Family Care: Request for Proposal

State law requires Wisconsin Department of Health Services (DHS) to procure vendors for Family Care. Family Care is a Medicaid long-term care program for older adults and people with disabilities.

To find vendors, we work with the Bureau of Procurement and Contracting. They send requests for proposals (RFPs) to groups that want to get certified as managed care organizations (MCOs). Requests for proposals are the first step in the process of awarding contracts to MCOs, so they can give Family Care services.

How MCOs get certified for Family Care

MCOs must follow these steps to get certified:

1. Respond to the request for proposals. MCOs receive an intent to certify letter from DHS.
2. Meet requirements for all federal and state statutes that apply, plus DHS Administrative Code sections. MCOs do this no later than 45 days before their contract’s effective date.
3. Contract with DHS to offer managed long-term care benefits. These are for certain groups of people. They also happen in a chosen geographic service region for the Family Care program. See Family Care Geographic Service Regions, P-01790 (PDF).

View other MCO resources

Family Care procurement results—July 2026

Beginning in 2027, more than 9,000 Family Care and Family Care Partnership (Partnership) members in southeastern Wisconsin will have more choices in who helps manage their long-term care.

New managed care organizations (MCOs) announced

Southeastern Wisconsin (Kenosha County, Ozaukee County, Racine County, Sheboygan County, Walworth County, Washington County, and Waukesha County)

• Family Care: Anthem (new to all counties), Inclusa (new to Kenosha County and Racine County), Molina/My Choice Wisconsin, Community Care Inc.
• Partnership*:
  • iCare: expanding into Ozaukee County, Sheboygan County, Walworth County, Washington County, and Waukesha County
  • Molina/My Choice Wisconsin: expanding into Kenosha County, Racine County, Sheboygan County, and Walworth County
  • UnitedHealthcare (new): all counties

*Timing of Partnership expansion is dependent on the Centers for Medicare & Medicaid Services’ approval and may extend beyond 2027.

What this means for members

• No action is needed now. The Wisconsin DHS will send letters to all Family Care and Partnership members with details about their new options in 2027.
• These changes are part of DHS’s Geographic Service Region Consolidation Plan, which expands MCO options, strengthens competition, and ensures consistent, person-centered long-term care across the state. The Geographic Service Region Maps, P-03225 (PDF) show the stages of the five-year plan.

Protest considerations and process

Under state procurement rules, organizations that submit proposals may file a formal protest if they believe a portion of the evaluation process was conducted in error. DHS issued award letters on July 14, 2026. MCOs have 10 business days to file a protest. DHS cannot enter into new contracts for these counties until any protests are resolved.