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Family Care, Family Care Partnership, and PACE: Monthly Capitation Rates for Managed Care Organizations

Managed care organizations (MCOs) for Family CareFamily Care Partnership (Partnership), and PACE (Program of All-Inclusive Care for the Elderly) get paid a set fee each month for each program member they serve. This is called capitation.

View the most recent capitation rates. You can also view capitation rates by month from past years. If you have questions, contact the Bureau of Rate Setting at dhsltcfiscaloversight@dhs.wisconsin.gov.

2023 capitation rates

There are capitation rate reports and exhibits for each program. The report includes descriptions of the rate development steps. Exhibits show the rate development calculations. We’ve included an Excel file of the exhibits to allow for easier review.

Family Care

Partnership

PACE

Capitation rates from past years

The tables show monthly capitation rates for MCOs. We list rates by geographic service region (GSR):

Family Care

2021 Family Care Capitation Rate Report (PDF)

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

Notes:

  • Effective Jan. 01, 2021, MCOs get capitation rates paid at the MCO GSR target group level.
  • Effective Apr. 01, 2021, Inclusa begins operations in GSR 9 and GSR 10.
Partnership and PACE
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, Washington, Waukesha $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: 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: 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: Columbia, Dodge, Jefferson $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, Washington, Waukesha $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

 

Notes:

  • Effective Jan. 01, 2021, MCOs for Partnership and PACE get capitation rates paid at the MCO GSR eligibility target group level.
  • “DE” means Medicare–Medicaid eligibility. “MA” means Medicaid only eligibility.
  • Effective Aug. 01, 2021, PACE operations began in Kenosha County.

Family Care 2020

Family Care Capitation Rate Report (PDF)

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Community Care, Inc. GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha $3,601.34 $525.28
Community Care, Inc. GSR 8: Milwaukee $3,353.83 $559.65
Community Care, Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $2,883.07 $490.76
Community Care, Inc. GSR 10: Calumet, Outagamie, Waupaca $3,391.25 $498.35
Community Care, Inc. GSR 11: Kenosha, Racine $3,531.85 $531.35
Inclusa, Inc. GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $3,685.23 $523.50
Inclusa, Inc. GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,146.95 $485.24
Inclusa, Inc. GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $3,120.34 $491.01
Inclusa, Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $3,212.74 $483.10
Inclusa, Inc. GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,191.73 $489.09
Inclusa, Inc. GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha $3,362.77 $530.98
Inclusa, Inc. GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,228.91 $518.95
Inclusa, Inc. GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,653.58 $566.10
Inclusa, Inc. GSR 14: Rock $4,397.39 $631.51
Lakeland Care Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $3,075.08 $488.48
Lakeland Care Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,311.48 $514.24
Lakeland Care Inc. GSR 10: Calumet, Outagamie, Waupaca $3,167.71 $503.37
Lakeland Care Inc. GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,763.64 $600.44
My Choice Family Care-Care Wisconsin GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $2,777.96 $474.80
My Choice Family Care-Care Wisconsin GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,458.84 $464.96
My Choice Family Care-Care Wisconsin GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,538.51 $500.29
My Choice Family Care-Care Wisconsin GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,303.40 $489.24
My Choice Family Care GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha $3,603.78 $541.44
My Choice Family Care GSR 8: Milwaukee $3,109.44 $556.60
My Choice Family Care GSR 11: Kenosha, Racine $3,193.95 $533.41
My Choice Family Care GSR 12: Dane $4,635.64 $517.18
My Choice Family Care GSR 14: Rock $3,604.31 $610.14

 

Partnership and PACE
MCO Geographic Service Region Nursing Home
Community Care Health Plan GSR 6: Ozaukee, Waukesha, Washington $3,774.61
Community Care Health Plan GSR 10: Calumet, Outagamie, Waupaca $3,932.44
Community Care Health Plan GSR 11: Kenosha, Racine $3,925.03
Community Care Health Plan GSR 8: Milwaukee (Partnership) $5,847.65
Community Care Health Plan PACE (Milwaukee, Racine, Waukesha) $4,010.40
Independent Care Health Plan GSR 3: Sauk $4,201.29
Independent Care Health Plan GSR 8: Milwaukee $3,875.91
Independent Care Health Plan GSR 11: Kenosha, Racine $3,824.45
Independent Care Health Plan GSR 12: Dane $3,609.50
My Choice Family Care-Care Wisconsin GSR 3: Sauk $3,984.69
My Choice Family Care-Care Wisconsin GSR 5: Columbia, Dodge, Jefferson $3,936.41
My Choice Family Care-Care Wisconsin GSR 6: Ozaukee, Waukesha, Washington $3,692.11
My Choice Family Care-Care Wisconsin GSR 12: Dane $3,518.22

