Monthly MCO Capitation Rates

Select a year to view monthly capitation rates for Family Care and Partnership Managed Care Organizations (MCOs). Family Care rates are listed by geographic service region (GSR) (PDF, 227 KB).

2016

2016 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 $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

2016 Family Care Capitation Rate Report (PDF, 1.5 MB)

2016 Partnership and PACE Capitation Rates

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

2016 Partnership and PACE Capitation Rate Report (PDF, 1.0 MB)

2015

2015 Family Care Capitation Rates

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

2015 Family Care Capitation Rates (PDF,  1.10 MB)

2015 Partnership and PACE Capitation Rates

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

2015 Partnership and PACE Capitation Rate Report (PDF,  924 KB)

2014

2014 Family Care Capitation Rates

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

2014 Family Care Capitation Rate Report (PDF,  7 MB)

2014 Partnership and PACE Capitation Rates

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

2014 Partnership and PACE Capitation Report (PDF,  774 KB)

 

2013

2013 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

2013 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

2012

2012 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

2012 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

2011

2011 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

2011 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

2010

2010 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

2009

2009 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

2009 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

2008

2008  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

2007

2007 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

2006

2006 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

2005

2005 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

2004

2004 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

2003

2003 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

2002

2002 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

2001

2001 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

2000

2000 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: August 25, 2016