Assistance and Information
Your local aging and disability resource center (ADRC) is the best place to start. ADRCs are service centers that provide a place for the public to get accurate, unbiased information on all aspects of life related to aging or living with a disability. These centers are friendly, welcoming places anyone can contact to receive information and assistance regarding not only the public benefits that may be available, but all of the programs and services available throughout the area.
Find an aging and disability resource center in your area.
Managed Care Organization (MCO) Scorecard
The Scorecard is a tool you can use to help you choose a managed care organization (MCO). Each MCO is represented in the Scorecard by star ratings evaluating how well the MCO performs across a variety of factors, including consumer satisfaction and compliance with state standards. The Scorecard also provides MCO staff characteristics like turnover rate and staff to member ratio. You can find more information, like contact information and a link to each MCO's provider directory, in the MCO Scorecard. Contact your ADRC to discuss the options available to you in your county.
- Family Care MCO Scorecard, P-02553 (PDF)
- Family Care Partnership MCO Scorecard, P-02554 (PDF)
- PACE (Program of All-Inclusive Care for the Elderly) MCO Scorecard, P-02558 (PDF)
Resources available for help
- Each managed care organization has someone whose job it is to help members with grievances and appeals. The person to contact at your managed care organization is in the Family Care Member Handbook or the Family Care Partnership Evidence of Coverage booklet. You can also refer to the managed care organization contact list (PDF)
- Aging and disability resource centers
- Disability benefits specialists
- Elderly benefits specialists
- Independent living centers
- Being a Full Partner - This booklet includes information about how Family Care works and the choices you have for filing a grievance or appeal.
What choices do you have if you want to file a grievance or appeal?
- File a grievance or appeal with your managed care organization. To file an appeal, you can:
- Contact your care manager or a member rights specialist at your managed care organization.
- Complete and submit a request form.
- Ask for a review by the Wisconsin Department of Health Services (DHS), which is the agency that oversees managed care organizations. To request a DHS review:
- Call: 888-203-8338
- Email: DHS Family Care
- Ask for a state fair hearing from the Wisconsin Division of Hearings and Appeals. To file a request for a state fair hearing, you can:
- Submit a Fair Hearing Request form
- Send a written request to the following address. Include your name, mailing address, a brief description of the problem, the name of your managed care organization, and your signature.
- Division of Hearings and Appeals
Family Care and Partnership Request for a Fair Hearing
PO Box 7875
Madison, WI 53707-7875
- Fair Hearing Voluntary Withdrawal for, DHA-17 (PDF) - If you want to withdraw your request for a hearing.
Other grievance and appeals resources
If you are receiving services for mental illness, a developmental disability, or substance abuse, or have been protectively placed under Wis. Stat. ch. DHS 55, along with your rights under Wis. Admin. Code ch. DHS 10, you also have rights under Wisconsin patient rights laws and rules (Wis. Stat. § 51.61 and Wis. Admin. Code ch. DHS 94). You also have the right to use the DHS 94 grievance procedure, along with or in lieu of any other grievance process you may have access to. For more information on these rights, refer to the Office of Client Rights.