Family Care, Family Care Partnership, and PACE: Managed Care Organization Contracts
The contracts below explain what’s required of managed care organizations (MCOs). You can view generic versions of contracts on this web page. We customize contracts for each MCO.
Contracts
Family Care and Family Care Partnership contract
2026–2027
- Family Care and Family Care Partnership contract, effective January 1, 2026 (PDF)
- Substantive changes from prior Family Care and Family Care Partnership contract (PDF)
2024–2026
- Family Care and Family Care Partnership contract, effective January 1, 2025 (PDF)
- Family Care and Family Care Partnership contract (includes October 2024 and November 2024 amendments), effective January 1, 2024 (PDF)
- Family Care and Family Care Partnership contract (includes October 2024 amendment), effective January 1, 2024 (PDF)
- Family Care and Family Care Partnership contract, effective January 1, 2024 (PDF)
- October 2024 Amendment (PDF)
- November 2024 Amendment (PDF)
Dual Special Needs (D-SNP) Medicare Advantage Health Plan contract
- Calendar year 2026: D-SNP contract, effective January 1, 2026 (PDF)
- Calendar year 2025: D-SNP contract, effective January 1, 2025 (PDF)
Program of All-Inclusive Care for the Elderly (PACE) contract
2026–2027
2024–2025
Tribal agreement
Three-Party Agreement Between DHS, Tribal Nation, and Managed Care Organization (PDF)
Materials cited in the current contracts
- Family Care: Standard Definitions of Managed Care Terminology
- Guidelines for Service Dogs in Family Care and Family Care Partnership, P-01048 (PDF)
- MCO Prior Authorization and API Reporting Template (Excel)
- MCO Provider Network Adequacy Policy, P-02542 (PDF)
- MCO Quarterly Appeal Log, F-02466 (Excel)
- MCO Quarterly Grievance Log, F-02466A (Excel)
- MCO Training and Documentation Standards for Supportive Home Care, P-01602 (PDF)
- Medicaid Standards for Certified 1-2 Bed Adult Family Homes, P-00638 (PDF)
- Restrictive Measures Guidelines and Standards, P-02572 (PDF)
- Restrictive Measures User Guide, P-02769 (PDF)
- State Reporting Requirements (PDF)
- Template Language MCOs are Required to Use in Grievance and Appeal Materials, F-02619
- Transition of Care Between Medicaid Programs or Between Agencies Within a Medicaid Program, P-02364 (PDF)