Family Care Program Operations

The links below offer access to communications intended for Managed Care Organizations (MCOs) and key information and tools used most often.

General Information

Communications to MCOs

Family Care Technical Assistance and Resource Series

Training and Technical Assistance for Care Managers

Webcasts

Third Party Administration (TPA) Claims Processing Services

In July 2009, the Department issued an RFP to contract for the services of a TPA to perform claims processing, encounter reporting, and other claims processing related services for Family Care and Family Care Partnership MCOs. In February 2010, the Department entered into a contract with two vendors, Vestica Healthcare, LLC, and Wisconsin Physicians Service Insurance Corporation (WPS). MCOs and the vendor will use the following templates and supporting materials to document the terms and services of the contract.

Request for Proposals/Information (RFP/RFI)

Managed Long Term Care Infrastructure Project (RFI # 1682-RFI-PM)

In August 2009, the Department issued an RFI to explore the potential for establishing a common system infrastructure that can support an array of Family Care, Family Care Partnership, PACE, and IRIS business and program operations in an integrated manner.

Resources

Last Revised: February 2, 2015