Family Care Reimbursement
Family Care is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. This comprehensive and flexible program is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. This comprehensive and flexible program offers services to foster independence and quality of life for members while recognizing the need for interdependence and support.
Family Care has two major organizational components:
- Aging and disability resource centers (ADRCs), designed to be a single entry point where older people and people with disabilities and their families can get information and advice about a wide range of resources available to them in their local communities.
- Managed care organizations (MCOs), which provide services in certain counties, as indicated on the Family Care Geographic Service Regions map, P-01790 (PDF).
Click HERE to view the contact information for managed care organizations.
Please contact WHCA/WiCAL Vice President of Reimbursement Policy Kate Dickson for more information.
Direct Care Workforce Funding Initiative
Direct Care Workforce Funding Initiative
Wisconsin’s direct care workforce is the backbone of home and community-based services. The direct care workforce refers to people who provide hands-on care for older adults and people with disabilities.
Despite their critical need, the industry is in crisis. In 2020, one in four direct caregiver positions were vacant—and the state is expected to need 20,000 more home care workers by 2024.
The Direct Care Workforce Funding Initiative helps assisted living providers pay their direct care workers more. The goal is to help recruit and retain experienced staff.
Managed care organizations (MCOs) offer Direct Care Workforce Funding Initiative money to assisted living providers that participate in Family Care and Family Care Partnership.
Capitation Rates
Capitation Rates
Click HERE to view monthly capitation rates for Family Care, Partnership, and Program of All-Inclusive Care for the Elderly (PACE) managed care organizations (MCOs). Family Care rates are listed by geographic service region (GSR).Click HERE to view monthly capitation rates from prior years.
Managed Care Organizations
Managed Care Organizations
When a person decides to enroll in Family Care, they become a member of a managed care organization (MCO). Managed care organizations operate the Family Care program and provide or coordinate services in the Family Care benefit package. Services are tailored to each individual’s needs, circumstances, and preferences.
Click HERE to view MCO contact information.
Click HERE to view the Family Care geographic service regions (GSR).