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Wisconsin's 1915(b)(c) Waiver Application for Family Care

On June 1, 2001, after nearly four years of negotiation, the federal Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA), approved new Family Care waivers for Wisconsin. There were four Family Care waivers approved, as described below.

General Information:
For a general description of how the Family Care waivers work together in the Family Care benefit, refer to the "Components of Family Care" fact sheet. Click here to view a chart that depicts the target populations for each waiver.

Waiver Applications:
To view the actual waiver applications, click on one of the links below:

  • Two 1915(b) waivers--one for people age 60 and over in Milwaukee County, and one for all adults in the other pilot counties--which authorize the Department to make HCBS waiver services in those counties available only through the prepaid capitated Family Care benefit.

  • Two 1915(c) waivers--one for people with developmental disabilities, and one for people who are aged or have physical disabilities--which authorize the Department to use Medicaid funds to provide HCBS instead of only institutional care for people whose care needs would qualify for Medicaid funding in a nursing home.

Approval letters from CMS (formerly HCFA):
A letter of approval for the (b) waivers includes several conditions the State must meet. In addition, letters of approval for the developmental disabilities (c) waiver and for the aged/physical disabilities (c) waiver set limits to the number of individuals who can be served and the annual average per person expenditure allowed. 

Last Updated: March 17, 2005