Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Family Care, Family Care Partnership, and PACE: Monthly Capitation Rates for Managed Care Organizations

Managed care organizations (MCOs) for Family CareFamily Care Partnership (Partnership), and PACE (Program of All-Inclusive Care for the Elderly) get paid a set fee each month for each program member they serve. This is called capitation.

View the most recent capitation rates. You can also view capitation rates by month from past years. If you have questions, contact the Bureau of Rate Setting at dhsltcfiscaloversight@dhs.wisconsin.gov.

2024 capitation rates

There are capitation rate reports and exhibits for each program. The report includes descriptions of the rate development steps. Exhibits show the rate development calculations. We’ve included an Excel file of the exhibits to allow for easier review.

Family Care

Partnership

PACE

Capitation rates from past years

The tables show monthly capitation rates for MCOs. We list rates by geographic service region (GSR):

There are capitation rate reports and exhibits for each program. The report includes descriptions of the rate development steps. Exhibits show the rate development calculations. We’ve included an Excel file of the exhibits to allow for easier review.

Family Care

Partnership

PACE

Family Care

2021 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesDevelopment DisabilityPhysical DisabilityFrail ElderNon-Nursing Home
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$4,283.19$3,184.00$3,114.93$564.05
Community Care, Inc.GSR 8: Milwaukee$4,376.90$2,925.38$2,947.51$587.56
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,445.23$2,529.67$2,789.81$531.11
Community Care, Inc.GSR 10: Calumet, Outagamie, Waupaca$4,084.51$2,906.49$2,849.84$517.86
Community Care, Inc.GSR 11: Kenosha, Racine$4,259.49$2,995.17$2,970.57$590.03
Community Care, Inc.GSR 12: Dane$4,658.29$3,629.71$3,702.11$545.16
Inclusa, Inc.GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$4,561.55$2,904.45$2,911.38$530.68
Inclusa, Inc.GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,977.35$2,434.24$2,700.08$507.55
Inclusa, Inc.GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,829.12$2,487.69$2,686.46$517.20
Inclusa, Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,704.20$2,664.45$2,782.70$511.87
Inclusa, Inc.GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,874.41$2,649.79$2,646.41$510.75
Inclusa, Inc.GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$4,002.92$3,150.13$2,945.11$571.73
Inclusa, Inc.GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,947.39$2,653.45$2,708.99$523.18
Inclusa, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago*$3,932.09$2,566.07$2,795.25$526.35
Inclusa, Inc.GSR 10: Calumet, Outagamie, Waupaca*$4,266.25$2,892.70$2,826.04$519.55
Inclusa, Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$4,555.56$3,277.53$2,708.00578.32
Inclusa, Inc.GSR 14: Rock$5,031.44$2,719.12$3,092.87$584.25
Lakeland Care Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,557.92$2,710.69$2,725.56$521.22
Lakeland Care Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,776.86$2,564.20$2,819.63$528.79
Lakeland Care Inc.GSR 10: Calumet, Outagamie, Waupaca$3,897.37$2,819.20$2,796.20$524.00
Lakeland Care Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$4,028.87$3,139.81$3,082.05$602.27
My Choice WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$3,332.22$2,636.45$2,657.49$497.20
My Choice WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,927.25$2,109.15$2,408.77$506.63
My Choice WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,091.59$2,292.36$2,449.33$547.34
My Choice WisconsinGSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,927.10$2,804.39$2,789.45$508.54
My Choice WisconsinGSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$4,378.91$3,187.94$3,156.78$583.10
My Choice WisconsinGSR 8: Milwaukee$4,063.94$2,689.23$2,805.75$602.95
My Choice WisconsinGSR 11: Kenosha, Racine$4,509.54$2,576.55$3,160.61$589.40
My Choice WisconsinGSR 12: Dane$4,647.40$4,053.57$3,778.88$543.41
My Choice WisconsinGSR 14: Rock$3,692.55$3,172.34$2,790.66$611.66

Notes:

