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Family Care, Family Care Partnership, and PACE: Financial Summaries

The Bureau of Rate Setting, within Wisconsin Department of Health Services (DHS), is responsible for directing finances for:

As part of its role, DHS collects and reviews finance statements from managed care organizations (MCOs). Then, DHS summarizes and shares the information with groups inside and outside of DHS.

We include this finance information here on our website. See the Family Care, Partnership, and PACE Financial Summary Overview, P-00599A (PDF).

When we post financial summaries

We post financial summary details to this web page each quarter:

  • Quarter 1 (Jan. 01–March 31)—Posted about 90 days after the end of the quarter.
  • Quarter 2 (Jan. 01–June 30)—Posted about 90 days after the end of the quarter.
  • Quarter 3 (Jan. 01–Sept. 30)—Posted about 90 days after the end of the quarter.
  • Quarter 4 (Jan. 01–Dec. 31)—Posting delayed until DHS gets the audited financial statements. These are due by June 01 of the next contracted fiscal period. Quarter 4 results from the past year often post at the same time as Quarter 1 results of the current year.

MCOs submit financial details to DHS within 45 days after the quarter ends. DHS and the Officer of the Commissioners of Insurance review the results. MCOs also respond to any questions before we post the summary.

Financial summaries

You can see the financial summary for each quarter of each year.

In the last few years, we’ve made changes to our financial summary process. We’ve updated the amount of information we collect from MCOs and how we report it. You may see these changes detailed in the different reporting periods.


Adult Long-term Care Provider Management Project

Starting September 2024, adult long-term care waiver services providers must enroll with Wisconsin Medicaid through the ForwardHealth Portal. The Portal centralized enrollment system will comply with federal requirements and standardize, streamline, and automate the process.

The Wisconsin Department of Health Services will be communicating about this change through messaging to providers through the ForwardHealth Portal. Adult long-term care waiver services providers should sign up to receive emails about the new Medicaid provider enrollment process as soon as possible.

Visit the New Provider Enrollment System for Adult Long-term Care Portal page for more information.

Please note, this change does not affect individual self-directed support and participant-hired workers.


Related topics

Glossary

 
Last revised May 2, 2024