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Monthly MCO Capitation Rates

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2014 Family Care Capitation Rates

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Care Wisconsin Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,540.83 $576.08
Care Wisconsin Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,264.87 $585.62
Care Wisconsin Washington, Waukesha $3,252.40 $554.77
Care Wisconsin Ozaukee, Sheboygan, Walworth $2,925.41 $576.08
Community Care of Central Wisconsin Langlade, Lincoln, Marathon, Portage, Wood $2,975.24 $575.53
Community Care of Central Wisconsin Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $2,908.49 $569.76
Community Care, Inc. Calumet, Outagamie, Waupaca $3,099.42 $545.50
Community Care, Inc. Kenosha, Racine $3,158.38 $542.19
Community Care, Inc. Washington, Waukesha $3,360.80 $564.43
Community Care, Inc. Ozaukee, Sheboygan, Walworth $3,117.14 $547.84
Community Care, Inc. Milwaukee $3,154.96 $547.84
ContinuUs Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,108.39 $558.70
ContinuUs Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,921.67 $558.70
ContinuUs Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,542.24 $558.70
ContinuUs Washington, Waukesha $3,484.90 $558.70
Lakeland Care District Fond du Lac, Manitowoc, Winnebago $3,030.52 $592.88
Milwaukee County Department of Family Care Kenosha, Racine $3,158.38 $544.66
Milwaukee County Department of Family Care Washington, Waukesha $3,422.52 $544.66
Milwaukee County Department of Family Care Ozaukee, Sheboygan, Walworth $3,117.14 $544.66
Milwaukee County Department of Family Care Milwaukee $2,677.19 $544.66
Western Wisconsin Cares Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,842.71 $574.96

2014 Family Care Capitation Rate Report (PDF, 346 KB)

2014 Partnership and PACE Capitation Rates

MCO Geographic Service Region Counties Rate
Care Wisconsin Health Plan Sauk $3,225.03
Care Wisconsin Health Plan Columbia, Dodge, Jefferson $3,479.91
Care Wisconsin Health Plan Dane $3,043.64
Community Care Health Plan Ozaukee, Washington, Waukesha $3,352.15
Community Care Health Plan Milwaukee (PACE) $3,164.73
Community Care Health Plan Milwaukee (Partnership) $3,991.38
Community Care Health Plan Waupaca, Outagamie, Calumet $3,211.70
Community Care Health Plan Kenosha $3,509.64
Community Care Health Plan Racine $3,544.89
Independent Care Health Plan Milwaukee $3,297.97
Independent Care Health Plan Kenosha $3,509.64
Independent Care Health Plan Racine $3,544.89

2014 Partnership and PACE Capitation Report (PDF, 400 KB)
 


Capitation Rates for Prior Years

2013
Family Care
MCO Nursing Home Non-Nursing Home
Care Wisconsin – Washington/Waukesha $3,244.43 $572.46
Care Wisconsin – Columbia/Dodge/Green Lake/Jefferson/Marquette/Waushara $3,432.43 $572.46
Community Care of Central Wisconsin $3,016.50 $564.33
Community Care, Inc. – Kenosha/Racine $3,076.43 $558.88
Community Care, Inc. – Ozaukee/Sheboygan/Walworth $3,129.87 $558.88
Community Care, Inc. – Milwaukee $3,240.35 $558.88
Community Care, Inc. – Washington/Waukesha $3,475.64 $558.88
Community Care, Inc. – Calumet/Outagamie/Waupaca $3,220.07 $558.88
Lakeland Care District  $3,075.87 $601.55
Milwaukee County Department of Family Care – Milwaukee $2,777.05 $586.42
Milwaukee County Department of Family Care – Kenosha/Racine $3,076.60 $558.88
Northern Bridges $2,885.01 $572.46
Southwest Family Care Alliance – Chippewa/Dunn/Eau Claire/Pierce/St. Croix $3,255.56 $572.46
Southwest Family Care Alliance –  Crawford/Grant/Green/Iowa/Juneau/Lafayette/Richland/Sauk $3,050.72 $569.10
Western Wisconsin Cares $2,829.52 $567.17

2013 Family Care Capitation Report (PDF, 346 KB)

 

2013
Family Care Partnership and PACE

MCO

Rate

Community Care Health Plan – PACE

$3,240.63

Community Care Health Plan – Milwaukee 

$4,185.46

Community Care Health Plan – Racine

$3,597.99

Community Care Health Plan – Kenosha $3,581.81
Community Care Health Plan – Calumet/Outagamie/Waupaca $3,207.44

Community Care Health Plan – Ozaukee/Washington/Waukesha

$3,500.89

Care Wisconsin Health Plan – Dane

$3,164.85

Care Wisconsin Health Plan – Columbia/Dodge/Jefferson

$3,691.50

Care Wisconsin Health Plan – Sauk

$3,121.48

Independent Care, Inc. – Milwaukee $3,251.45
Independent Care, Inc. – Kenosha $3,581.81
Independent Care, Inc. – Racine $3,597.99