  • Effective Jan. 01, 2021, MCOs get capitation rates paid at the MCO GSR target group level.
  • Effective Apr. 01, 2021, Inclusa begins operations in GSR 9 and GSR 10.
Partnership and PACE
MCOGeographic Service RegionDevelopmental Disability, DEDevelopmental Disability, MAPhysical Disability, DEPhysical Disability, MAFrail Elder, DEFrail Elder, MA
Community Care Health PlanGSR 6: Ozaukee, Washington, Waukesha$3,822.92$5,437.83$3,059.20$4,674.10$3,333.26$4,948.17
Community Care Health PlanGSR 8: Milwaukee$6,336.36$7,946.92$3,966.04$5,576.59$3,539.47$5,150.02
Community Care Health PlanGSR 10: Calumet, Outagamie, Waupaca$5,256.89$6,618.67$2,832.66$4,194.43$3,186.51$4,548.29
Community Care Health PlanGSR 11: Kenosha, Racine$4,132.76$5,740.76$2,843.36$4,451.36$3,322.02$4,930.02
Community Care Health PlanPACE (Kenosha*, Milwaukee, Racine, Waukesha)$5,142.72$8,514.75$3,376.40$6,748.42$3,349.39$6,721.41
Independent Care Health PlanGSR 3: Sauk$3,620.43$4,683.98$3,547.27$4,610.81$3,547.02$4,610.55
Independent Care Health PlanGSR 8: Milwaukee$4,966.30$6,489.88$3,081.72$4,605.31$2,920.51$4,444.09
Independent Care Health PlanGSR 11: Kenosha, Racine$4,967.20$6,072.09$2,819.16$4,194.06$3,428.39$4,803.30
Independent Care Health PlanGSR 12: Dane$4,142.71$5,993.60$2,797.56$4,648.45$2,955.86$4,806.76
My Choice Wisconsin Health PlanGSR 3: Sauk$3,606.22$4,740.21$3,533.05$4,667.04$3,532.80$4,666.78
My Choice Wisconsin Health PlanGSR 5: Columbia, Dodge, Jefferson$4,510.58$5,731.78$3,056.72$4,277.92$3,089.99$4,311.19
My Choice Wisconsin Health PlanGSR 6: Ozaukee, Washington, Waukesha$3,731.37$5,374.08$3,234.56$4,877.26$3,248.74$4,891.44
My Choice Wisconsin Health PlanGSR 12: Dane$3,852.18$5,512.99$3,043.86$4,704.68$3,155.22$4,816.03

Notes:

  • Effective Jan. 01, 2021, MCOs for Partnership and PACE get capitation rates paid at the MCO GSR eligibility target group level.
  • “DE” means Medicare–Medicaid eligibility. “MA” means Medicaid only eligibility.
  • Effective Aug. 01, 2021, PACE operations began in Kenosha County.

Family Care 2020

2020 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$3,601.34$525.28
Community Care, Inc.GSR 8: Milwaukee$3,353.83$559.65
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$2,883.07$490.76
Community Care, Inc.GSR 10: Calumet, Outagamie, Waupaca$3,391.25$498.35
Community Care, Inc.GSR 11: Kenosha, Racine$3,531.85$531.35
Inclusa, Inc.GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$3,685.23$523.50
Inclusa, Inc.GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,146.95$485.24
Inclusa, Inc.GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,120.34$491.01
Inclusa, Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,212.74$483.10
Inclusa, Inc.GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,191.73$489.09
Inclusa, Inc.GSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$3,362.77$530.98
Inclusa, Inc.GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,228.91$518.95
Inclusa, Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,653.58$566.10
Inclusa, Inc.GSR 14: Rock$4,397.39$631.51
Lakeland Care Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,075.08$488.48
Lakeland Care Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,311.48$514.24
Lakeland Care Inc.GSR 10: Calumet, Outagamie, Waupaca$3,167.71$503.37
Lakeland Care Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,763.64$600.44
My Choice Family Care-Care WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$2,777.96$474.80
My Choice Family Care-Care WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,458.84$464.96
My Choice Family Care-Care WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,538.51$500.29
My Choice Family Care-Care WisconsinGSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,303.40$489.24
My Choice Family CareGSR 6: Ozaukee, Sheboygan, Walworth, Washington, Waukesha$3,603.78$541.44
My Choice Family CareGSR 8: Milwaukee$3,109.44$556.60
My Choice Family CareGSR 11: Kenosha, Racine$3,193.95$533.41
My Choice Family CareGSR 12: Dane$4,635.64$517.18
My Choice Family CareGSR 14: Rock$3,604.31$610.14
Partnership and PACE
MCOGeographic Service RegionNursing Home
Community Care Health PlanGSR 6: Ozaukee, Waukesha, Washington$3,774.61
Community Care Health PlanGSR 10: Calumet, Outagamie, Waupaca$3,932.44
Community Care Health PlanGSR 11: Kenosha, Racine$3,925.03
Community Care Health PlanGSR 8: Milwaukee (Partnership)$5,847.65
Community Care Health PlanPACE (Milwaukee, Racine, Waukesha)$4,010.40
Independent Care Health PlanGSR 3: Sauk$4,201.29
Independent Care Health PlanGSR 8: Milwaukee$3,875.91
Independent Care Health PlanGSR 11: Kenosha, Racine$3,824.45
Independent Care Health PlanGSR 12: Dane$3,609.50
My Choice Family Care-Care WisconsinGSR 3: Sauk$3,984.69
My Choice Family Care-Care WisconsinGSR 5: Columbia, Dodge, Jefferson$3,936.41
My Choice Family Care-Care WisconsinGSR 6: Ozaukee, Waukesha, Washington$3,692.11
My Choice Family Care-Care WisconsinGSR 12: Dane$3,518.22

