IRIS: How to Enroll

Below is a brief overview of the enrollment process and the resources you will work with in the IRIS program.

Step 1: Contact your local aging and disability center

To enroll in IRIS, the first step is to contact your local aging and disability resource center (ADRC).

  • ADRC representatives offer free, unbiased information about all long-term care options and resources in Wisconsin for older adults, people with disabilities, and their families.
  • If you are interested in the IRIS program, your ADRC will help determine your functional, financial, and non-financial eligibility, and provide you with an orientation of your expected roles and responsibilities as a participant in the program.


Step 2: Select an IRIS consultant agency and an IRIS consultant

Your ADRC will help you choose an IRIS consultant agency.

  • An IRIS consultant agency helps IRIS participants self-direct and handles the day-to-day operations of the IRIS program.
  • The agency will help you choose an IRIS consultant and will schedule an initial face-to-face meeting for program orientation.
  • An IRIS consultant is a person from the IRIS consultant agency who knows about services in your area. He or she will help you understand IRIS requirements, learn the rules you must follow, complete paperwork, and answer your questions.


Step 3: Select a fiscal employer agent

Your ADRC will help you choose a fiscal employer agent.

  • The fiscal employer agent does background checks on workers you hire, processes payroll, manages the amount of federal and state taxes to take out of your workers’ checks, and helps with other employer tasks.
  • The fiscal employer agent also processes any cost share you may owe and pays vendors for services.

Other resources you will work with

Income maintenance agencies

Income maintenance agencies are county agencies that help you with the Medicaid financial eligibility process and maintaining your eligibility.

1-2 bed adult family home certification

DHS provides 1-2 bed adult family home (AFH) certification and annual recertification for the IRIS program. They can be reached by emailing or by calling 844-910-3658.

Wisconsin's functional screen

Wisconsin's functional screen is a web-based tool that helps determine whether your needs meet the level of care required to be eligible for IRIS.

An experienced professional meets with you to gather information about you, your family, your formal and informal caregivers, your health care providers, and other relevant people, and then enters the information into the functional screen computer program. The program provides a score, which indicates your level of care.

Last Revised: March 1, 2022