 

Family Care

2019 Family Care Capitation Rate Report (PDF)

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Care Wisconsin GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $3,210.03 $500.26
Care Wisconsin GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,537.12 $495.21
Care Wisconsin GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $3,002.21 $538.57
Care Wisconsin GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,471.64 $493.12
Care Wisconsin GSR 6: Ozaukee, Sheboygan, Walworth $3,178.58 $514.24
Care Wisconsin GSR 5-6: Washington, Waukesha $3,682.81 $502.99
Care Wisconsin GSR 11: Kenosha, Racine $3,340.53 $515.66
Care Wisconsin GSR 12: Dane $4,284.72 $532.07
Care Wisconsin GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,351.93 $525.48
Community Care, Inc. GSR 6: Ozaukee, Sheboygan, Walworth $3,521.87 $482.13
Community Care, Inc. GSR 5-6: Washington, Waukesha $3,668.00 $524.49
Community Care, Inc. GSR 8: Milwaukee $3,214.81 $519.43
Community Care, Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,056.16 $492.76
Community Care, Inc. GSR 10: Calumet, Outagamie, Waupaca $3,498.87 $478.46
Community Care, Inc. GSR 11: Kenosha, Racine $3,509.35 $511.28
Inclusa, Inc. GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $3,633.16 $499.18
Inclusa, Inc. GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,303.34 $529.20
Inclusa, Inc. GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $3,184.74 $493.55
Inclusa, Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $3,135.73 $480.44
Inclusa, Inc. GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,172.31 $493.12
Inclusa, Inc. GSR 5-6: Washington, Waukesha $3,414.60 $515.22
Inclusa, Inc. GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,227.50 $510.51
Inclusa, Inc. GSR 14: Rock $4,035.59 $536.67
Lakeland Care Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $3,219.70 $488.59
Lakeland Care Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,380.56 $512.47
Lakeland Care Inc. GSR 10: Calumet, Outagamie, Waupaca $3,229.54 $483.46
Lakeland Care Inc. GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,725.50 $521.62
My Choice Family Care GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,169.47 $519.68
My Choice Family Care GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $3,052.34 $500.61
My Choice Family Care GSR 6: Ozaukee, Sheboygan, Walworth $3,224.47 $514.09
My Choice Family Care GSR 5-6: Washington, Waukesha $3,364.72 $516.28
My Choice Family Care GSR 8: Milwaukee $3,049.17 $530.22
My Choice Family Care GSR 11: Kenosha, Racine $3,205.27 $515.51
My Choice Family Care GSR 12: Dane $4,213.56 $531.92
My Choice Family Care GSR 14: Rock $3,180.50 $537.74

 

Partnership and PACE 
MCO Geographic Service Region Nursing Home
Care Wisconsin Sauk $3,878.40
Care Wisconsin Columbia, Dodge, Jefferson $3,866.51
Care Wisconsin Ozaukee, Waukesha, Washington $2,931.68
Care Wisconsin Dane $3,502.70
Community Care Health Plan Ozaukee, Washington, Waukesha $3,840.89
Community Care Health Plan Calumet, Outagamie, Waupaca $3,682.11
Community Care Health Plan Kenosha, Racine $3,739.38
Community Care Health Plan Milwaukee (Partnership) $5,643.21
Community Care Health Plan PACE (Milwaukee, Waukesha, Racine) $3,426.79
Independent Care Health Plan Sauk $4,116.61
Independent Care Health Plan Milwaukee $3,593.83
Independent Care Health Plan Kenosha, Racine $3,759.16
Independent Care Health Plan Dane $3,679.43

 