 

Family Care

2019 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$3,210.03$500.26
Care WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,537.12$495.21
Care WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,002.21$538.57
Care WisconsinGSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,471.64$493.12
Care WisconsinGSR 6: Ozaukee, Sheboygan, Walworth$3,178.58$514.24
Care WisconsinGSR 5-6: Washington, Waukesha$3,682.81$502.99
Care WisconsinGSR 11: Kenosha, Racine$3,340.53$515.66
Care WisconsinGSR 12: Dane$4,284.72$532.07
Care WisconsinGSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,351.93$525.48
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth$3,521.87$482.13
Community Care, Inc.GSR 5-6: Washington, Waukesha$3,668.00$524.49
Community Care, Inc.GSR 8: Milwaukee$3,214.81$519.43
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,056.16$492.76
Community Care, Inc.GSR 10: Calumet, Outagamie, Waupaca$3,498.87$478.46
Community Care, Inc.GSR 11: Kenosha, Racine$3,509.35$511.28
Inclusa, Inc.GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$3,633.16$499.18
Inclusa, Inc.GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,303.34$529.20
Inclusa, Inc.GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,184.74$493.55
Inclusa, Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,135.73$480.44
Inclusa, Inc.GSR 5: Adams, Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,172.31$493.12
Inclusa, Inc.GSR 5-6: Washington, Waukesha$3,414.60$515.22
Inclusa, Inc.GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,227.50$510.51
Inclusa, Inc.GSR 14: Rock$4,035.59$536.67
Lakeland Care Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,219.70$488.59
Lakeland Care Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,380.56$512.47
Lakeland Care Inc.GSR 10: Calumet, Outagamie, Waupaca$3,229.54$483.46
Lakeland Care Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,725.50$521.62
My Choice Family CareGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,169.47$519.68
My Choice Family CareGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,052.34$500.61
My Choice Family CareGSR 6: Ozaukee, Sheboygan, Walworth$3,224.47$514.09
My Choice Family CareGSR 5-6: Washington, Waukesha$3,364.72$516.28
My Choice Family CareGSR 8: Milwaukee$3,049.17$530.22
My Choice Family CareGSR 11: Kenosha, Racine$3,205.27$515.51
My Choice Family CareGSR 12: Dane$4,213.56$531.92
My Choice Family CareGSR 14: Rock$3,180.50$537.74
Partnership and PACE 
MCOGeographic Service RegionNursing Home
Care WisconsinSauk$3,878.40
Care WisconsinColumbia, Dodge, Jefferson$3,866.51
Care WisconsinOzaukee, Waukesha, Washington$2,931.68
Care WisconsinDane$3,502.70
Community Care Health PlanOzaukee, Washington, Waukesha$3,840.89
Community Care Health PlanCalumet, Outagamie, Waupaca$3,682.11
Community Care Health PlanKenosha, Racine$3,739.38
Community Care Health PlanMilwaukee (Partnership)$5,643.21
Community Care Health PlanPACE (Milwaukee, Waukesha, Racine)$3,426.79
Independent Care Health PlanSauk$4,116.61
Independent Care Health PlanMilwaukee$3,593.83
Independent Care Health PlanKenosha, Racine$3,759.16
Independent Care Health PlanDane$3,679.43

