Medicaid Adult Home and Community-Based Services: COVID-19 Data

These data show COVID-19 cases in each of the two program areas compared to overall enrollment in those programs, and compared to overall COVID-19 cases in Wisconsin. Individuals in Medicaid home and community-based service waiver programs make up a greater share of overall hospitalizations and deaths than they do COVID-19 cases because they are more vulnerable to serious illness from COVID-19.

Through the Division of Medicaid Services, the Wisconsin Department of Health Services (DHS) administers several programs that provide home and community-based services to frail elders and adults with disabilities. The above data provide insight into how the people who participate in the following programs are being affected by the COVID-19 pandemic:

IRIS (Include, Respect, I Self-Direct) is a self-directed program for Wisconsin’s frail elders and adults with disabilities. Participants decide what goods, support, and services are needed to help them achieve their goals and, using a pre-established budget, help create a support and service plan to meet their needs. 

Managed long-term care refers to a group of programs that use a managed care model to address participants’ needs:

• Family Care is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. 
• Family Care Partnership is a comprehensive program of services for frail elders and adults with disabilities, many of whom are eligible for both Medicaid and Medicare. The program integrates health and long-term support services, and includes home and community-based services, physician services, and all medical care. 
• PACE (Program of All-Inclusive Care for the Elderly) provides a full range of long-term care, health care, and prescription drugs to older people with chronic needs and is available in Racine, Milwaukee, and Waukesha counties.

DHS manually collects information on COVID-19 on an ongoing basis from the managed care organizations and IRIS consultant agencies that operate the programs listed above.  

We plan to update our data weekly on Tuesdays.

These data allow users to see the effects of COVID-19 on specific target groups participating in each of the two program areas. Target groups include frail elderly, individuals with intellectual or developmental disabilities, and individuals with physical disabilities. You can view case counts by program as well as total enrollment by category. 

Through the Division of Medicaid Services, DHS administers several programs that provide home and community-based services to frail elders and adults with disabilities. The above data provide insight into how the people that participate in the following programs are being affected by the COVID-19 pandemic:

IRIS is a self-directed program for Wisconsin’s frail elders and adults with disabilities. Participants decide what goods, support, and services are needed to help them achieve their goals and, using a pre-established budget, help create a support and service plan to meet their needs. 

Managed long-term care refers to a group of programs that use a managed care model to address participants’ needs:

• Family Care is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. 
• Family Care Partnership is a comprehensive program of services for frail elders and adults with disabilities, many of whom are both Medicaid- and Medicare-eligible. The program integrates health and long-term support services, and includes home and community-based services, physician services, and all medical care. 
• PACE provides a full range of long-term care, health care, and prescription drugs to older people with chronic needs and is available in Racine, Milwaukee, and Waukesha counties.

DHS manually collects information on COVID-19 on an ongoing basis from the managed care organizations and IRIS consultant agencies that operate the programs listed above.  

We plan to update our data weekly on Tuesdays.

These data provide cumulative information on the number of COVID-19-related hospitalizations and deaths among participants in the IRIS and managed long-term care programs beginning March 23, 2020. Death figures are not broken out for IRIS participants because low numbers jeopardize the anonymity of information.

Through the Division of Medicaid Services, DHS administers several programs that provide home and community-based services to frail elders and adults with disabilities. The above data provide insight into how the people that participate in the following programs are being affected by the COVID-19 pandemic:

IRIS is a self-directed program for Wisconsin’s frail elders and adults with disabilities. Participants decide what goods, support, and services are needed to help them achieve their goals and, using a pre-established budget, help create a support and service plan to meet their needs. 

Managed long-term care refers to a group of programs that use a managed care model to address participants’ needs:

• Family Care is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. 
• Family Care Partnership is a comprehensive program of services for frail elders and adults with disabilities, many of whom are both Medicaid- and Medicare-eligible. The program integrates health and long-term support services, and includes home and community-based services, physician services, and all medical care. 
• PACE provides a full range of long-term care, health care, and prescription drugs to older people with chronic needs and is available in Racine, Milwaukee, and Waukesha counties.

DHS manually collects information on COVID-19 on an ongoing basis from the managed care organizations and IRIS consultant agencies that operate the programs listed above.  

We plan to update our data weekly on Tuesdays.

These data look at COVID-19-related cases, hospitalizations and deaths based on the settings in which people in DHS programs using home and community-based services were living at the time of illness. Please note that these data only reflect cases among people in the IRIS, Family Care, Family Care Partnership, and PACE programs. Total case counts for long-term care facilities in Wisconsin are available on the Facility-Wide Investigations page.

Through the Division of Medicaid Services, DHS administers several programs that provide home and community-based services to frail elders and adults with disabilities. The above data provide insight into how the people that participate in the following programs are being affected by the COVID-19 pandemic:

IRIS is a self-directed program for Wisconsin’s frail elders and adults with disabilities. Participants decide what goods, support, and services are needed to help them achieve their goals and, using a pre-established budget, help create a support and service plan to meet their needs. 

Managed long-term care refers to a group of programs that use a managed care model to address participants’ needs:

• Family Care is a long-term care program that helps frail elders and adults with disabilities get the services they need to remain in their homes. 
• Family Care Partnership is a comprehensive program of services for frail elders and adults with disabilities, many of whom are both Medicaid- and Medicare-eligible. The program integrates health and long-term support services, and includes home and community-based services, physician services, and all medical care. 
• PACE provides a full range of long-term care, health care, and prescription drugs to older people with chronic needs and is available in Racine, Milwaukee, and Waukesha counties.

DHS manually collects information on COVID-19 on an ongoing basis from the managed care organizations and IRIS consultant agencies that operate the programs listed above.  

We plan to update our data weekly on Tuesdays.