Dane County - Family Care, Partnership, and IRIS Transition

Expanding Long-Term Care Services Statewide

Wisconsin is a national leader in long-term care, and the Department of Health Services (DHS) is building on that reputation with the statewide expansion of Family Care and IRIS. The process is underway to bring these programs to Dane and Adams counties, and once fully implemented, Wisconsin will be among just a few states  in the nation to offer community-based, long-term care services for children, people with disabilities, and the elderly who need them, without a wait list.   

Dane County is Wisconsin's 71st county to implement Family Care and IRIS. The state and county are committed to preserving and enhancing the long-term care services valued in Dane County, and this transition will allow about 500 people currently on a wait list to have access to needed services.

Joint letter from DHS and Dane County to current Dane County long-term care members and participants.

Dane County Long Term Care Expansion Timeline

Prior to the transition, long-term care services were delivered through the Community Options Program (COP) or Community Integration Program (CIP), which are state programs coordinated by Dane County. Family Care, IRIS, and Family Care Partnership are also state programs, coordinated by managed care organizations (MCOs) and IRIS consultant agencies (ICAs).

Members have the opportunity to select the MCO or ICA that is the best fit. Both Family Care MCOs and IRIS ICAs have high standards of performance and expectations that require them to provide similar services to those offered through CIP and COP, including supported employment, transportation, and supportive home care so people can live fulfilling and community-centered lives.

Dane County MCOs and ICAs

Press Release: Department of Health Services announces the Organizations to Provide Family Care and IRIS Services in Dane County

Family Care and Family Care Partnership MCOs contract with DHS to specify the services DHS is purchasing and the responsibilities of DHS and MCOs. In turn, the MCOs contract with provider organizations to help members get quality care. Providers can request an MCO add them to their provider list by contacting the MCO directly.

For the IRIS program, a contract specifies the DHS rules ICAs must meet to implement the program. IRIS participants choose an ICA and their own service providers. Service providers register with fiscal employer agents who process payment for services.

Listed below are the MCOs and ICAs chosen to provide services for Dane County. To get more information about an organization or to get a list of MCO providers, click the links below or call them.

Family Care Managed Care Organizations (MCOs)

Care Wisconsin

My Choice Family Care
 

Family Care Partnership MCOs

Care Wisconsin

iCare

 

 

Dane County Long Term Care Options - 2018

What is the difference between Family Care and IRIS?

The Family Care and IRIS programs provide valuable long-term care services and supports to frail elders and people with disabilities. However, the programs offer a different approach to how these services are delivered.

Learn more about the difference between the programs by viewing a Side-by-Side Comparison of Family Care and IRIS, P-01900 (PDF).

Enrollment Counseling


The Aging and Disability Resource Center (ADRC) of Dane County is the best choice for answering questions about the Family Care, IRIS, and Family Care Partnership programs. ADRC representatives have the training and information necessary to help members with long-term care needs choose the program that best fits their needs.  

The ADRC of Dane County will begin enrollment counseling sessions in October. The goal of enrollment counseling is to provide as much information as possible to prospective participants about their long-term care options so they can make an informed decision.

The information below provides basic information about Wisconsin's long-term care programs.

You are also welcome to contact the ADRC directly with any concerns you may have about enrollment. The ADRC’s contact information is:

Northside Town Center
2865 N. Sherman Avenue
Madison, WI 53704
855-417-6892 (toll free)
608-240-7400 (local Madison)
Email: adrc@countyofdane.com
Website: www.daneadrc.org

Enrollment Changes Data

MCO and ICA Changes

The tables below show the number of enrollees who changed their MCO within Family Care and PACE/Partnership or their ICA within IRIS. For each year, the tables show the total number of enrollees in the program any time in the calendar year, the number who changed their MCO or ICA, and the percentage who changed their MCO or ICA.

Calendar Year 2016
Program Total Enrollees Any Time in Year Number of Enrollees with MCO or ICA Change MCO or ICA Change as Percentage of Total Enrollees
Family Care 51,760 564 1.1%
PACE/Partnership 4,348 19 0.5%
IRIS 15,816 82 0.4%

 

Calendar Year 2015
Program Total Enrollees Any Time in Year Number of Enrollees with MCO or ICA Change MCO or ICA Change as Percentage of Total Enrollees
Family Care 48,920 456 0.9%
PACE/Partnership 4,358 22 0.5%
IRIS 14,430 65 0.5%

 

Calendar Year 2014
Program Total Enrollees Any Time in Year Number of Enrollees with MCO or ICA Change MCO or ICA Change as Percentage of Total Enrollees
Family Care 44,676 324 .07%
PACE/Partnership 4,357 < 10 < 0.5%
IRIS 12,734 54 0.4 %

 

Program Changes

The tables below show the number of enrollees who changed programs between Family Care, PACE/Partnership, and IRIS. For each year, the tables show the total number of enrollees in the program any time in the year, the number who changed their enrollment to either of the other programs, and that number as a percentage of total enrollment.

Calendar Year 2016
Program Total Enrollees Any Time in Year Program Change Type Number of Enrollees with Program Change Program Change as Percentage of Total Enrollees
Family Care 51,760 Family Care to IRIS 343 0.7%
Family Care to PACE/Partnership 62 0.1%
PACE/Partnership 4,348 PACE/Partnership to IRIS 23 0.5%
PACE/Partnership to Family Care 75 1.7%
IRIS 15,813 IRIS to Family Care 397 2.5%
IRIS to PACE/Partnership 18 0.1%

 

Calendar Year 2015
Program Total Enrollees Any Time in Year Program Change Type Number of Enrollees with Program Change Program Change as Percentage of Total Enrollees
Family Care 48,920 Family Care to IRIS 347 0.7%
Family Care to PACE/Partnership 63 0.1%
PACE/Partnership

4,358

PACE/Partnership to IRIS 31 0.7%
PACE/Partnership to Family Care 77 1.8%
IRIS 14,430 IRIS to Family Care 334 2.3%
IRIS to PACE/Partnership 15 0.1%

 

Calendar Year 2014
Program Total Enrollees Any Time in Year Program Change Type Number of Enrollees with Program Change Program Change as Percentage of Total Enrollees
Family Care 44,676 Family Care to IRIS 428 1.0%
Family Care to PACE/Partnership 58 0.1%
PACE/Partnership 4,357 PACE/Partnership to IRIS 44 1.0%
PACE/Partnership to Family Care 80 1.8%
IRIS 12,734 IRIS to Family Care 286 2.2%
IRIS to PACE/Partnership 16 0.1%

Employment

Ensuring members have the support they need to seek and maintain employment opportunities is key to helping people live independently, in the community.

The Medicaid Purchase Plan offers people with disabilities who are working, or interested in working, the opportunity to buy health care coverage through the Wisconsin Medicaid program. Depending on an individual's income, a premium payment may be required for this health care coverage. For more information, view the Medicaid Purchase Plan, P-10071 fact sheet.

Frequently Asked Questions

View a list of answers to common questions, P-02056 (PDF) about the transition to Family Care, Partnership, and IRIS for Dane County.

Presentation

Informational meetings for members were held in September 2017. If you were not able to attend one of the meetings you can watch the presentation or view the presentation slides (PDF).

Last Revised: December 22, 2017