2013 Family Care Partnership and PACE Capitation Report (PDF, 264 KB)
 
 

 

2012
Family Care
MCO* Nursing Home Non-Nursing Home
Care Wisconsin $3,394.98 $559.74
Community Care of Central Wisconsin $3,132.85 $564.19
Community Care, Inc. - Kenosha/Racine $3,205.36 $578.35
Community Care, Inc. - Milwaukee $3,453.93 $578.35
Community Care, Inc. - Teal Region $3,142.02 $578.35
Community Care, Inc. - Pink Region $3,133.58 $578.35
Lakeland Care District  $3,035.87 $580.62
Community Health Partnership $3,729.25 $559.74
Milwaukee County CMO $2,747.96 $543.70
Northern Bridges $2,933.88 $559.74
Southwest Family Care Alliance $2,954.78 $540.96
Western Wisconsin Cares $2,850.54 $557.13

2012 Family Care Capitation Report (PDF, 310 KB)
*See pages two and three of the capitation report for MCO service area(s) and regional configuration of the Family Care program.

2012
Family Care Partnership and PACE

MCO*

Rate

Community Care Health Plan: PACE

$3,150.30

Community Care Health Plan: Milwaukee 

$3,799.71

Community Care Health Plan: Racine

$3,639.95

Community Care Health Plan: Expansion (Teal and Orange Region)

$3,471.85

Community Care Health Plan: Expansion (Pink Region) $3,415.02

Partnership Health Plan

$3,529.70

Care Wisconsin Health Plan

$3,449.71

Independent Care, Inc. $3,124.40

2012 Actuarial Certification for Partnership/PACE Rates (PDF, 338 KB)
*See pages three and four of the 2010 capitation report (PDF, 500 KB) for MCO service area(s) and regional configuration of the Family Care Partnership program.

2011
Family Care
MCO* Nursing Home Non-Nursing Home
Care Wisconsin $3,344.33 $702.93
Community Care of Central Wisconsin $2,996.50 $694.05
Community Care, Inc. - Kenosha/Racine $3,302.33 $606.61
Community Care, Inc. - Milwaukee $3,205.14 $606.61
Community Care, Inc. - Teal Region $3,230.86 $606.61
Community Care, Inc. - Pink Region $3,602.99 $606.61
Lakeland Care District  $2,946.00 $831.94
Community Health Partnership $3,766.33 $702.93
Milwaukee County CMO $2,813.93 $805.38
Northern Bridges $3,007.51 $702.93
Southwest Family Care Alliance $2,826.75 $673.04
Western Wisconsin Cares $2,668.25 $652.66

2011 Family Care Capitation Report (PDF, 339 KB)
*See pages two and three of the capitation report for MCO service area(s) and regional configuration of the Family Care program.

2011
Family Care Partnership and PACE

MCO*

Rate

Community Care Health Plan: PACE

$2,957.54

Community Care Health Plan: Milwaukee 

$3,089.13

Community Care Health Plan: Expansion (Teal and Orange Regions)

$3,233.60

Community Care Health Plan: Expansion (Pink Regions) $3,377.88

Partnership Health Plan

$3,638.02

Care Wisconsin Health Plan

$3,202.90

Independent Care, Inc. $3,150.52

2011 Actuarial Certification for Partnership/PACE Rates (PDF, 54 KB)
*See pages three and four of the 2010 capitation report (PDF, 500 KB) for MCO service area(s) and regional configuration of the Family Care Partnership program.


2010
Family Care
MCO* Nursing Home Non-Nursing Home
Care Wisconsin $3,305.44 $672.17
Community Care of Central Wisconsin $3,040.86 $655.41
Community Care, Inc. - Kenosha/Racine $3,225.14 $641.96
Community Care, Inc. - Milwaukee $3,542.05 $641.96
Community Care, Inc. - Teal Region $3,113.71 $641.96
Community Care, Inc. - Pink Region $3,481.36 $641.96
Lakeland Care District (Fond du Lac County) $2,627.26 $646.05
Community Health Partnership $3,391.34 $672.17
Milwaukee County CMO $2,689.44 $665.06
Northern Bridges $3,087.75 $672.17
Southwest Family Care Alliance $2,885.37 $681.08
Western Wisconsin Cares $2,783.16 $626.79

2010 Family Care Capitation Report  (PDF, 285 KB)
*See page two of the capitation report for the MCO service area(s) and regional configuration of the Family Care program.