 

Family Care

2018 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$2,950.63$482.45
Care WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,954.61$481.03
Care WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,831.65$480.05
Care WisconsinGSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,344.36$455.36
Care WisconsinGSR 6: Ozaukee, Sheboygan, Walworth$3,134.36$489.69
Care WisconsinGSR 5-6: Washington, Waukesha$3,558.54$487.55
Care WisconsinGSR 11: Kenosha, Racine$3,295.05$487.80
Care WisconsinGSR 12: Dane$4,782.62$499.86
Care WisconsinGSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$2,941.37$464.83
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth$3,362.35$477.92
Community Care, Inc.GSR 5-6: Washington, Waukesha$3,527.34$489.58
Community Care, Inc.GSR 8: Milwaukee$2,969.76$507.02
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$2,913.54$465.84
Community Care, Inc.GSR 10: Calumet, Outagamie, Waupaca$3,221.55$458.22
Community Care, Inc.GSR 11: Kenosha, Racine$3,298.30$487.14
Inclusa, Inc.GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix, Taylor$3,446.72$478.08
Inclusa, Inc.GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,149.23$485.41
Inclusa, Inc.GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$3,063.15$475.39
Inclusa, Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$3,104.61$456.38
Inclusa, Inc.GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,090.54$454.89
Inclusa, Inc.GSR 5-6: Washington, Waukesha$3,477.19$485.95
Inclusa, Inc.GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,198.56$484.23
Inclusa, Inc.GSR 14: Rock$3,805.78$465.37
Lakeland Care Inc.GSR 4: Florence, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Vilas, Wood$2,945.57$461.16
Lakeland Care Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,258.36$468.70
Lakeland Care Inc.GSR 10: Calumet, Outagamie, Waupaca$3,136.78$465.05
Lakeland Care Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,444.92$488.09
My Choice Family CareGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,048.47$484.56
My Choice Family CareGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,983.95$477.15
My Choice Family CareGSR 6: Ozaukee, Sheboygan, Walworth$3,288.05$487.11
My Choice Family CareGSR 5-6: Washington, Waukesha$3,359.37$487.21
My Choice Family CareGSR 8: Milwaukee$3,009.39$498.12
My Choice Family CareGSR 11: Kenosha, Racine$3,152.76$487.15
My Choice Family CareGSR 12: Dane$4,772.71$498.81
My Choice Family CareGSR 14: Rock$2,927.90$470.61
Partnership and PACE

2018 Partnership and PACE Capitation Rate Report (PDF)

MCOGeographic Service RegionNursing Home
Care WisconsinSauk$3,608.28
Care WisconsinColumbia, Dodge, Jefferson$3,893.22
Care WisconsinOzaukee, Waukesha, Washington$2,613.23
Care WisconsinDane$3,375.84
Community Care Health PlanOzaukee, Washington, Waukesha$3,764.54
Community Care Health PlanCalumet, Outagamie, Waupaca$3,496.71
Community Care Health PlanKenosha, Racine$3,761.33
Community Care Health PlanMilwaukee (Partnership)$5,429.34
Community Care Health PlanPACE (Milwaukee, Waukesha, Racine)$3,573.31
Independent Care Health PlanSauk$3,783.48
Independent Care Health PlanMilwaukee$3,401.21
Independent Care Health PlanKenosha, Racine$3,627.22
Independent Care Health PlanDane$3,291.47

 

