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Family Care, Family Care Partnership, and PACE: Program Operations for Managed Care Organizations

This webpage includes resources for managed care organizations (MCOs).

 Adult Long-term Care Provider Management Project: providers should enroll now to avoid disruptions in 2026

Adult long-term care waiver services providers and vendors must enroll with Wisconsin Medicaid through the ForwardHealth Portal by January 1, 2026. Time is running out to process provider enrollment applications and authorize services before the new year. We need your help to get providers and vendors enrolled—here are some key resources:

Please note: this requirement does not affect individual self-directed support or participant-hired workers.

Pay for Performance (P4P) is a system where DHS pays MCOs to achieve goals related to quality. One of these goals, the Community Connections P4P, aims to increase the percentage of members who are engaged in integrated community life, active in civic engagement, and socially connected in their communities in ways that the member chooses. The MCOs created strategic plans to achieve these goals. This P4P aligns with the Long-Term Care Community Inclusion goal in the 2021 Medicaid Managed Care Quality Strategy, P-02156 (PDF).

Strategic Plan Part 1

Part 1 of the Strategic Plan includes two sections.

  1. Strategic Plan Responsibilities and Objective
  2. Strategic Plan Proposed Measures, Including Measures Research

Strategic Plan Part 2

Part 2 of the Strategic Plan includes three sections.

  1. Strategic Plan Development
  2. Strategic Plan for Community Connections and Changes in MCO Practice
  3. Training and Technical Assistance Plan

MCOs start piloting Strategic Plan Part 2 in 2024. After this first pilot year, MCOs will work with DHS to expand on these plans once MCOs and DHS review what was learned in the first year.

Glossary

 
Last revised August 12, 2025