Family Care, Partnership, and PACE Monthly MCO Capitation Rates

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)

2021 Family Care Capitation Rates

MCO	Geographic Service Region Counties	Development Disability	Physical Disability	Frail Elder	Non-Nursing Home
Community Care, Inc.	GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha	$4,283.19	$3,184.00	$3,114.93	$564.05
Community Care, Inc.	GSR 8: Milwaukee	$4,376.90	$2,925.38	$2,947.51	$587.56
Community Care, Inc.	GSR 9: Fond du Lac, Manitowoc, Winnebago	$3,445.23	$2,529.67	$2,789.81	$531.11
Community Care, Inc.	GSR 10: Calumet, Outagamie, Waupaca	$4,084.51	$2,906.49	$2,849.84	$517.86
Community Care, Inc.	GSR 11: Kenosha, Racine	$4,259.49	$2,995.17	$2,970.57	$590.03
Community Care, Inc.	GSR 12: Dane	$4,658.29	$3,629.71	$3,702.11	$545.16
Inclusa, Inc.	GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor	$4,561.55	$2,904.45	$2,911.38	$530.68
Inclusa, Inc.	GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon	$3,977.35	$2,434.24	$2,700.08	$507.55
Inclusa, Inc.	GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk	$3,829.12	$2,487.69	$2,686.46	$517.20
Inclusa, Inc.	GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood	$3,704.20	$2,664.45	$2,782.70	$511.87
Inclusa, Inc.	GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara	$3,874.41	$2,649.79	$2,646.41	$510.75
Inclusa, Inc.	GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha	$4,002.92	$3,150.13	$2,945.11	$571.73
Inclusa, Inc.	GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn	$3,947.39	$2,653.45	$2,708.99	$523.18
Inclusa, Inc.	GSR 9: Fond du Lac, Manitowoc, Winnebago*	$3,932.09	$2,566.07	$2,795.25	$526.35
Inclusa, Inc.	GSR 10: Calumet, Outagamie, Waupaca*	$4,266.25	$2,892.70	$2,826.04	$519.55
Inclusa, Inc.	GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano	$4,555.56	$3,277.53	$2,708.00	578.32
Inclusa, Inc.	GSR 14: Rock	$5,031.44	$2,719.12	$3,092.87	$584.25
Lakeland Care Inc.	GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood	$3,557.92	$2,710.69	$2,725.56	$521.22
Lakeland Care Inc.	GSR 9: Fond du Lac, Manitowoc, Winnebago	$3,776.86	$2,564.20	$2,819.63	$528.79
Lakeland Care Inc.	GSR 10: Calumet, Outagamie, Waupaca	$3,897.37	$2,819.20	$2,796.20	$524.00
Lakeland Care Inc.	GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano	$4,028.87	$3,139.81	$3,082.05	$602.27
My Choice Wisconsin	GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor	$3,332.22	$2,636.45	$2,657.49	$497.20
My Choice Wisconsin	GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon	$2,927.25	$2,109.15	$2,408.77	$506.63
My Choice Wisconsin	GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk	$3,091.59	$2,292.36	$2,449.33	$547.34
My Choice Wisconsin	GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara	$3,927.10	$2,804.39	$2,789.45	$508.54
My Choice Wisconsin	GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha	$4,378.91	$3,187.94	$3,156.78	$583.10
My Choice Wisconsin	GSR 8: Milwaukee	$4,063.94	$2,689.23	$2,805.75	$602.95
My Choice Wisconsin	GSR 11: Kenosha, Racine	$4,509.54	$2,576.55	$3,160.61	$589.40
My Choice Wisconsin	GSR 12: Dane	$4,647.40	$4,053.57	$3,778.88	$543.41
My Choice Wisconsin	GSR 14: Rock	$3,692.55	$3,172.34	$2,790.66	$611.66

Note: Effective January 1, 2021, Family Care capitation rates will be paid at the MCO GSR target group level.

*Effective April 1, 2021, Inclusa will begin operations in GSR 9 and GSR 10.

2021 Family Care Capitation Rate Report (PDF)

2021 Partnership and PACE Capitation Rates

MCO	Geographic Service Region	Developmental Disability, DE	Developmental Disability, MA	Physical Disability, DE	Physical Disability, MA	Frail Elder, DE	Frail Elder, MA
Community Care Health Plan	GSR 6: Ozaukee, Sheboygan, Walworth, Waukesha, Washington	$3,822.92	$5,437.83	$3,059.20	$4,674.10	$3,333.26	$4,948.17
Community Care Health Plan	GSR 8: Milwaukee	$6,336.36	$7,946.92	$3,966.04	$5,576.59	$3,539.47	$5,150.02
Community Care Health Plan	GSR 10: Calumet, Outagamie, Waupaca	$5,256.89	$6,618.67	$2,832.66	$4,194.43	$3,186.51	$4,548.29
Community Care Health Plan	GSR 11: Kenosha, Racine	$4,132.76	$5,740.76	$2,843.36	$4,451.36	$3,322.02	$4,930.02
Community Care Health Plan	PACE (Kenosha*, Milwaukee, Racine, Waukesha)	$5,142.72	$8,514.75	$3,376.40	$6,748.42	$3,349.39	$6,721.41
Independent Care Health Plan	GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk	$3,620.43	$4,683.98	$3,547.27	$4,610.81	$3,547.02	$4,610.55
Independent Care Health Plan	GSR 8: Milwaukee	$4,966.30	$6,489.88	$3,081.72	$4,605.31	$2,920.51	$4,444.09
Independent Care Health Plan	GSR 11: Kenosha, Racine	$4,967.20	$6,072.09	$2,819.16	$4,194.06	$3,428.39	$4,803.30
Independent Care Health Plan	GSR 12: Dane	$4,142.71	$5,993.60	$2,797.56	$4,648.45	$2,955.86	$4,806.76
My Choice Wisconsin Health Plan	GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk	$3,606.22	$4,740.21	$3,533.05	$4,667.04	$3,532.80	$4,666.78
My Choice Wisconsin Health Plan	GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara	$4,510.58	$5,731.78	$3,056.72	$4,277.92	$3,089.99	$4,311.19
My Choice Wisconsin Health Plan	GSR 6: Ozaukee, Sheboygan, Walworth, Waukesha, Washington	$3,731.37	$5,374.08	$3,234.56	$4,877.26	$3,248.74	$4,891.44
My Choice Wisconsin Health Plan	GSR 12: Dane	$3,852.18	$5,512.99	$3,043.86	$4,704.68	$3,155.22	$4,816.03

Note: Effective January 1, 2021, Family Care Partnership-PACE capitation rates will be paid at the MCO GSR eligibility target group level.

Note: DE indicates Medicare-Medicaid dual eligibility. MA indicates Medicaid only eligibility.