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Long-Term Care Reform

Planning for Change in Long Term Care (Family Care)

Dane County continues to operate Medicaid Waiver Programs and the Community Options Programs (COP) for older adults and adults with disabilities. These programs provide long-term care services for eligible adults and are often referred to as the legacy waiver programs. Statewide, these programs are transitioning to a managed long-term care program called Family Care. Though staff and policymakers in Dane County have reviewed the Family Care program and participated in a planning process funded by a grant from the State of Wisconsin in 2006, plans for implementation of Family Care in Dane County have not progressed.

The State's Legislative Audit Bureau completed a report on the Family Care program in the spring of 2011. The report identified some program and budget concerns though it did not address issues of cost effectiveness nor long term fiscal sustainability. The State of Wisconsin Department of Health Services capped enrollment to the existing Family Care program and its related programs (Family Care Partnership, Family Care PACE and the waiver program IRIS: Include Respect I Self-Direct) effective July 1, 2011 in order to complete a more comprehensive review of the program. Family Care expansion to other counties was stopped as well. Dane County will continue to monitor this process.

Links

• 2008 Family Care Issue Paper

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