The IRIS Program is a Medicaid home and community-based services waiver
for self-directed long-term supports. The program is an option for
adults with long term care needs. The Wisconsin Department of Health Services, Division of Long Term Care
(DLTC), Bureau of Long Term Support (BLTS) under the authorization of
the Centers for Medicaid and Medicare Services (CMS) is responsible for
oversight of the IRIS program. IRIS is
available to Wisconsin residents determined financially
eligible for Medicaid, functionally in need of nursing home or Intermediate
Care Facility for Individuals with Intellectual Disabilities (ICF/IID)
level of care; and living in a county where managed long-term care and
IRIS are available. People who are eligible have the choice of IRIS or
managed care through their local Aging and Disability Resource Center (ADRC).
– Wisconsin frail elders, adults with physical disabilities and adults
with intellectual/developmental disabilities with long term care needs
who are Medicaid eligible are included and stay connected to their
– Participants choose their living setting, their relationships,
their work, and their participation in the community.
– IRIS is a self-directed long term care option. The participant manages an
Individual Services and Supports Plan within an individual budget and
the guidelines of allowable supports and services to meet his or her long term care needs. The participant has the flexibility to
design a cost-effective and personal plan.
People who choose IRIS
design a waiver-allowable Individual Services and Supports Plan
to meets their functional, vocational, and social long term care needs.
Wisconsin has Medicaid Home and Community Based Services waivers
1915(c) and the Self-Directed Personal Care State Plan Amendment 1915(j)
approved by The Centers for Medicare and Medicaid Services. These CMS
approved applications define the
types of services and goods included in the IRIS program.
enrolled in IRIS manage goods and services to meet their long term care
needs and use
IRIS-funded, waiver eligible supports and services to remain in the
community and avoid institutional care.
participants are supported in self-direction by IRIS Consultants and Fiscal/Employer
For more information about
the IRIS Program, contact:
Wisconsin Department of Health Services
Division of Long Term Care
Bureau of Long Term Support
1 West Wilson Street, Room 418
P.O. Box 7851
Madison WI 53707-7851
For information on how to apply
for the IRIS Program, contact your local
to see if you may be eligible.
People who are enroller in IRIS who are seeking assistance
should contact the IRIS Service Center at:
Voice and TTY: 1-888-515-IRIS (4747)
Northeast Wisconsin Long Term Care Reform Expansion
On April 21, 2014, Governor Scott Walker announced the expansion of the
Family Care and IRIS
programs to the following counties in northeast Wisconsin: Brown, Door,
Kewaunee, Marinette, Menomonie, Oconto and Shawano.
This expansion, slated for early 2015, will give elders and adults
with physical or intellectual/developmental disabilities the choice to
obtain long-term care in the community through the Family Care and IRIS
Programs. To learn more about the Northeast Wisconsin expansion, visit
the Expansion of Long Term Care
August 13, 2014