Key Differences between Family Care and Family Care
Partnership
The following information describes three key differences
between the Family Care and Family Care Partnership (also known as
Partnership) programs. These are the general categories of services that are
integrated into the benefit (long-term care services and health care
services), specific
services that are covered in the provider network. and the composition of the interdisciplinary
team.
Service Integration
| Family Care |
Partnership |
| Partial Integration. The Family
Care program integrates home and community-based services,
institutional care (such as nursing home care), Medicaid personal
care, home health, and other services that were previously funded
separately. Family Care does NOT pay for health care costs
(acute/primary care) such as hospital stays, emergency room visits,
medications, and doctor visits. Family Care participants use
Medicare and Medicaid to purchase these health care services. |
Full Integration. The Partnership
program integrates a person’s long-term care services and health
and medical care services (primary and acute care), and prescription
medications. Therefore, all home and community based services,
institutional care (such as a nursing home), physician services,
hospital stays, medications, and all other medical care is
integrated into the Partnership benefit. |
Covered Services and the Provider Network
| Family Care |
Partnership |
Long-Term Care Services. A person’s
long-term care services are covered by Family Care.
Primary Care Services (including services for acute and
chronic conditions). Family Care does not pay for primary care
services. Members use their own physician and their Medicaid Forward
card to pay for their primary care services. Members obtain
prescription drugs through their Medicare (Part D) and/or Medicaid (Senior
Care)
coverage. The interdisciplinary team can assist an individual in
communicating with and coordinating primary care providers and
services. |
Long-Term Care Services. A person’s
long-term care services are covered by Partnership.
Primary Care Services (including services for acute and
chronic conditions) are integrated in the Partnership benefit that
is managed by the care team along with long-term care services.
Members use physicians who are in the Managed Care Organization’s provider network that
may include the member’s current physician. Members obtain prescription drugs through
Partnership. Those who join a Partnership program do not use Senior
Care or any other Medicare Part D provider, since medication
coverage is also integrated into the benefit. |
Interdisciplinary Team Composition
| Family Care |
Partnership |
| At a minimum, the service coordination
team includes a registered nurse, social worker, and the member.
Members may choose to include family members, loved ones, and other
professionals to participate on their team. |
At a minimum, the service coordination
team includes a nurse practitioner, registered nurse, social worker,
the member, and a physician. Members may choose to include family
members, love ones, and other professionals to participate on their team. |
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Last Revised:
April 04, 2013
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