DHS

Wisconsin Department of Health Services

Medicaid Managed Care

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Wisconsin Medicaid is a national leader in the use of managed care:
- Innovative use of managed care for special populations.
- Rigorous oversight of Health Maintenance Organizations (HMOs) and specialized managed care programs with expectations based on Public Health Agenda objectives.
- Community involvement through statewide Managed Care Advisory meetings with stakeholders.
The Division of Health Care Access and Accountability (DHCAA) operates the following programs:
- A Family Medicaid and BadgerCare HMO program for low-income children and their caretakers.
- Supplemental Security Income (SSI) Managed Care for elderly and persons with disabilities in Milwaukee, Kenosha, Ozaukee, Racine, Washington, and Waukesha Counties, with plans for expansion in 2008.
- Two specialized managed care programs called Children Come First (CCF), and Wraparound Milwaukee (WM), for children with special needs.

Low-income Family Medicaid HMO

BadgerCare HMO

Specialized Managed Care Programs

DHCAA Operates

Supplemental Security Income Program (SSI)
Managed Care Programs (HMOs)

Total statewide enrollment as of September 2008: 24,549
Six HMOs participating including: Abri Health Plan, Group Health Eau Claire, iCare, Managed Health Services, Network Health Plan and UnitedHealthcare.
By February 2008, 34 Counties will have implemented SSI Managed Care.

DHCAA’s long-range managed care strategy is as follows:
- Further expansion of managed care for SSI-eligible adults with disabilities.
- Expansion of HMO coverage in rural counties.