Family Care

2018 Family Care Capitation Rate Report (PDF)

MCO Geographic Service Region Counties Nursing Home

Non-Nursing Home

Care Wisconsin GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $2,950.63 $482.45
Care Wisconsin GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,954.61 $481.03
Care Wisconsin GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,831.65 $480.05
Care Wisconsin GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,344.36 $455.36
Care Wisconsin GSR 6: Ozaukee, Sheboygan, Walworth $3,134.36 $489.69
Care Wisconsin GSR 5-6: Washington, Waukesha $3,558.54 $487.55
Care Wisconsin

GSR 11: Kenosha, Racine

$3,295.05 $487.80
Care Wisconsin GSR 12: Dane $4,782.62 $499.86
Care Wisconsin GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $2,941.37 $464.83
Community Care, Inc. GSR 6: Ozaukee, Sheboygan, Walworth $3,362.35 $477.92
Community Care, Inc. GSR 5-6: Washington, Waukesha $3,527.34 $489.58
Community Care, Inc. GSR 8: Milwaukee $2,969.76 $507.02
Community Care, Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $2,913.54 $465.84
Community Care, Inc. GSR 10: Calumet, Outagamie, Waupaca $3,221.55 $458.22
Community Care, Inc. GSR 11: Kenosha, Racine $3,298.30 $487.14
Inclusa, Inc. GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor $3,446.72 $478.08
Inclusa, Inc. GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,149.23 $485.41
Inclusa, Inc. GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $3,063.15 $475.39
Inclusa, Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $3,104.61 $456.38
Inclusa, Inc. GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,090.54 $454.89
Inclusa, Inc. GSR 5-6: Washington, Waukesha $3,477.19 $485.95
Inclusa, Inc. GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,198.56 $484.23
Inclusa, Inc. GSR 14: Rock $3,805.78 $465.37
Lakeland Care Inc. GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood $2,945.57 $461.16
Lakeland Care Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,258.36 $468.70
Lakeland Care Inc. GSR 10: Calumet, Outagamie, Waupaca $3,136.78 $465.05
Lakeland Care Inc. GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,444.92 $488.09
My Choice Family Care GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,048.47 $484.56
My Choice Family Care GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,983.95 $477.15
My Choice Family Care GSR 6: Ozaukee, Sheboygan, Walworth $3,288.05 $487.11
My Choice Family Care GSR 5-6: Washington, Waukesha $3,359.37 $487.21
My Choice Family Care GSR 8: Milwaukee $3,009.39 $498.12
My Choice Family Care GSR 11: Kenosha, Racine $3,152.76 $487.15
My Choice Family Care GSR 12: Dane $4,772.71 $498.81
My Choice Family Care GSR 14: Rock $2,927.90 $470.61

 

Partnership and PACE

2018 Partnership and PACE Capitation Rate Report (PDF)

MCO Geographic Service Region Nursing Home
Care Wisconsin Sauk $3,608.28
Care Wisconsin Columbia, Dodge, Jefferson $3,893.22
Care Wisconsin Ozaukee, Waukesha, Washington $2,613.23
Care Wisconsin Dane $3,375.84
Community Care Health Plan Ozaukee, Washington, Waukesha $3,764.54
Community Care Health Plan Calumet, Outagamie, Waupaca $3,496.71
Community Care Health Plan Kenosha, Racine $3,761.33
Community Care Health Plan Milwaukee (Partnership) $5,429.34
Community Care Health Plan PACE (Milwaukee, Waukesha, Racine) $3,573.31
Independent Care Health Plan Sauk $3,783.48
Independent Care Health Plan Milwaukee $3,401.21
Independent Care Health Plan Kenosha, Racine $3,627.22
Independent Care Health Plan Dane $3,291.47

 

