Family Care Information

Non-Emergency Medicaid Transportation Managed (LogistiCare)

Effective July 1, 2011, the Wisconsin Department of Health Services will implement the new statewide non-emergency transportation management (NEMT) system for Medicaid and BadgerCare Plus members. Members enrolled in Family Care will continue to receive NEMT services from the Family Care - care management organizations. Nursing homes are also exempt from this new system. The company that DHS awarded the contract to is "LogistiCare Solutions, LLC." For additional information, please go to: https://www.forwardhealth.wi.gov/kw/pdf/2011-24.pdf

DHS Releases RFP for Managed Care Organizations to Serve REsidents of Kenosha & Racine Counties

On June 2, 2011 DHS released a Request for Proposals (RFP) for Managed Care Organizations interested in providing the Family Care or Family Care Partnership Programs (managed long-term care options) in the counties of Kenosha and Racine. According to the announcement, entities interested in providing notice of participation in proposers' conference call is June 9, 2011 and the due date for proposals is July 14, 2011 at 2:00 PM. To view a copy of the RFP # 1720-DLTC-JB, please send an e-mail to forbes@wis-gps.com

Guide to Collaborating with other Assisted Living Providers

There are some providers who feel unhappy with the way that they are negotiating and being treated by their MCOs. There has been some talk of “banding together.” WALA always encourages collaboration, but the law prohibits collusion among competitors that might interfere with the normal law of supply and demand. To that end, WALA contracted with Reinhart Bourner Van Deuren to provide background on this issue. Clearly, you as a provider will do as you feel you must, and this information may help guide you in your own decision making. Please see the Anti-trust Memorandum from Reinhart Bourner Van Deuren for more information.

On June 15, 2010, the department of Health Services announced its intention to award a contract to entities that successfully responded to its March 2010 Request for Proposals for the delivery of long-term care to elders and adults with disabilities residing in Lincoln and Langlade Counties.

Residential Rate-Setting Project

The Department is in the process of estabilishing a uniform methodology for determining all-inclusive rates for services provided by community-based residential programs that reflect the reasonable costs of services in relation to the acuity of members served by those programs.

Updated Family Care Implementation Map (Dec 2010)

Family Care : A Review of the 2010 Subcontract for Providers By: Reinhart Boerner Van Deuren s.c.

WALA encourages all providers to understand the policies & operations of the expansion of Family Care in Wisconsin. To that end, this page on the WALA Website is dedicated to helping you learn more.

As the movement toward Managed Care evolves, WALA plays an active role in gathering and disseminating information to and from MCOs and providers. Managed Care Volume 1 is the first step in building a bridge of understanding that can help providers navigate the managed care system and help MCOs understand the provider's perspective. This document provides you with information from WALA on Quality, Reimbursement and Contract Terms.

Family Care, Department of Health Services Helpful Links:

The Department of Health Services website on Family Care is full of useful information for you on Family Care and related topics. These sites are updated on a regular basis and we encourage you to bookmark this page and visit often if you have questions.