Family Care, Family Care Partnership, and PACE: Program Operations for Managed Care Organizations
This webpage includes resources for managed care organizations (MCOs).
- 1-2 Bed Adult Family Home Certification Standards
- Being a Full Partner booklet
- Contact Information for Managed Care Organizations (PDF)
- Home and Community-Based Services (HCBS) Settings Rule
- Integrated Employment and Prevocational Services
- Maps:
- Enrollment Data
- Resident Relocation Manual
- Standard Definitions of Managed Care Terminology
- Tribal Members—Long-Term Care Option
- Capitation Rates
- Contract with MCOs
- Cost Share Cap for Medicaid Eligibility Group B Plus
- Developmental Disability Center Rates for Managed Care Organizations
- Direct Care Workforce Funding Initiative Information and FAQs
- Financial Summaries
- Fiscal Information
- Nursing Home Resources
- Rates for Nursing Home Commissions
- State and Federal Requirements
Adult Long-term Care Provider Management Project
Starting September 2024, adult long-term care waiver services providers must enroll with Wisconsin Medicaid through the ForwardHealth Portal. The Portal centralized enrollment system will comply with federal requirements and standardize, streamline, and automate the process.
The Wisconsin Department of Health Services will be communicating about this change through messaging to providers through the ForwardHealth Portal. Adult long-term care waiver services providers should sign up to receive emails about the new Medicaid provider enrollment process as soon as possible.
Visit the New Provider Enrollment System for Adult Long-term Care Portal page for more information.
Please note, this change does not affect individual self-directed support and participant-hired workers.
- Guidelines for Adaptive Aids in Family Care and Family Care Partnership – Service Dogs, P-01048 (PDF)
- Immunization Conversation Kit
- MCO Training and Documentation Standards for Supportive Home Care, P-01602 (PDF)
- Resource Allocation Decision (RAD) Process Infographic, P-02705 (PDF)
- Restrictive Measures Guidelines and Standards, P-02572 (PDF)
- Restrictive Measures User Guide, P-02769 (PDF)
- Self-Directed Supports in Family Care, Partnership, and PACE: A Best Practice Manual for Interdisciplinary Team Staff, P-00593 (PDF)
- Technical Assistance and Resource Series for MCOs
- Transition of Care Between Medicaid Programs or Between Agencies Within a Medicaid Program, P-02364 (PDF)
- DHS Memos Library
- Electronic Visit Verification
- Encounter Reporting:
- Long-Term Care Information Exchange System (Reference materials)
- Encounter Reporting Application
- Family Care Partnership: Drug Carve Out Resources
- ForwardHealth Portal
- Get email updates about DHS programs
- Medicaid Eligibility Handbook
- Nursing Home Reimbursement
- Request for Proposal
- Wisconsin's Functional Screen
- Wisconsin Long Term Care Advisory Council