The following tables list monthly capitation rates for Family Care, Family Care Partnership, and PACE (Program of All-Inclusive Care for the Elderly) managed care organizations (MCOs). Family Care rates are listed by geographic service region (GSR). View monthly capitation rates from prior years.
- Family Care GSR map (PDF)
- PACE/Partnership GSR map (PDF)
2018 Family Care Capitation Rates
| MCO | Geographic Service Region Counties | Nursing Home | Non-Nursing Home |
|---|---|---|---|
| Care Wisconsin | GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor | $2950.63 | $482.45 |
| Care Wisconsin | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $2954.61 | $481.03 |
| Care Wisconsin | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $2831.65 | $480.05 |
| Care Wisconsin | GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3344.36 | $455.36 |
| Care Wisconsin | GSR 6: Ozaukee, Sheboygan, Walworth | $3134.36 | $489.69 |
| Care Wisconsin | GSR 5-6: Washington, Waukesha | $3558.54 | $487.55 |
| Care Wisconsin | GSR 11: Kenosha, Racine | $3295.05 | $487.80 |
| Care Wisconsin | GSR 12: Dane | $4782.62 | $499.86 |
| Care Wisconsin | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $2941.37 | $464.83 |
| Community Care, Inc. | GSR 6: Ozaukee, Sheboygan, Walworth | $3362.35 | $477.92 |
| Community Care, Inc. | GSR 5-6: Washington, Waukesha | $3527.34 | $489.58 |
| Community Care, Inc. | GSR 8: Milwaukee | $2969.76 | $507.02 |
| Community Care, Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $2913.54 | $465.84 |
| Community Care, Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3221.55 | $458.22 |
| Community Care, Inc. | GSR 11: Kenosha, Racine | $3298.30 | $487.14 |
| Inclusa, Inc. | GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor | $3446.72 | $478.08 |
| Inclusa, Inc. | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $3149.23 | $485.41 |
| Inclusa, Inc. | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $3063.15 | $475.39 |
| Inclusa, Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $3104.61 | $456.38 |
| Inclusa, Inc. | GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3090.54 | $454.89 |
| Inclusa, Inc. | GSR 5-6: Washington, Waukesha | $3477.19 | $485.95 |
| Inclusa, Inc. | GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn | $3198.56 | $484.23 |
| Inclusa, Inc. | GSR 14: Rock | $3805.78 | $465.37 |
| Lakeland Care Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $2945.57 | $461.16 |
| Lakeland Care Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $3258.36 | $468.70 |
| Lakeland Care Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3136.78 | $465.05 |
| Lakeland Care Inc. | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $3444.92 | $488.09 |
| My Choice Family Care | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $3048.47 | $484.56 |
| My Choice Family Care | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $2983.95 | $477.15 |
| My Choice Family Care | GSR 6: Ozaukee, Sheboygan, Walworth | $3288.05 | $487.11 |
| My Choice Family Care | GSR 5-6: Washington, Waukesha | $3359.37 | $487.21 |
| My Choice Family Care | GSR 8: Milwaukee | $3009.39 | $498.12 |
| My Choice Family Care | GSR 11: Kenosha, Racine | $3152.76 | $487.15 |
| My Choice Family Care | GSR 12: Dane | $4772.71 | $498.81 |
| My Choice Family Care | GSR 14: Rock | $2927.90 | $470.61 |
2018 Family Care Capitation Rate Report (PDF)
2018 Partnership and PACE Capitation Rates
| MCO | Geographic Service Region | Nursing Home |
|---|---|---|
| Care Wisconsin | Sauk | $3608.28 |
| Care Wisconsin | Columbia, Dodge, Jefferson | $3893.22 |
| Care Wisconsin | Ozaukee, Waukesha, Washington | $2613.23 |
| Care Wisconsin | Dane | $3375.84 |
| Community Care Health Plan | Ozaukee, Washington, Waukesha | $3764.54 |
| Community Care Health Plan | Calumet, Outagamie, Waupaca | $3496.71 |
| Community Care Health Plan | Kenosha, Racine | $3761.33 |
| Community Care Health Plan | Milwaukee (Partnership) | $5429.34 |
| Community Care Health Plan | PACE (Milwaukee, Waukesha, Racine) | $3573.31 |
| Independent Care Health Plan | Sauk | $3783.48 |
| Independent Care Health Plan | Milwaukee | $3401.21 |
| Independent Care Health Plan | Kenosha, Racine | $3627.22 |
| Independent Care Health Plan | Dane | $3291.47 |
Last Revised: June 4, 2018
