What is a Long-Term Care Program?
There are three long-term care programs in Winnebago County: Family Care, Family Care Partnership and IRIS. The Aging & Disability Resource Center (ADRC) is the only organization in the county that completes the screening for this program. There are eligibility guidelines to these programs. Call the ADRC at 877-886-2372 if you or someone you know would like to be assessed for one of these programs.
Click here to read more about enrolling in a publicly-funded long-term care program.
Click on the link below to view a helpful flow chart to better understand the differences between the programs.
The Family Care Program is a Medicaid-based program that provides support to individuals who meet certain eligibility criteria. There are three managed care organizations (MCOs) in our county that administer the program: Community Care, Inc., Lakeland Care, Inc., and Inclusa. There is a care manager and nurse assigned to each member in the program that assesses the individual's needs and create a care plan to meet those needs. This may include services like in-home care, medication management, transportation, and possible residential placement in a facility if needed. The goal of this program is to help an individual to stay in their home or least restrictive setting. Click here to read more about the Family Care Program.
Websites for the three MCOs:
Click below to view a "scorecard" to help view ratings that members in Family Care gave MCOs.
IRIS (Include Respect I Self Direct)
IRIS is a Medicaid-based program that provides support to individuals who meet certain eligibility criteria. There are four consulting agencies in our county that administer the program: MILC (Midstate Independent Living Choices), TMG (The Management Group), Connections, and First Person Care Consultants. The consultant can provide the individual with support on creating their own care plan using a budget of money that is based off the individual's needs. They may pay for things like in-home care, medication management, transportation, and possible residential placement in a facility if needed. The goal of this program is to help an individual to stay in their home or least restrictive setting. Click here to read more about the IRIS Program.
Websites for the four ICAs:
Click below to view a "scorecard" to help view ratings that participants in IRIS gave ICAs (TMG, Connections, MILC, and First Person Care Consultants).
Choosing an IRIS Fiscal Employment Agency (FEA)
In addition to choosing an IRIS ICA, a FEA will need to be chosen. The FEA will support the individual in IRIS by processing paperwork to hire workers, perform background checks, etc. This is similar to a payroll department. Click here to read more about these. There are three FEAs in Winnebago County. Click below to view a "scorecard" to help view ratings that participants in IRIS gave FEAs.
If you are currently in a long-term care program and you have a complaint or concern, start with your care manager, in Family Care, or consultant, in IRIS. If you feel there has been no resolution, you can contact:
The Family Care Partnership Program is a Medicaid-based program that provides support to individuals who meet certain eligibility criteria. There is one managed care organization (MCO) in our county that administers this program: My Choice. There is a care manager, nurse, nurse practitioner, and Partnership Doctor assigned to each member in the program that assesses the individual's needs and create a care plan to meet those needs. This may include services like in-home care, medication management, transportation, and possible residential placement in a facility, if needed. Family Care Partnership also oversees acute and primary health care. The goal of this program is to help an individual to stay in their home or least restrictive setting. Click here to read more about the Family Care Partnership Program.
Click below to view a "scorecard" to view ratings that members in My Choice rated their MCO:
Family Care Partnership Managed Care Organization (MCO) Scorecard
Ombudsman Program
The Ombudsman Program works with individuals who are age 60 and older to help protect rights of individuals in long-term care programs.
- 1-800-815-0015
- https://www.dhs.wisconsin.gov/aging/ltcombud.htm
Disability Rights Wisconsin
Disability Rights Wisconsin works with individuals who are age 60 and under to help protect rights of individuals in long-term care programs.