Family Care

2017 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix$3,325.39$471.42
Care WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,958.69$457.69
Care WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,843.28$459.68
Care WisconsinGSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,547.35$456.16
Care WisconsinGSR 6: Ozaukee, Sheboygan, Walworth$3,132.14$478.48
Care WisconsinGSR 5-6: Washington, Waukesha$3,603.83$472.21
Care WisconsinGSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,236.89$449.99
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth$3,411.83$475.83
Community Care, Inc.GSR 8: Milwaukee$3,118.30$468.59
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,009.08$460.73
Community Care, IncGSR 10: Calumet, Outagamie, Waupaca$3,299.79$452.75
Community Care, Inc.GSR 11: Kenosha, Racine$3,416.11$462.37
Community Care, Inc.GSR 5-6: Washington, Waukesha$3,577.82$471.41
Community Link, Inc.GSR 4: Langlade, Lincoln, Marathon, Portage, Wood$3,089.84$455.18
Community Link, Inc.GSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,121.67$449.03
Community Link, Inc.GSR 14: Rock$3,457.07$445.57
Community Link, Inc.GSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix$3,320.91$469.91
Community Link, Inc.GSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,936.69$457.28
Community Link, Inc.GSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,234.12$458.02
Community Link, Inc.GSR 5-6: Washington, Waukesha$3,355.54$471.97
Community Link, Inc.GSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,094.95$453.56
Lakeland Care Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,203.47$461.94
Lakeland Care Inc.GSR 10: Calumet, Outagamie, Waupaca$3,086.41$456.42
Lakeland Care Inc.GSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,542.90$449.42
My Choice Family CareGSR 6: Ozaukee, Sheboygan, Walworth$3,296.97$477.11
My Choice Family CareGSR 8: Milwaukee$2,949.65$462.31
My Choice Family CareGSR 11: Kenosha, Racine$3,176.75$464.31
My Choice Family CareGSR 5-6: Washington, Waukesha$3,335.71$473.28
My Choice Family CareGSR 14: Rock$3,470.17$446.54
Partnership and PACE

2017 Partnership and PACE Capitation Rate Report (PDF)

MCOGeographic Service RegionNursing Home
Care WisconsinSauk$3,843.51
Care WisconsinColumbia, Dodge, Jefferson$4,274.58
Care WisconsinOzaukee, Waukesha, Washington$3,393.19
Care WisconsinDane$3,523.27
Community Care Health PlanOzaukee, Washington, Waukesha$3,548.87
Community Care Health PlanCalumet, Outagamie, Waupaca$3,443.48
Community Care Health PlanKenosha, Racine$3,706.78
Community Care Health PlanMilwaukee (Partnership)$4,981.05
Community Care Health PlanPACE (Milwaukee, Waukesha)$3,509.70
Independent Care Health PlanMilwaukee$3,270.35
Independent Care Health PlanKenosha, Racine$3,559.76
Independent Care Health PlanDane$3,663.07

 

Family Care

2016 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix$3,369.29$481.86
Care WisconsinGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,843.27$468.65
Care WisconsinGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,970.97$473.10
Care WisconsinGSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,552.07$484.61
Care WisconsinGSR 6: Ozaukee, Sheboygan, Walworth$2,977.62$503.87
Care WisconsinGSR 5-6: Washington, Waukesha$3,600.09$475.86
Care WisconsinGSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,247.61$471.22
Community Care, Inc.GSR 6: Ozaukee, Sheboygan, Walworth$3,187.85$501.30
Community Care, Inc.GSR 8: Milwaukee$3,095.22$505.14
Community Care, Inc.GSR 9: Fond du Lac, Manitowoc, Winnebago$3,037.01$482.92
Community Care, IncGSR 10: Calumet, Outagamie, Waupaca$3,172.89$470.64
Community Care, Inc.GSR 11: Kenosha, Racine$3,358.56$491.58
Community Care, Inc.GSR 5-6: Washington, Waukesha$3,476.03$510.00
Community Care Connections of WisconsinGSR 4: Langlade, Lincoln, Marathon, Portage, Wood$3,019.36$481.20
Community Care Connections of WisconsinGSR 7: Ashland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,088.75$480.36
Community Care Connections of WisconsinGSR 14: Rock$3,512.90$472.70
ContinuUsGSR 1: Chippewa, Dunn, Eau Claire, Pierce, St. Croix$3,384.49$484.08
ContinuUsGSR 3: Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,986.18$475.57
ContinuUsGSR 5: Columbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,384.96$487.79
ContinuUsGSR 5-6: Washington, Waukesha$3,416.21$502.31
Lakeland Care DistrictGSR 9: Fond du Lac, Manitowoc, Winnebago$3,198.43$486.70
Lakeland Care DistrictGSR 10: Calumet, Outagamie, Waupaca$3,109.00$475.90
Lakeland Care DistrictGSR 13: Brown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,281.33$473.58
My Choice Family CareGSR 6: Ozaukee, Sheboygan, Walworth$3,034.93$501.70
My Choice Family CareGSR 8: Milwaukee$2,867.13$493.09
My Choice Family CareGSR 11: Kenosha, Racine$3,141.01$495.81
My Choice Family Care)GSR 5-6: Washington, Waukesha$3,214.31$499.10
My Choice Family CareGSR 14: Rock$3,503.37$470.94
Western Wisconsin CaresGSR 2: Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$3,041.71$472.13
Partnership and PACE