Family Care

2017 Family Care Capitation Rate Report (PDF)

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Care Wisconsin GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,325.39 $471.42
Care Wisconsin GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,958.69 $457.69
Care Wisconsin GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,843.28 $459.68
Care Wisconsin GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,547.35 $456.16
Care Wisconsin GSR 6: Ozaukee, Sheboygan, Walworth $3,132.14 $478.48
Care Wisconsin GSR 5-6: Washington, Waukesha $3,603.83 $472.21
Care Wisconsin GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,236.89 $449.99
Community Care, Inc. GSR 6: Ozaukee, Sheboygan, Walworth $3,411.83 $475.83
Community Care, Inc. GSR 8: Milwaukee $3,118.30 $468.59
Community Care, Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,009.08 $460.73
Community Care, Inc GSR 10: Calumet, Outagamie, Waupaca $3,299.79 $452.75
Community Care, Inc. GSR 11: Kenosha, Racine $3,416.11 $462.37
Community Care, Inc. GSR 5-6: Washington, Waukesha $3,577.82 $471.41
Community Link, Inc. GSR 4: Langlade, Lincoln, Marathon, Portage, Wood $3,089.84 $455.18
Community Link, Inc. GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,121.67 $449.03
Community Link, Inc. GSR 14: Rock $3,457.07 $445.57
Community Link, Inc. GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,320.91 $469.91
Community Link, Inc. GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,936.69 $457.28
Community Link, Inc. GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,234.12 $458.02
Community Link, Inc. GSR 5-6: Washington, Waukesha $3,355.54 $471.97
Community Link, Inc. GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,094.95 $453.56
Lakeland Care Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,203.47 $461.94
Lakeland Care Inc. GSR 10: Calumet, Outagamie, Waupaca $3,086.41 $456.42
Lakeland Care Inc. GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,542.90 $449.42
My Choice Family Care GSR 6: Ozaukee, Sheboygan, Walworth $3,296.97 $477.11
My Choice Family Care GSR 8: Milwaukee $2,949.65 $462.31
My Choice Family Care GSR 11: Kenosha, Racine $3,176.75 $464.31
My Choice Family Care GSR 5-6: Washington, Waukesha $3,335.71

$473.28

My Choice Family Care GSR 14: Rock $3,470.17 $446.54

 

Partnership and PACE

2017 Partnership and PACE Capitation Rate Report (PDF)

MCO Geographic Service Region Nursing Home
Care Wisconsin Sauk

$3,843.51

Care Wisconsin Columbia, Dodge, Jefferson $4,274.58
Care Wisconsin Ozaukee, Waukesha, Washington $3,393.19
Care Wisconsin Dane $3,523.27
Community Care Health Plan Ozaukee, Washington, Waukesha $3,548.87
Community Care Health Plan Calumet, Outagamie, Waupaca $3,443.48
Community Care Health Plan Kenosha, Racine $3,706.78
Community Care Health Plan Milwaukee (Partnership) $4,981.05
Community Care Health Plan PACE (Milwaukee, Waukesha) $3,509.70
Independent Care Health Plan Milwaukee $3,270.35
Independent Care Health Plan Kenosha, Racine $3,559.76
Independent Care Health Plan Dane

$3,663.07

 

Family Care

2016 Family Care Capitation Rate Report(PDF)

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Care Wisconsin GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,369.29 $481.86
Care Wisconsin GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,843.27 $468.65
Care Wisconsin GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,970.97 $473.10
Care Wisconsin GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,552.07 $484.61
Care Wisconsin GSR 6: Ozaukee, Sheboygan, Walworth $2,977.62 $503.87
Care Wisconsin GSR 5-6: Washington, Waukesha $3,600.09 $475.86
Care Wisconsin GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,247.61 $471.22
Community Care, Inc. GSR 6: Ozaukee, Sheboygan, Walworth $3,187.85 $501.30
Community Care, Inc. GSR 8: Milwaukee $3,095.22 $505.14
Community Care, Inc. GSR 9: Fond du Lac, Manitowoc, Winnebago $3,037.01 $482.92
Community Care, Inc GSR 10: Calumet, Outagamie, Waupaca $3,172.89 $470.64
Community Care, Inc. GSR 11: Kenosha, Racine $3,358.56 $491.58
Community Care, Inc. GSR 5-6: Washington, Waukesha $3,476.03 $510.00
Community Care Connections of Wisconsin GSR 4: Langlade, Lincoln, Marathon, Portage, Wood $3,019.36 $481.20
Community Care Connections of Wisconsin GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,088.75 $480.36
Community Care Connections of Wisconsin GSR 14: Rock $3,512.90 $472.70
ContinuUs GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,384.49 $484.08
ContinuUs GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,986.18 $475.57
ContinuUs GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,384.96 $487.79
ContinuUs GSR 5-6: Washington, Waukesha $3,416.21 $502.31
Lakeland Care District GSR 9: Fond du Lac, Manitowoc, Winnebago $3,198.43 $486.70
Lakeland Care District GSR 10: Calumet, Outagamie, Waupaca $3,109.00 $475.90
Lakeland Care District GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,281.33 $473.58
My Choice Family Care GSR 6: Ozaukee, Sheboygan, Walworth $3,034.93 $501.70
My Choice Family Care GSR 8: Milwaukee $2,867.13 $493.09
My Choice Family Care GSR 11: Kenosha, Racine $3,141.01 $495.81
My Choice Family Care) GSR 5-6: Washington, Waukesha $3,214.31 $499.10
My Choice Family Care GSR 14: Rock $3,503.37 $470.94
Western Wisconsin Cares GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $3,041.71 $472.13

