We are committed to protecting the health and safety of our members and participants during the COVID-19 pandemic. To stay informed about the latest program updates, limitations to in-person contacts, general COVID-19 resources, and more:
- Members and participants, please visit the COVID-19: Information for Adult Long-Term Care Programs page.
- Providers, please visit the COVID-19: ForwardHealth News and Resources Portal page.
For data on COVID-19 in Medicaid home and community-based services settings, please visit the Medicaid Adult Home and Community-Based Services: COVID-19 Data page.
Medicaid Managed Care Quality Strategy
The Department of Health Services (DHS) submitted its 2021 Medicaid Managed Care Quality Strategy, P-02156 (PDF) to the Centers for Medicare & Medicaid Services (CMS) on August 13, 2021. The Quality Strategy describes key goals, objectives, strategies, and quality assurances that support ongoing improvement in the Family Care, Family Care Partnership, BadgerCare Plus, SSI, Care4Kids, Children Come First, Wraparound Milwaukee, and AIDS/HIV programs. Key changes between the 2018 and 2021 Quality Strategies are described in the 2021 Medicaid Managed Case Quality Strategy: Effectiveness Evaluation, P02156a (PDF). You can find the 2018 Managed Care Quality Strategy on the Family Care Program Monitoring and Evaluation page.
Request for Proposal
Requests for proposal are the first step in the process by which DHS procures vendors for the Family Care program. DHS has created a dedicated webpage where information about the request for proposal and procurement process can be viewed.
The scorecards are a tool members can use to help them choose a managed care organization. Each managed care organization is represented in the scorecard by star ratings evaluating how well the organization performs across a variety of factors, including consumer satisfaction and compliance with state standards.
Electronic Visit Verification
In response to the federal 21st Century Cures Act, the Wisconsin Department of Health Services (DHS) is required to implement Electronic Visit Verification (EVV) for Medicaid-covered personal care services and home health services. DHS has created a dedicated webpage where providers can view all current EVV information. Providers are encouraged to visit the webpage frequently.