2016 Partnership and PACE Capitation Rate Report (PDF)

MCOGeographic Service RegionNursing Home
Care WisconsinSauk$4,183.79
Care WisconsinColumbia, Dodge, Jefferson$4,375.63
Care WisconsinOzaukee, Waukesha$3,608.06
Care WisconsinDane$3,528.49
Community Care, Inc.Ozaukee, Washington, Waukesha$3,756.40
Community Care, Inc.Calumet, Outagamie, Waupaca$3,594.47
Community Care, Inc.Kenosha, Racine$3,768.51
Community Care, Inc.Milwaukee (Partnership)$4,571.07
Community Care, Inc.PACE (Milwaukee, Waukesha)$3,690.16
Independent Care Health PlanMilwaukee$3,126.07
Independent Care Health PlanKenosha, Racine$3,520.09
Independent Care Health PlanDane$3,526.94

 

Family Care

2015 Family Care Capitation Rates (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinBuffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,746.55$519.35
Care WisconsinColumbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,492.60$517.25
Care WisconsinOzaukee, Sheboygan, Walworth$2,808.53$561.19
Care WisconsinWashington, Waukesha$3,498.72$521.74
Care WisconsinBrown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,069.69$524.40
Community Care, Inc.Ozaukee, Sheboygan, Walworth$3,053.67$557.82
Community Care, Inc.Milwaukee$3,292.89$531.91
Community Care, Inc.Fond du Lac, Manitowoc, Winnebago$3,176.89$521.19
Community Care, Inc.Calumet, Outagamie, Waupaca$3,125.42$524.09
Community Care, Inc.Kenosha, Racine$3,211.70$549.12
Community Care, Inc.Washington, Waukesha$3,444.10$523.53
Community Care Connections of WisconsinLanglade, Lincoln, Marathon, Portage, Wood$3,077.79$520.93
Community Care Connections of WisconsinAshland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$3,090.05$524.20
ContinuUsChippewa, Dunn, Eau Claire, Pierce, St. Croix$3,199.45$506.42
ContinuUsCrawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,878.84$510.41
ContinuUsColumbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,435.71$519.20
ContinuUsWashington, Waukesha$3,265.43$525.12
Lakeland Care DistrictFond du Lac, Manitowoc, Winnebago$3,151.69$531.27
Lakeland Care DistrictCalumet, Outagamie, Waupaca$3,216.52$533.13
Lakeland Care DistrictBrown, Door, Kewaunee, Marinette, Menominee, Oconto, Shawano$3,096.39$529.50
Milwaukee County Department of Family CareOzaukee, Sheboygan, Walworth$3,042.36$553.19
Milwaukee County Department of Family CareMilwaukee$2,759.49$535.38
Milwaukee County Department of Family CareKenosha, Racine$2,971.26$550.36
Milwaukee County Department of Family CareWashington, Waukesha$3,239.79$523.80

Western Wisconsin Cares
Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,843.68$522.51
Partnership and PACE