 

Partnership and PACE

2016 Partnership and PACE Capitation Rate Report (PDF)

MCO Geographic Service Region Nursing Home
Care Wisconsin Sauk $4,183.79
Care Wisconsin Columbia, Dodge, Jefferson $4,375.63
Care Wisconsin Ozaukee, Waukesha $3,608.06
Care Wisconsin Dane $3,528.49
Community Care, Inc. Ozaukee, Washington, Waukesha $3,756.40
Community Care, Inc. Calumet, Outagamie, Waupaca $3,594.47
Community Care, Inc. Kenosha, Racine $3,768.51
Community Care, Inc. Milwaukee (Partnership) $4,571.07
Community Care, Inc. PACE (Milwaukee, Waukesha) $3,690.16
Independent Care Health Plan Milwaukee $3,126.07
Independent Care Health Plan Kenosha, Racine $3,520.09
Independent Care Health Plan Dane $3,526.94

 

Family Care

2015 Family Care Capitation Rates (PDF)

MCO Geographic Service Region Counties Nursing Home Non-Nursing Home
Care Wisconsin Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,746.55 $519.35
Care Wisconsin

Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara

$3,492.60 $517.25
Care Wisconsin Ozaukee, Sheboygan, Walworth $2,808.53 $561.19
Care Wisconsin Washington, Waukesha $3,498.72 $521.74
Care Wisconsin Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,069.69 $524.40
Community Care, Inc. Ozaukee, Sheboygan, Walworth $3,053.67 $557.82
Community Care, Inc. Milwaukee $3,292.89 $531.91
Community Care, Inc. Fond du Lac, Manitowoc, Winnebago $3,176.89 $521.19
Community Care, Inc. Calumet, Outagamie, Waupaca $3,125.42 $524.09
Community Care, Inc. Kenosha, Racine $3,211.70 $549.12
Community Care, Inc. Washington, Waukesha $3,444.10 $523.53
Community Care Connections of Wisconsin Langlade, Lincoln, Marathon, Portage, Wood $3,077.79 $520.93
Community Care Connections of Wisconsin Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn $3,090.05 $524.20
ContinuUs Chippewa, Dunn, Eau Claire, Pierce, St. Croix $3,199.45 $506.42
ContinuUs Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk $2,878.84 $510.41
ContinuUs Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara $3,435.71 $519.20
ContinuUs Washington, Waukesha $3,265.43 $525.12
Lakeland Care District Fond du Lac, Manitowoc, Winnebago $3,151.69 $531.27
Lakeland Care District Calumet, Outagamie, Waupaca $3,216.52 $533.13
Lakeland Care District Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano $3,096.39 $529.50
Milwaukee County Department of Family Care Ozaukee, Sheboygan, Walworth $3,042.36 $553.19
Milwaukee County Department of Family Care Milwaukee $2,759.49 $535.38
Milwaukee County Department of Family Care Kenosha, Racine $2,971.26 $550.36
Milwaukee County Department of Family Care Washington, Waukesha $3,239.79 $523.80


Western Wisconsin Cares

Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon $2,843.68 $522.51

 

Partnership and PACE

2015 Partnership and PACE Capitation Rate Report (PDF)

MCO Geographic Service Region Nursing Home
Care Wisconsin Sauk 3650.11
Care Wisconsin Columbia, Dodge, Jefferson 3970.98
Care Wisconsin Dane 3151.48
Community Care, Inc. Washington, Waukesha 3421.76
Community Care, Inc. Calumet, Outagamie, Waupaca 3306.79
Community Care, Inc. Kenosha, Racine 3425.55
Community Care, Inc. Milwaukee (Partnership) 4378.42
Community Care, Inc. Milwaukee (PACE) 3493.37
Independent Care Health Plan Milwaukee 3360.69
Independent Care Health Plan Kenosha, Racine 3514.89
Independent Care Health Plan Dane 3584.87

