Family Care, Family Care Partnership, and PACE: Financial Summaries

The Bureau of Rate Setting, within Wisconsin Department of Health Services (DHS), is responsible for directing finances for:

As part of its role, DHS collects and reviews finance statements from managed care organizations (MCOs). Then, DHS summarizes and shares the information with groups inside and outside of DHS.

We include this finance information here on our website. See the Family Care, Partnership, and PACE Financial Summary Overview, P-00599A (PDF).

When we post financial summaries

We post financial summary details to this web page each quarter:

  • Quarter 1 (Jan. 01–March 31)—Posted about 90 days after the end of the quarter.
  • Quarter 2 (Jan. 01–June 30)—Posted about 90 days after the end of the quarter.
  • Quarter 3 (Jan. 01–Sept. 30)—Posted about 90 days after the end of the quarter.
  • Quarter 4 (Jan. 01–Dec. 31)—Posting delayed until DHS gets the audited financial statements. These are due by June 01 of the next contracted fiscal period. Quarter 4 results from the past year often post at the same time as Quarter 1 results of the current year.

MCOs submit financial details to DHS within 45 days after the quarter ends. DHS and the Officer of the Commissioners of Insurance review the results. MCOs also respond to any questions before we post the summary.

Financial summaries

You can see the financial summary for each quarter of each year.

In the last few years, we’ve made changes to our financial summary process. We’ve updated the amount of information we collect from MCOs and how we report it. You may see these changes detailed in the different reporting periods.


Adult long-term care providers must submit their enrollment or revalidation by December 31, 2025, to be paid for dates of service on and after April 1, 2026

All adult long-term care waiver services providers must submit an application to enroll or revalidate with Wisconsin Medicaid through the ForwardHealth Portal by December 31, 2025. Providers must start this process now so their application is approved and their contracts and services are authorized by March 31, 2026. It can take several weeks for ForwardHealth to review and approve applications. If a provider’s enrollment or revalidation is not approved by March 31, 2026, they will not get paid for dates of service on and after April 1, 2026.

  • Most providers should submit a new provider enrollment application on the ForwardHealth Portal to get a Medicaid-issued provider ID.
  • Supportive home care agencies with electronic visit verification (EVV)-only provider Medicaid IDs have a quicker process. They’ll upgrade their EVV-only enrollment to full Medicaid enrollment. It’s called revalidation.

Key resources:

Please note: this requirement does not affect individual self-directed support or participant-hired workers.


Related topics

Glossary

 
Last revised December 18, 2025