2015 Partnership and PACE Capitation Rate Report (PDF)

MCOGeographic Service RegionNursing Home
Care WisconsinSauk3650.11
Care WisconsinColumbia, Dodge, Jefferson3970.98
Care WisconsinDane3151.48
Community Care, Inc.Washington, Waukesha3421.76
Community Care, Inc.Calumet, Outagamie, Waupaca3306.79
Community Care, Inc.Kenosha, Racine3425.55
Community Care, Inc.Milwaukee (Partnership)4378.42
Community Care, Inc.Milwaukee (PACE)3493.37
Independent Care Health PlanMilwaukee3360.69
Independent Care Health PlanKenosha, Racine3514.89
Independent Care Health PlanDane3584.87

 

Family Care

2014 Family Care Capitation Rate Report (PDF)

MCOGeographic Service Region CountiesNursing HomeNon-Nursing Home
Care WisconsinBuffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,540.83$576.08
Care WisconsinColumbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,264.87$585.62
Care WisconsinWashington, Waukesha$3,252.40$554.77
Care WisconsinOzaukee, Sheboygan, Walworth$2,925.41$576.08
Community Care of Central WisconsinLanglade, Lincoln, Marathon, Portage, Wood$2,975.24$575.53
Community Care of Central WisconsinAshland, Barron, Bayfield, Burnett, Douglas, Iron, Polk, Price, Rusk, Sawyer, Washburn$2,908.49$569.76
Community Care, Inc.Calumet, Outagamie, Waupaca$3,099.42$545.50
Community Care, Inc.Kenosha, Racine$3,158.38$542.19
Community Care, Inc.Washington, Waukesha$3,360.80$564.43
Community Care, Inc.Ozaukee, Sheboygan, Walworth$3,117.14$547.84
Community Care, Inc.Milwaukee$3,154.96$547.84
ContinuUsChippewa, Dunn, Eau Claire, Pierce, St. Croix$3,108.39$558.70
ContinuUsCrawford, Grant, Green, Iowa, Juneau, Lafayette, Richland, Sauk$2,921.67$558.70
ContinuUsColumbia, Dodge, Green Lake, Jefferson, Marquette, Waushara$3,542.24$558.70
ContinuUsWashington, Waukesha$3,484.90$558.70
Lakeland Care DistrictFond du Lac, Manitowoc, Winnebago$3,030.52$592.88
Milwaukee County Department of Family CareKenosha, Racine$3,158.38$544.66
Milwaukee County Department of Family CareWashington, Waukesha$3,422.52$544.66
Milwaukee County Department of Family CareOzaukee, Sheboygan, Walworth$3,117.14$544.66
Milwaukee County Department of Family CareMilwaukee$2,677.19$544.66
Western Wisconsin CaresBuffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, Vernon$2,842.71$574.96
Partnership and PACE 

2014 Partnership and PACE Capitation Report (PDF)

MCOGeographic Service Region CountiesRate
Care Wisconsin Health PlanSauk$3,225.03
Care Wisconsin Health PlanColumbia, Dodge, Jefferson$3,479.91
Care Wisconsin Health PlanDane$3,043.64
Community Care Health PlanOzaukee, Washington, Waukesha$3,352.15
Community Care Health PlanMilwaukee (PACE)$3,164.73
Community Care Health PlanMilwaukee (Partnership)$3,991.38
Community Care Health PlanWaupaca, Outagamie, Calumet$3,211.70
Community Care Health PlanKenosha$3,509.64
Community Care Health PlanRacine$3,544.89
Independent Care Health PlanMilwaukee$3,297.97
Independent Care Health PlanKenosha$3,509.64
Independent Care Health PlanRacine$3,544.89

 

