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)
2019 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 | $3210.03 | $500.26 |
| Care Wisconsin | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $2537.12 | $495.21 |
| Care Wisconsin | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $3002.21 | $538.57 |
| Care Wisconsin | GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3471.64 | $493.12 |
| Care Wisconsin | GSR 6: Ozaukee, Sheboygan, Walworth | $3178.58 | $514.24 |
| Care Wisconsin | GSR 5-6: Washington, Waukesha | $3682.81 | $502.99 |
| Care Wisconsin | GSR 11: Kenosha, Racine | $3340.53 | $515.66 |
| Care Wisconsin | GSR 12: Dane | $4284.72 | $532.07 |
| Care Wisconsin | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $3351.93 | $525.48 |
| Community Care, Inc. | GSR 6: Ozaukee, Sheboygan, Walworth | $3521.87 | $482.13 |
| Community Care, Inc. | GSR 5-6: Washington, Waukesha | $3668.00 | $524.49 |
| Community Care, Inc. | GSR 8: Milwaukee | $3214.81 | $519.43 |
| Community Care, Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $3056.16 | $492.76 |
| Community Care, Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3498.87 | $478.46 |
| Community Care, Inc. | GSR 11: Kenosha, Racine | $3509.35 | $511.28 |
| Inclusa, Inc. | GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor | $3633.16 | $499.18 |
| Inclusa, Inc. | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $3303.34 | $529.20 |
| Inclusa, Inc. | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $3184.74 | $493.55 |
| Inclusa, Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $3135.73 | $480.44 |
| Inclusa, Inc. | GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara | $3172.31 | $493.12 |
| Inclusa, Inc. | GSR 5-6: Washington, Waukesha | $3414.60 | $515.22 |
| Inclusa, Inc. | GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn | $3227.50 | $510.51 |
| Inclusa, Inc. | GSR 14: Rock | $4035.59 | $536.67 |
| Lakeland Care Inc. | GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood | $3219.70 | $488.59 |
| Lakeland Care Inc. | GSR 9: Fond du Lac, Manitowoc, Winnebago | $3380.56 | $512.47 |
| Lakeland Care Inc. | GSR 10: Calumet, Outagamie, Waupaca | $3229.54 | $483.46 |
| Lakeland Care Inc. | GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano | $3725.50 | $521.62 |
| My Choice Family Care | GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon | $3169.47 | $519.68 |
| My Choice Family Care | GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk | $3052.34 | $500.61 |
| My Choice Family Care | GSR 6: Ozaukee, Sheboygan, Walworth | $3224.47 | $514.09 |
| My Choice Family Care | GSR 5-6: Washington, Waukesha | $3364.72 | $516.28 |
| My Choice Family Care | GSR 8: Milwaukee | $3049.17 | $530.22 |
| My Choice Family Care | GSR 11: Kenosha, Racine | $3205.27 | $515.51 |
| My Choice Family Care | GSR 12: Dane | $4213.56 | $531.92 |
| My Choice Family Care | GSR 14: Rock | $3180.50 | $537.74 |
2019 Family Care Capitation Rate Report (PDF)
2019 Partnership and PACE Capitation Rates
| MCO | Geographic Service Region | Nursing Home |
|---|---|---|
| Care Wisconsin | Sauk | $3878.40 |
| Care Wisconsin | Columbia, Dodge, Jefferson | $3866.51 |
| Care Wisconsin | Ozaukee, Waukesha, Washington | $2931.68 |
| Care Wisconsin | Dane | $3502.70 |
| Community Care Health Plan | Ozaukee, Washington, Waukesha | $3840.89 |
| Community Care Health Plan | Calumet, Outagamie, Waupaca | $3682.11 |
| Community Care Health Plan | Kenosha, Racine | $3739.38 |
| Community Care Health Plan | Milwaukee (Partnership) | $5643.21 |
| Community Care Health Plan | PACE (Milwaukee, Waukesha, Racine) | $3426.79 |
| Independent Care Health Plan | Sauk | $4116.61 |
| Independent Care Health Plan | Milwaukee | $3593.83 |
| Independent Care Health Plan | Kenosha, Racine | $3759.16 |
| Independent Care Health Plan | Dane | $3679.43 |
2019 PACE Capitation Rate Report (PDF)
Last Revised: February 4, 2019