 

Family Care

2014 Family Care Capitation Rate Report (PDF)

MCO

Geographic Service Region Counties

Nursing Home

Non-Nursing Home

Care Wisconsin

Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon

$2,540.83

$576.08

Care Wisconsin

Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara

$3,264.87

$585.62

Care Wisconsin

Washington, Waukesha

$3,252.40

$554.77

Care Wisconsin

Ozaukee, Sheboygan, Walworth

$2,925.41

$576.08

Community Care of Central Wisconsin

Langlade, Lincoln, Marathon, Portage, Wood

$2,975.24

$575.53

Community Care of Central Wisconsin

Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn

$2,908.49

$569.76

Community Care, Inc.

Calumet, Outagamie, Waupaca

$3,099.42

$545.50

Community Care, Inc.

Kenosha, Racine

$3,158.38

$542.19

Community Care, Inc.

Washington, Waukesha

$3,360.80

$564.43

Community Care, Inc.

Ozaukee, Sheboygan, Walworth

$3,117.14

$547.84

Community Care, Inc.

Milwaukee

$3,154.96

$547.84

ContinuUs

Chippewa, Dunn, Eau Claire, Pierce, St. Croix

$3,108.39

$558.70

ContinuUs

Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk

$2,921.67

$558.70

ContinuUs

Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara

$3,542.24

$558.70

ContinuUs

Washington, Waukesha

$3,484.90

$558.70

Lakeland Care District

Fond du Lac, Manitowoc, Winnebago

$3,030.52

$592.88

Milwaukee County Department of Family Care

Kenosha, Racine

$3,158.38

$544.66

Milwaukee County Department of Family Care

Washington, Waukesha

$3,422.52

$544.66

Milwaukee County Department of Family Care

Ozaukee, Sheboygan, Walworth

$3,117.14

$544.66

Milwaukee County Department of Family Care

Milwaukee

$2,677.19

$544.66

Western Wisconsin Cares

Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon

$2,842.71

$574.96

 

Partnership and PACE 

2014 Partnership and PACE Capitation Report (PDF)

MCO

Geographic Service Region Counties

Rate

Care Wisconsin Health Plan

Sauk

$3,225.03

Care Wisconsin Health Plan

Columbia, Dodge, Jefferson

$3,479.91

Care Wisconsin Health Plan

Dane

$3,043.64

Community Care Health Plan

Ozaukee, Washington, Waukesha

$3,352.15

Community Care Health Plan

Milwaukee (PACE)

$3,164.73

Community Care Health Plan

Milwaukee (Partnership)

$3,991.38

Community Care Health Plan

Waupaca, Outagamie, Calumet

$3,211.70

Community Care Health Plan

Kenosha

$3,509.64

Community Care Health Plan

Racine

$3,544.89

Independent Care Health Plan

Milwaukee

$3,297.97

Independent Care Health Plan

Kenosha

$3,509.64

Independent Care Health Plan

Racine

$3,544.89

 

Family Care

MCO

Nursing Home

Non-Nursing Home

Care Wisconsin – Washington/Waukesha

$3,244.43

$572.46

Care Wisconsin – Columbia/Dodge/Green Lake/Jefferson/Marquette/Waushara

$3,432.43

$572.46

Community Care of Central Wisconsin

$3,016.50

$564.33

Community Care, Inc. – Kenosha/Racine

$3,076.43

$558.88

Community Care, Inc. – Ozaukee/Sheboygan/Walworth

$3,129.87

$558.88

Community Care, Inc. – Milwaukee

$3,240.35

$558.88

Community Care, Inc. – Washington/Waukesha

$3,475.64

$558.88

Community Care, Inc. – Calumet/Outagamie/Waupaca

$3,220.07

$558.88

Lakeland Care District

$3,075.87

$601.55

Milwaukee County Department of Family Care – Milwaukee

$2,777.05

$586.42

Milwaukee County Department of Family Care – Kenosha/Racine

$3,076.60

$558.88

Northern Bridges

$2,885.01

$572.46

Southwest Family Care Alliance – Chippewa/Dunn/Eau Claire/Pierce/St. Croix

$3,255.56

$572.46

Southwest Family Care Alliance – Crawford/Grant/Green/Iowa/Juneau/Lafayette/Richland/Sauk

