More Managed Care options for Family Care and Family Care Partnership

Starting in January 2025, almost 8,000 Family Care and Family Care Partnership (Partnership) members in South Central Wisconsin will have more choices in who helps manage their long-term care. Members in Adams, Columbia, Dane, Dodge, Green Lake, Jefferson, Marquette, Rock, and Waushara counties will be able to choose from four managed care organizations (MCOs) for Family Care. That’s an increase from the two currently available. Wisconsinites in these nine counties will also all have the option to participate in Partnership – a first for residents in five of these counties.

“We’re giving Wisconsin Medicaid members more choices to find the care that’s best for them,” said Wisconsin Medicaid Director Bill Hanna. “Our Family Care and Partnership programs provide crucial care and support to help Wisconsinites live their best lives in their homes and communities.”

Wisconsin’s Family Care program focuses primarily on providing long-term care to Wisconsinites who are older or who have a disability, while Partnership integrates both health care and long-term support services in home and community settings. The MCO changes are the result of a multi-year effort to improve the quality and accessibility of the state’s long-term care services. Maps showing the five-year transition plan are available on the DHS website.

Member actions

Family Care and Family Care Partnership members do not need to take any action at this time. They will receive letters detailing their new options and next steps if they want to change their MCO or program.

Expanded MCO options for Family Care members

In January 2025, Family Care members in the nine-county region will have four MCOs to choose from:

• Community Care, Inc. (CCI)
• Inclusa
• Lakeland Care, Inc. (LCI)
• Molina Healthcare of Wisconsin, Inc. (My Choice Wisconsin (MCW))

Significant expansion in Family Care Partnership services

People who live in the nine-county region will have a broader choice in comprehensive care options:

• In January 2025, Independent Care Health Plan (iCare) will offer Partnership services in all nine counties.
• In January 2026:
  • Molina Healthcare of Wisconsin, Inc. (My Choice Wisconsin (MCW)) will be available in all nine counties.
  • Community Care, Inc. (CCI) will expand Partnership services to Columbia, Dane, Dodge, and Jefferson counties.

The table below lists the options available in each county in 2024 as well as in future years.

News sourced from: Expanded Care Choices Coming to Members in Nine Wisconsin Counties in 2025 | Wisconsin Department of Health Services