What is the Family Care Partnership program?
The Family Care Partnership (Partnership) program is a comprehensive program of services for frail elders and adults with 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.
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 Partnership is team-based care management. Under this arrangement, the member, his or her physician, and a team of nurses and social workers work together to develop a care plan. The team coordinates all service delivery. Members 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.
Where is the Partnership program available?
The Partnership program is available in a limited number of counties in Wisconsin. To find out if Partnership is available in your county, refer to the Geographic Service Region Map, P-01789 (PDF).
How do I enroll?
If you want to enroll in the Partnership program, you need to contact your local aging and disability resource center (ADRC). ADRC representatives offer free, unbiased information about long-term care options and resources in Wisconsin for older adults, people with disabilities, and their families.
The Wisconsin Department of Health Services (DHS) started the Partnership program in December 1995. By January 1999, Partnership operated as a fully capitated, dual Medicaid and Medicare program. Under this arrangement, qualified managed care organizations enter into a Medicaid managed care contract with DHS and a Medicare contract with the federal Centers for Medicare & Medicaid Services (CMS). Managed care organizations receive monthly capitation payments for each member. Managed care organizations use the capitation payments to pay for services for all members. These organizations are responsible for the care of each person regardless of the agency that provides the services or where the service is provided.
Monitoring and oversight
Partnership managed care organizations operate extensive internal quality assurance and improvement programs. They report regularly on carefully defined data elements that provide information on indicators of quality care. DHS has used the Partnership quality assurance system as a model for other managed care programs serving special populations.
DHS has received verification through CMS that the following Partnership Plan's acute and primary provider networks are approved for 2019:
- Care Wisconsin Health Plan
- Community Care Health Plan
- Independent Care (iCare) Health Plan
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 were made possible by a major grant from the Robert Wood Johnson Foundation. If you are interested in more information, please email us or contact the Partnership organizations directly.
|Care Wisconsin Health Plan||800-963-0035|
|Community Care Health Plan, Inc.||866-992-6600|
|Independent Care (iCare) Health Plan||800-777-4376|