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)
2020 Family Care Capitation Rates
| MCO | Geographic Service Region Counties | Nursing Home | Non-Nursing Home |
|---|---|---|---|
| Community Care, Inc. | GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha | $3601.34 | $525.28 |
| Community Care, Inc. | GSR 8: Milwaukee | $3353.83 | $559.65 |
| Community Care, Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $2883.07 | $490.76 |
| Community Care, Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3391.25 | $498.35 |
| Community Care, Inc. | GSR 11: Kenosha, Racine | $3531.85 | $531.35 |
| Inclusa, Inc. | GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor | $3685.23 | $523.50 |
| Inclusa, Inc. | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $3146.95 | $485.24 |
| Inclusa, Inc. | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $3120.34 | $491.01 |
| Inclusa, Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $3212.74 | $483.10 |
| Inclusa, Inc. | GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3191.73 | $489.09 |
| Inclusa, Inc. | GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha | $3362.77 | $530.98 |
| Inclusa, Inc. | GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn | $3228.91 | $518.95 |
| Inclusa, Inc. | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $3653.58 | $566.10 |
| Inclusa, Inc. | GSR 14: Rock | $4397.39 | $631.51 |
| Lakeland Care Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $3075.08 | $488.48 |
| Lakeland Care Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $3311.48 | $514.24 |
| Lakeland Care Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3167.71 | $503.37 |
| Lakeland Care Inc. | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $3763.64 | $600.44 |
| My Choice Family Care-Care Wisconsin | GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor | $2777.96 | $474.80 |
| My Choice Family Care-Care Wisconsin | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $2458.84 | $464.96 |
| My Choice Family Care-Care Wisconsin | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $2538.51 | $500.29 |
| My Choice Family Care-Care Wisconsin | GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3303.40 | $489.24 |
| My Choice Family Care | GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha | $3603.78 | $541.44 |
| My Choice Family Care | GSR 8: Milwaukee | $3109.44 | $556.60 |
| My Choice Family Care | GSR 11: Kenosha, Racine | $3193.95 | $533.41 |
| My Choice Family Care | GSR 12: Dane | $4635.64 | $517.18 |
| My Choice Family Care | GSR 14: Rock | $3604.31 | $610.14 |
2020 Family Care Capitation Rate Report (PDF)
2020 Partnership and PACE Capitation Rates
| MCO | Geographic Service Region | Nursing Home |
|---|---|---|
| Community Care Health Plan | GSR 6: Ozaukee, Waukesha, Washington | $3774.61 |
| Community Care Health Plan | GSR 10: Calumet, Outagamie, Waupaca | $3932.44 |
| Community Care Health Plan | GSR 11: Kenosha, Racine | $3925.03 |
| Community Care Health Plan | GSR 8: Milwaukee (Partnership) | $5847.65 |
| Community Care Health Plan | PACE (Milwaukee, Racine, Waukesha) | $4010.40 |
| Independent Care Health Plan | GSR 3: Sauk | $4201.29 |
| Independent Care Health Plan | GSR 8: Milwaukee | $3875.91 |
| Independent Care Health Plan | GSR 11: Kenosha, Racine | $3824.45 |
| Independent Care Health Plan | GSR 12: Dane | $3609.50 |
| My Choice Family Care-Care Wisconsin | GSR 3: Sauk | $3984.69 |
| My Choice Family Care-Care Wisconsin | GSR 5: Columbia, Dodge, Jefferson | $3936.41 |
| My Choice Family Care-Care Wisconsin | GSR 6: Ozaukee, Waukesha, Washington | $3692.11 |
| My Choice Family Care-Care Wisconsin | GSR 12: Dane | $3518.22 |
2020 PACE Capitation Rate Report (PDF)
Last Revised: January 24, 2020
