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Custom Autonomy Allocation (Apa)
Verified 01 janvier 2022 - Directorate of Legal and Administrative Information (Prime Minister), National Solidarity Fund for Autonomy (CNSA)
Under age and loss of autonomy conditions, you can benefit from the personalised autonomy allowance (Apa). This allowance can be used to pay (in whole or in part) the expenses necessary to allow you to stay at home (Apa at home), or to pay part of the dependency rate of the medical-social institution (including an Ehpad) in which you are housed (Apa in institution).
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 Aggir grid. This grid defines several degrees of loss of autonomy, ranging from Gir 1 (highest loss of autonomy) to Gir 6 (lowest loss of autonomy).
Only people in Gir 1, Gir 2, Gir 3 or Gir 4 can receive the Apa.
Residence condition
You must reside:
- or at your home,
- or at the home of a relative who is hosting you,
- or friendly,
- in a self-contained residence (formerly called shelter).
You must live in France on a stable and regular basis.
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, a proof of address or of residence.
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, a proof of address or of residence.
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.
Request statement
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 , it appreciates your degree of loss of autonomy on the basis of Aggir grid and it assesses your situation and your needs.
This professional can also assess the situation and needs of your caregivers.
Video: How is autonomy evaluated?
Proposal by the Medical Social Team (EMS)
If, at the end of the instruction, you are classified in Gir 1, 2, 3 or 4 of Aggir grid, 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 APA.
You have 10 days to accept the proposed assistance plan or to request changes.
If, at the end of the statement, you are classified in Gir 5 or 6 of Aggir grid :
You can't get Apa at home. You can then ask your pension fund.
Award Decision
Apa allocation is granted by the department. The decision is notified to you after acceptance of the aid plan.
This decision must be made within 2 months of the date of receipt of the complete application package.
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 | €1,749.31 |
Gir 2 | €1,404.63 |
Gir 3 | €1,014.90 |
Gir 4 | €676.97 |
FYI : if the Apa is less than €31.71, 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. However, the following two conditions must be met:
- The caregiver is essential to the home support of the recipient
- It cannot be replaced by another person on a non-professional basis.
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 :
- essential for the home support of the AAP beneficiary,
- which cannot be replaced by another person on a non-professional basis.
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.
Repayment of an undue (or "overpayment")
In case of undue payment, you must repay the amount concerned. This overpayment is then recovered:
- either by monthly deductions from the amount of future allowances (up to 20 % of the monthly amount of the allowance paid), or
- or, if you no longer qualify for the Apa, by refunding the overpayment in one or more instalments.
Overpayment of an amount less than or equal to €31.71 will not be claimed from you.
Estate Recovery
After the beneficiary's death, the Apa is not recoverable from the estate or from 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*02, indicating the employee(s) hired or the home help service you are using. This form must then be sent to the department.
Declaring a Custom Autonomy Allocation
Cerfa n° 10544*02 - Urssaf National Fund (ex Acoss)
You must also report any subsequent changes in situation (change of employee, relocation, hospitalisation, change of family situation, changes in your resources...).
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 residential care facility for elderly dependents, called Ehpad), the personalised autonomy allowance (Apa) covers part of the dependency rate set by your host institution.
Age condition
You must be at least 60 years old.
Please note : the person who receives the third-party complementary benefit (PCRTP) may file their application for Apa 2 months before their 60e anniversary.
Dependency condition
Because of your dependency, you must be attached to one groups 1 to 4 of the Aggir grid.
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 don't need to apply for an Apa hotel:
- if the institution you are going to live in receives a global Apa grant from the department for all its residents
- and 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 find out directly from the institution whether it is receiving an 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 the website of your department.
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 to do, ask:
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 to do, ask:
Request statement
The instruction in the allocation request is to assess your degree of loss of autonomy. This assessment shall be carried out by the host institution.
Award Decision
If, at the end of the statement, you are classified in any of groups 1 to 4 of Aggir grid, you can take advantage of the Apa in establishment.
The decision is made by the department. It must be completed within 2 months of the date of receipt of the complete application package.
The rights to the Apa are open on the date of filing of a complete application file.
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 in the host institution for residents classified in resource groups 1 and 2 of the Aggir grid. This advance is deducted from the amounts of Apa paid later.
Reimbursement of overpayments
In case of undue payment, you must repay the amount concerned. This overpayment is then recovered:
- either by monthly deductions from the amount of future allowances (up to 20 % of the monthly amount of the allowance paid), or
- or, if the recipient is no longer eligible for the APA, by refunding the overpayment in one or more instalments.
Overpayment of an amount less than or equal to €31.71 is not claimed.
Estate Recovery
After the beneficiary's death, the Apa is not recoverable from the estate or from legatee or donee.
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.