Department of Health Services Logo

 

Wisconsin Department of Health Services

Partnership Home

Basic Information

Virtual PACE Program

Family Care

 

Program Overview

The Family Care Partnership Program is a comprehensive program of services for frail elders and adults with developmental or physical disabilities in Wisconsin. The program integrates health and long-term support services, and includes home and community-based services, physician services, and all medical care. Services are delivered in the participant’s home or a setting of his or her choice.

Member choice is a cornerstone of the Partnership Program. Program agencies make every effort to honor member preferences of how, when, and where services are delivered.

A key component of the Partnership Program is team-based care management. Under this arrangement, the participant, his or her physician, and a team of nurses and social workers develop a care plan together. The team coordinates all service delivery. Participants often keep their own physician who, in most cases, is added to the Partnership provider network.

Who is Eligible?

To participate in the Partnership Program, people must be eligible for Medicaid and be certified at the Medicaid nursing home level of care. The program also serves people who are eligible for both Medicaid and Medicare. Participation in the program is voluntary.

Program Goals

The goals of Partnership are to:

  • Improve quality of health care and service delivery while containing costs;

  • Reduce fragmentation and inefficiency in the existing health care delivery system; and

  • Increase the ability of people to live in the community and participate in decisions regarding their own health care.

Operations

The Partnership Program began phase-in operations in December 1995. By January 1999, Partnership operated as a fully-capitated, dual Medicaid and Medicare program. Under this arrangement, qualified Managed Care Organizations (MCOs) enter into a Medicaid managed care contract with the Wisconsin Department of Health Services and a Medicare contract with the federal Centers for Medicare and Medicaid Services. MCOs receive monthly capitation payments for each participant. From the funds they receive from the capitation payments, MCOs pay for all participant services. MCOs are responsible for the care of each person regardless of what agency provides the services or where the service is provided, i.e., whether the participant is at home, in the hospital, or in a nursing home.

Where

Monitoring and Oversight

Partnership MCOs operate extensive internal quality assurance and improvement programs. MCOs report regularly on carefully defined data elements that provide information on indicators of quality care. The Partnership quality assurance system has been used by the Department of Health Services as a model for other managed care programs serving special populations.

For More Information

The Partnership Program is a collaborative effort of the Department of Health Services, participating counties, and community-based organizations. Its first three years of development was made possible by a major grant from the Robert Wood Johnson Foundation.

If you are interested in more information, please contact either the Department of Health Services at DHSFCWebmail@wisconsin.gov or the Partnership organizations directly at:

Organization Phone Number

Care Wisconsin Health Plan (Exit DHS)  

1-800-963-0035

Community Care Health Plan, Inc. (Exit DHS)  

1-866-992-6600

Independent Care Health Plan (Exit DHS)  1-800-777-4376

Last Revised: January 10, 2013