$3,050.72

$569.10

Western Wisconsin Cares

$2,829.52

$567.17

 

Partnership and PACE

MCO

Rate

Community Care Health Plan – PACE

$3,240.63

Community Care Health Plan – Milwaukee

$4,185.46

Community Care Health Plan – Racine

$3,597.99

Community Care Health Plan – Kenosha

$3,581.81

Community Care Health Plan – Calumet/Outagamie/Waupaca

$3,207.44

Community Care Health Plan – Ozaukee/Washington/Waukesha

$3,500.89

Care Wisconsin Health Plan – Dane

$3,164.85

Care Wisconsin Health Plan – Columbia/Dodge/Jefferson

$3,691.50

Care Wisconsin Health Plan – Sauk

$3,121.48

Independent Care, Inc. – Milwaukee

$3,251.45

Independent Care, Inc. – Kenosha

$3,581.81

Independent Care, Inc. – Racine

$3,597.99

 

Family Care

MCO

Nursing Home

Non-Nursing Home

Care Wisconsin

$3,394.98

$559.74

Community Care of Central Wisconsin

$3,132.85

$564.19

Community Care, Inc. - Kenosha/Racine

$3,205.36

$578.35

Community Care, Inc. - Milwaukee

$3,453.93

$578.35

Community Care, Inc. - Teal Region

$3,142.02

$578.35

Community Care, Inc. - Pink Region

$3,133.58

$578.35

Lakeland Care District

$3,035.87

$580.62

Community Health Partnership

$3,729.25

$559.74

Milwaukee County CMO

$2,747.96

$543.70

Northern Bridges

$2,933.88

$559.74

Southwest Family Care Alliance

$2,954.78

$540.96

Western Wisconsin Cares

$2,850.54

$557.13

 

Partnership and PACE

MCO

Rate

Community Care Health Plan: PACE

$3,150.30

Community Care Health Plan: Milwaukee

$3,799.71

Community Care Health Plan: Racine

$3,639.95

Community Care Health Plan: Expansion (Teal and Orange Region)

$3,471.85

Community Care Health Plan: Expansion (Pink Region)

$3,415.02

Partnership Health Plan

$3,529.70

Care Wisconsin Health Plan

$3,449.71

Independent Care, Inc.

$3,124.40

 

Family Care

MCO

Nursing Home

Non-Nursing Home

Care Wisconsin

$3,344.33

$702.93

Community Care of Central Wisconsin

$2,996.50

$694.05

Community Care, Inc. - Kenosha/Racine

$3,302.33

$606.61

Community Care, Inc. - Milwaukee

$3,205.14

$606.61

Community Care, Inc. - Teal Region

$3,230.86

$606.61

Community Care, Inc. - Pink Region

$3,602.99

$606.61

Lakeland Care District

$2,946.00

$831.94

Community Health Partnership

$3,766.33

$702.93

Milwaukee County CMO

$2,813.93

$805.38

Northern Bridges

$3,007.51

$702.93

Southwest Family Care Alliance

$2,826.75

$673.04

Western Wisconsin Cares

$2,668.25

$652.66

 

Partnership and PACE

MCO

Rate

Community Care Health Plan: PACE

$2,957.54

Community Care Health Plan: Milwaukee

$3,089.13

Community Care Health Plan: Expansion (Teal and Orange Regions)

$3,233.60

Community Care Health Plan: Expansion (Pink Regions)

$3,377.88

Partnership Health Plan

$3,638.02

Care Wisconsin Health Plan

$3,202.90

Independent Care, Inc.

