Wisconsin Medicaid Family Care Guide 

The Office of Strategic Finance (OSF) and the Division of Health Care Financing (DHCF) are pleased to provide you with a copy of the new Wisconsin Medicaid Family Care Guide.

The Family Care Guide offers important information for Medicaid fee-for-service providers who make services available to Family Care – Care Management Organization (CMO) members. While Family Care has not been implemented statewide, the Family Care Guide is being sent to all Medicaid fee-for-service providers in selected counties because providers in counties that do not yet offer Family Care may, on occasion, need to provide services to CMO members.

The Family Care Guide includes information such as:

• What services are included in the Family Care benefit package.
• How to bill for services included in the Family Care benefit package.
• How to provide services for members who are Medicaid-eligible and members who are not.
• Who to contact with questions.

The Family Care Guide consolidates most Family Care information previously published in Wisconsin Medicaid and BadgerCare Updates into a single, easy-to-use reference source (please see attached page for a list of publications this guide replaces). It does not replace the All-Provider Handbook and all-provider Wisconsin Medicaid and BadgerCare Updates, the Wisconsin Administrative Code, and Wisconsin Statutes. Subsequent changes to the Family Care policy will be published first in Wisconsin Medicaid and BadgerCare Updates and then in Family Care Guide revisions.

During the development of this handbook, we sent out copies for comments to the Fond du Lac, La Crosse, Milwaukee, Portage, and Richland county Care Management Organizations. We would like to thank everyone who reviewed the draft handbook and submitted comments.

This handbook replaces the following Family Care-related Wisconsin Medicaid and BadgerCare Updates:

• September 2000, Commonly asked Family Care questions.
• July 2000, Family Care implementation date changed for Milwaukee County.
• July 2000, Additional category of Family Care eligibility.
• June 2000, Family Care available to people not on Medicaid.
• June 2000, Commonly asked Family Care questions.
• May 2000, Family Care to begin in Milwaukee County.
• March 2000, Family Care to begin in Portage and La Crosse counties.
• March 2000, Long term care services covered under Family Care.
• January 2000, Family Care begins in February of 2000.
• December 1999, Introducing Family Care, Wisconsin’s flexible, innovative long term care benefit.
• January 2001, Family Care began January 1 in Richland County.

This handbook does not replace the following Wisconsin Medicaid and BadgerCare Updates:

• All all-provider Wisconsin Medicaid and BadgerCare Updates.
• August 2000, How Family Care - Care Management Organizations work with primary care providers.

All Wisconsin Medicaid and BadgerCare Updates and the Family Care Guide can be downloaded from the Medicaid Web site at dhs.wisconsin.gov/medicaid. The Family Care Guide can also be ordered by using the order form located at the beginning of this guide.

Family Care Guide
November 2001