Anyone interested in learning more about their options for long-term
care, including applying for the Family Care benefit, should contact their
local Aging and Disability Resource Center (ADRC).
Resource center services are available to everyone, whether or not they
are eligible for Family Care or other Medicaid programs.
To be eligible for Family Care a person must have
long-term care service needs, be an older adult or an adult with a
disability, live in a Family Care county, and meet financial
eligibility requirements. Medicaid-eligible individuals automatically meet
the financial eligibility criteria for Family Care. Individuals receiving the Family Care benefit
may be required to pay a cost share to their Managed Care Organization (MCO).
There are three steps to determine eligibility and enroll
in a Family Care MCO. The ADRC helps people with each step.
The ADRC will visit the person and complete
the Long-Term Care Functional Screen to assess the individual’s level of need for
services and functional eligibility for the Family Care benefit. Once the individual’s
particular needs for long-term care are determined, the ADRC will provide advice about
the options available to him or her. Options may include enrollment in
Family Care, IRIS or a different long-term care program. Or the
person could choose to receive services
through the Medicaid
fee-for-service system, or to privately pay for services.
If the person is interested in Family Care or another
Medicaid program, the ADRC will help the individual contact an income
maintenance agency to determine financial
Once functional and financial eligibility is
established, the ADRC notifies an "enrollment
consultant" to contact the person, either by phone or in person.
The enrollment consultant makes sure the person understands what it
means to become a member of the MCO, and that he or she understands
all the options for long-term care available. If the person decides on
Family Care, the resource center finishes the enrollment process and
notifies the MCO of the enrollment date.
January 30, 2014
What is Family Care?
Who does Family Care
Aging and Disability
Where in Wisconsin
can you find Family
How do you apply?
Why Family Care?
Being a Full Partner
in Family Care