2010 PACE and Family Care Partnership Rate Report (PDF, 500 KB)


2009
Family Care

MCO

Nursing Home

Non-Nursing Home

Creative Care Options of Fond du Lac County

$ 2,441.23

$ 715.12

Western Wisconsin Cares

$ 2,564.33

$ 646.02

Milwaukee County Department on Aging

$ 2,400.28

$ 718.90

Community Care of Central Wisconsin

$ 2,846.20

$ 696.87

Southwest Family Care Alliance

$ 2,695.44

$ 692.19

Community Care, Inc. (Kenosha/Racine)

$ 3,031.48

$ 718.32

Community Care, Inc. (Teal Region)

$ 2,993.39

$ 718.32

Care Wisconsin

$ 2,927.16

$ 703.11

Community Health Partnership

$ 3,489.47

$ 703.11

Northern Bridges

$ 2,699.29

$ 703.11

2009 Rate Report - Family Care (PDF, 398 KB)

2009
PACE/Family Care Partnership

MCO

Rate

Community Care Health Plan: PACE

$ 2,894.15

Community Care Health Plan: Milwaukee 

$ 2,949.95

Community Care Health Plan: Expansion

$ 3,139.10

Partnership Health Plan

$ 3,403.77

Care Wisconsin Health Plan

$ 3,216.77

2009 Rate Report - PACE and Family Care Partnership (PDF, 1148 KB/1.21 MB)


2008

CMO County

Nursing Home

Non-Nursing Home

 Fond du Lac

$ 2,324.17

$ 691.71

 La Crosse

$ 2,238.09

$ 656.11

 Milwaukee

$ 2,220.56

$ 724.55

 Portage

$ 2,496.02

$ 666.28

 Richland

$ 2,360.78

$ 713.47

 Community Care, Inc.
 (Serves Kenosha and Racine Counties)

$ 2,957.33

$ 689.33

2008 Rate Report (PDF, 396 KB)
2008 Rate Report for Expansion Counties
(PDF, 138 KB)

2007

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 2,233.20

$ 691.35

La Crosse

$ 2,186.22

$ 691.35

Milwaukee

$ 2,093.20

$ 691.35

Portage

$ 2,505.63

$ 691.35

Richland

$ 2,256.00

$ 691.35

Community Care, Inc.
(Serves Kenosha and Racine Counties)

$ 2,670.23

$ 691.35

2007 Rate Report (PDF, 300 KB)
Report for Kenosha and Racine Counties (PDF, 254 KB)

2006

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 2,157.53

$ 691.35

La Crosse

$ 2,022.50

$ 691.35

Milwaukee

$ 2,055.01

$ 691.35

Portage

$ 2,410.74

$ 691.35

 Richland

$ 2,140.30

$ 691.35

2006 Rate Report (PDF, 286 KB)

2005

CMO County

Comprehensive

Intermediate

 Fond du Lac

$ 2,120.74

$ 691.35

 La Crosse

$ 1,828.82

$ 691.35

 Milwaukee

$ 2,055.01

$ 691.35

 Portage

$ 2,320.75

$ 691.35

 Richland

$ 2,140.30

$ 691.35

2005 Rate Report (PDF, 216 KB)

2004

CMO County

Comprehensive

Intermediate

 Fond du Lac

$ 1,881.07

$ 674.49

 La Crosse

$ 1,764.17

$ 674.49

 Milwaukee

$ 1,810.61

$ 674.49

 Portage

$ 2,255.32

$ 674.49

 Richland

$ 1,970.98

$ 674.49

2004 Rate Report (PDF, 928 KB)

2003

CMO County

Comprehensive

Intermediate

 Fond du Lac

$ 1,948.00

$ 657.40

 La Crosse

$ 1,809.00

$ 657.40

 Milwaukee

$ 1,765.09

$ 657.40

 Portage

$ 2,390.60

$ 657.40

 Richland

$ 2,004.24

$ 657.40

2003 Rate Report (PDF, 251 KB)  Note: Final 2003 comprehensive rates listed above reflect annual retrospective rate adjustment made in April 2004.

2002

CMO County

Comprehensive

Intermediate

 Fond du Lac

$ 1,897.04

$ 640.74

 La Crosse

$ 1,748.84

$ 640.74

 Milwaukee

$ 1,720.63

$ 640.74

 Portage

$ 2,491.01

$ 640.74

 Richland

$ 1,941.49

$ 640.74

 

2001

CMO County

Comprehensive

Intermediate

 Fond du Lac

$ 1,844.30

$ 628.79

 La Crosse

$ 1,709.12

$ 628.79

 Milwaukee

$ 1,721.77

$ 628.79

 Portage

$ 2,516.51

$ 628.79

 Richland

$ 1,910.15

$ 628.79

2000

CMO County

Comprehensive

 Fond du Lac

$ 1,651.32

 La Crosse

$ 1,583.86

 Milwaukee

$ 1,466.64

 Portage

$ 2,435.57

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Last Revised: January 14, 2014