Managed Care Organizations Selected for State Family Care Programs
DHS announces Inclusa and Lakeland Care will provide services in Brown, Door, Kewaunee, Marinette, Menominee, Oconto, and Shawano Counties
The Wisconsin Department of Health Services (DHS) announced today that based on results from a recent procurement, Inclusa and Lakeland Care managed care organizations (MCO) have been selected to provide the Family Care program in Brown, Door, Kewaunee, Marinette, Menominee, Oconto, and Shawano counties beginning January 1, 2020. Incumbent managed care organization Care Wisconsin will no longer provide the program in those counties after December 31, 2019.
Care Wisconsin will continue to provide services through the end of the year. Members do not need to take any immediate action. In the months leading up to the January 2020 transition, Care Wisconsin members will receive one-on-one counseling from either an Aging and Disability Resource Center or a Tribal Aging and Disability Resource Specialist to make informed decisions about their future services. In addition, DHS will host regional member information meetings in September.
“The number one priority for DHS is to ensure a smooth transition for the people affected by this change,” said Assistant Administrator for Long Term Care Benefits and Programs Curtis Cunningham. “We are working closely with Care Wisconsin, Inclusa, and Lakeland Care to ensure that members, providers, and other stakeholders stay well informed throughout this process.”
The Family Care program provides long-term care services to frail elders and adults with intellectual and physical disabilities. It helps foster independence and improve quality of life while recognizing the need for support and the desire to self-direct long-term care services. To remain in the Family Care program, members currently enrolled in Care Wisconsin will need to transition to Inclusa or Lakeland Care by January 1, 2020; or, they may choose to enroll in IRIS (Include, Respect, I Self-Direct), the state’s fully self-directed long-term care program.
Lakeland Care currently provides the Family Care program to this region. Inclusa currently provides the Family Care program in other regions of the state. It will be expanding to this region and able to offer services beginning January 1, 2020.
Care Wisconsin will continue to provide both the Family Care and Family Care Partnership programs in other areas of the state. Also, it was recently selected as the MCO to provide Family Care Partnership in Brown and Shawano counties beginning on or after January 1, 2021.
Learn more about Family Care.