificate or photocopy of your resident card or residence permit (if you are a non-European foreigner)
- Copy of your last tax or non-tax notice on income
- Photocopy of your latest notice of property tax on built and non-built properties (if you own)
- Bank Identity Statement (Rib)
Please note : the staff at the hotel can help you with your work.
Department departments have 10 days to acknowledge receipt of your file. If your file is incomplete, the department will ask for the missing documents.
If your situation is of a medical or social emergency nature (change of health status, social environment, ...), the flat-rate Apa can be assigned to you on an urgent and temporary basis.
To find out what to do, ask:
In Paris
Online
Apa request in Paris
City of Paris
Perform a personalised autonomy allowance (Apa) request in Paris.
If your situation is of a medical or social emergency nature (change of health status, social environment, ...), the flat-rate Apa can be assigned to you on an urgent and temporary basis.
To find out what you need to do, contact the CASVP.
Who shall I contact
Paper Folder
You must first obtain an Apa application file:
- either at the Centre d'action sociale de la ville de Paris (CASVP) or at a local information point dedicated to the elderly,
- either directly at the establishment where you will live.
Who shall I contact
After completing the file, you can file or mail it back to the address in the file.
The file shall be accompanied by the following documents:
- Photocopy of your family booklet, identity card, passport or birth certificate or photocopy of your resident card or residence permit (if you are a non-European foreigner)
- Copy of your last tax or non-tax notice on income
- Photocopy of your latest notice of property tax on built and non-built properties (if you own)
- Bank Identity Statement (Rib)
Please note : the staff at the hotel can help you with your work.
Department departments have 10 days to acknowledge receipt of your file. If your file is incomplete, the department will ask for the missing documents.
If your situation is of a medical or social emergency nature (change of health status, social environment, ...), the flat-rate Apa can be assigned to you on an urgent and temporary basis.
To find out what you need to do, contact the CASVP.
Your request is then reviewed. It's about how much you lose autonomy. This assessment shall be made by the host institution.
If, at the end of the evaluation, you are one of groups 1 to 4 grid Act, you can get the Apa in the institution.
The APA is then due to you from the date of filing of your complete application file.
FYI : the decision to award is taken by the department's services. The department's services must make their decision within 2 months of the date of receipt of your complete application.
The Apa is intended to pay the dependency rate in the host institution. However, depending on your income, one financial contribution can be left to your charge.
Payment Terms
1to payment shall be made the month following the month of the award decision.
The allowance shall be paid monthly, no later than 10 days of the month to which it relates.
The APA is paid directly to the institution or, if you request it, to your bank account.
Emergency assignment
In case of a certified emergency, whether medical or social, you may collect the Apa on a temporary basis, for a maximum of 2 months from the filing of the application.
The allowance allocated in this case is equal to 50% of the dependency rate in effect at the host institution for residents classified in resource groups 1 and 2 of the grid Act. This advance is deducted from the amounts of Apa paid later.
Reimbursement of overpayments
If the amount of Apa you receive is not actually owed to you (in whole or in part), you must repay it. This refund is made:
- Either by monthly deductions from the amount of future allowances (up to 20% of the monthly amount of the allowance paid)
- Or, if you can no longer receive the Apa because your situation has changed, in one or more instalments
Overpayment of an amount less than or equal to €32.55 is not claimed.
Estate Recovery
After the senior's death, the amount of the Apa she received is not refundable. This amount is therefore not recoverable from the estate or from a legatee, a doneeor a beneficiary of a life insurance contract.
You can request a reassessment of your needs (review of your Help Plan and consequent revision of your APA amount), if you change:
- Either your personal or financial situation
- Either the personal situation of your caregiver
This request may be made:
- Either by yourself
- Either by your legal representative
- Either by a caregiver
Depending on the circumstances, your application may be considered either as an emergency or within the time limits set for a 1re request.
To find out how to apply, you must contact the following organisation:
General case
In Paris
Who shall I contact
You can challenge any decision regarding the Apa: refusal to grant, proposed amount, suspension of payment or reduction of amount.
You must first make an amicable appeal before you can make a contentious appeal.
Compulsory prior administrative appeal (Rapo)
If you dispute a decision regarding the Apa, you can 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 may appeal the decision made under prior administrative appeal.
To do this, you must file a contentious appeal before the Administrative Court.
You must file this appeal within 2 months of notification of the decision you are challenging.
Then, if you wish, you can challenge the decision of the Administrative Court by appeal to the Council of State.