$3,150.52

 

Family Care

MCO

Nursing Home

Non-Nursing Home

Care Wisconsin

$3,305.44

$672.17

Community Care of Central Wisconsin

$3,040.86

$655.41

Community Care, Inc. - Kenosha/Racine

$3,225.14

$641.96

Community Care, Inc. - Milwaukee

$3,542.05

$641.96

Community Care, Inc. - Teal Region

$3,113.71

$641.96

Community Care, Inc. - Pink Region

$3,481.36

$641.96

Lakeland Care District (Fond du Lac County)

$2,627.26

$646.05

Community Health Partnership

$3,391.34

$672.17

Milwaukee County CMO

$2,689.44

$665.06

Northern Bridges

$3,087.75

$672.17

Southwest Family Care Alliance

$2,885.37

$681.08

Western Wisconsin Cares

$2,783.16

$626.79

 

Family Care

MCO

Nursing Home

Non-Nursing Home

Creative Care Options of Fond du Lac County

$ 2,441.23

$ 715.12

Western Wisconsin Cares

$ 2,564.33

$ 646.02

Milwaukee County Department on Aging

$ 2,400.28

$ 718.90

Community Care of Central Wisconsin

$ 2,846.20

$ 696.87

Southwest Family Care Alliance

$ 2,695.44

$ 692.19

Community Care, Inc. (Kenosha/Racine)

$ 3,031.48

$ 718.32

Community Care, Inc. (Teal Region)

$ 2,993.39

$ 718.32

Care Wisconsin

$ 2,927.16

$ 703.11

Community Health Partnership

$ 3,489.47

$ 703.11

Northern Bridges

$ 2,699.29

$ 703.11

 

Partnership and PACE

MCO

Rate

Community Care Health Plan: PACE

$ 2,894.15

Community Care Health Plan: Milwaukee

$ 2,949.95

Community Care Health Plan: Expansion

$ 3,139.10

Partnership Health Plan

$ 3,403.77

Care Wisconsin Health Plan

$ 3,216.77

 

Family Care

CMO County

Nursing Home

Non-Nursing Home

Fond du Lac

$ 2,324.17

$ 691.71

La Crosse

$ 2,238.09

$ 656.11

Milwaukee

$ 2,220.56

$ 724.55

Portage

$ 2,496.02

$ 666.28

Richland

$ 2,360.78

$ 713.47

Community Care, Inc.
(Serves Kenosha and Racine Counties)

$ 2,957.33

$ 689.33

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 2,233.20

$ 691.35

La Crosse

$ 2,186.22

$ 691.35

Milwaukee

$ 2,093.20

$ 691.35

Portage

$ 2,505.63

$ 691.35

Richland

$ 2,256.00

$ 691.35

Community Care, Inc.
(Serves Kenosha and Racine Counties)

$ 2,670.23

$ 691.35

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 2,157.53

$ 691.35

La Crosse

$ 2,022.50

$ 691.35

Milwaukee

$ 2,055.01

$ 691.35

Portage

$ 2,410.74

$ 691.35

Richland

$ 2,140.30

$ 691.35

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 2,120.74

$ 691.35

La Crosse

$ 1,828.82

$ 691.35

Milwaukee

$ 2,055.01

$ 691.35

Portage

$ 2,320.75

$ 691.35

Richland

$ 2,140.30

$ 691.35

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 1,881.07

$ 674.49

La Crosse

$ 1,764.17

$ 674.49

Milwaukee

$ 1,810.61

$ 674.49

Portage

$ 2,255.32

$ 674.49

Richland

$ 1,970.98

$ 674.49

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 1,948.00

$ 657.40

La Crosse

$ 1,809.00

$ 657.40

Milwaukee

$ 1,765.09

$ 657.40

Portage

$ 2,390.60

$ 657.40

Richland

$ 2,004.24

$ 657.40

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 1,897.04

$ 640.74

La Crosse

$ 1,748.84

$ 640.74

Milwaukee

$ 1,720.63

$ 640.74

Portage

$ 2,491.01

$ 640.74

Richland

$ 1,941.49

$ 640.74

 

Family Care

CMO County

Comprehensive

Intermediate

Fond du Lac

$ 1,844.30

$ 628.79

La Crosse

$ 1,709.12

$ 628.79

Milwaukee

$ 1,721.77

$ 628.79

Portage

$ 2,516.51

$ 628.79

Richland

$ 1,910.15

$ 628.79

 

Family Care

CMO County

Comprehensive

Fond du Lac

$ 1,651.32

La Crosse

$ 1,583.86

Milwaukee

$ 1,466.64

Portage

$ 2,435.57

Last revised December 16, 2022