Capitation payments to MCOs are a combination of federal Medicaid and state match
Payments to MCOs for Partnership members are also capitated, but come from both DHS and federal Medicare (for nursing home and health services covered by Medicare)
Counties contribute based on their 2006 contribution of local funds toward waiver participants. County contribution will be reduced over the first 5 years each county participates, based on statutory provisions created by 2007 Wisconsin Act 20.
The implementation of Family Care for adults who are elderly or have disabilities, has increased regionalization of services and decreased county involvement and capacity to manage human services for these populations.
We are beginning to see the impact on children’s long-term supports.