Family Care
MCONursing HomeNon-Nursing Home
Care Wisconsin – Washington/Waukesha$3,244.43$572.46
Care Wisconsin – Columbia/Dodge/Green Lake/Jefferson/Marquette/Waushara$3,432.43$572.46
Community Care of Central Wisconsin$3,016.50$564.33
Community Care, Inc. – Kenosha/Racine$3,076.43$558.88
Community Care, Inc. – Ozaukee/Sheboygan/Walworth$3,129.87$558.88
Community Care, Inc. – Milwaukee$3,240.35$558.88
Community Care, Inc. – Washington/Waukesha$3,475.64$558.88
Community Care, Inc. – Calumet/Outagamie/Waupaca$3,220.07$558.88
Lakeland Care District$3,075.87$601.55
Milwaukee County Department of Family Care – Milwaukee$2,777.05$586.42
Milwaukee County Department of Family Care – Kenosha/Racine$3,076.60$558.88
Northern Bridges$2,885.01$572.46
Southwest Family Care Alliance – Chippewa/Dunn/Eau Claire/Pierce/St. Croix$3,255.56$572.46
Southwest Family Care Alliance – Crawford/Grant/Green/Iowa/Juneau/Lafayette/Richland/Sauk$3,050.72$569.10
Western Wisconsin Cares$2,829.52$567.17
Partnership and PACE
MCORate
Community Care Health Plan – PACE$3,240.63
Community Care Health Plan – Milwaukee$4,185.46
Community Care Health Plan – Racine$3,597.99
Community Care Health Plan – Kenosha$3,581.81
Community Care Health Plan – Calumet/Outagamie/Waupaca$3,207.44
Community Care Health Plan – Ozaukee/Washington/Waukesha$3,500.89
Care Wisconsin Health Plan – Dane$3,164.85
Care Wisconsin Health Plan – Columbia/Dodge/Jefferson$3,691.50
Care Wisconsin Health Plan – Sauk$3,121.48
Independent Care, Inc. – Milwaukee$3,251.45
Independent Care, Inc. – Kenosha$3,581.81
Independent Care, Inc. – Racine$3,597.99

 

Family Care
MCONursing HomeNon-Nursing Home
Care Wisconsin$3,394.98$559.74
Community Care of Central Wisconsin$3,132.85$564.19
Community Care, Inc. - Kenosha/Racine$3,205.36$578.35
Community Care, Inc. - Milwaukee$3,453.93$578.35
Community Care, Inc. - Teal Region$3,142.02$578.35
Community Care, Inc. - Pink Region$3,133.58$578.35
Lakeland Care District$3,035.87$580.62
Community Health Partnership$3,729.25$559.74
Milwaukee County CMO$2,747.96$543.70
Northern Bridges$2,933.88$559.74
Southwest Family Care Alliance$2,954.78$540.96
Western Wisconsin Cares$2,850.54$557.13
Partnership and PACE
MCORate
Community Care Health Plan: PACE$3,150.30
Community Care Health Plan: Milwaukee$3,799.71
Community Care Health Plan: Racine$3,639.95
Community Care Health Plan: Expansion (Teal and Orange Region)$3,471.85
Community Care Health Plan: Expansion (Pink Region)$3,415.02
Partnership Health Plan$3,529.70
Care Wisconsin Health Plan$3,449.71
Independent Care, Inc.$3,124.40

 

Family Care
MCONursing HomeNon-Nursing Home
Care Wisconsin$3,344.33$702.93
Community Care of Central Wisconsin$2,996.50$694.05
Community Care, Inc. - Kenosha/Racine$3,302.33$606.61
Community Care, Inc. - Milwaukee$3,205.14$606.61
Community Care, Inc. - Teal Region$3,230.86$606.61
Community Care, Inc. - Pink Region$3,602.99$606.61
Lakeland Care District$2,946.00$831.94
Community Health Partnership$3,766.33$702.93
Milwaukee County CMO$2,813.93$805.38
Northern Bridges$3,007.51$702.93
Southwest Family Care Alliance$2,826.75$673.04
Western Wisconsin Cares$2,668.25$652.66
Partnership and PACE
MCORate
Community Care Health Plan: PACE$2,957.54
Community Care Health Plan: Milwaukee$3,089.13
Community Care Health Plan: Expansion (Teal and Orange Regions)$3,233.60
Community Care Health Plan: Expansion (Pink Regions)$3,377.88
Partnership Health Plan$3,638.02
Care Wisconsin Health Plan$3,202.90
Independent Care, Inc.$3,150.52

 

Family Care
MCONursing HomeNon-Nursing Home
Care Wisconsin$3,305.44$672.17
Community Care of Central Wisconsin$3,040.86$655.41
Community Care, Inc. - Kenosha/Racine$3,225.14$641.96
Community Care, Inc. - Milwaukee$3,542.05$641.96
Community Care, Inc. - Teal Region$3,113.71$641.96
Community Care, Inc. - Pink Region$3,481.36$641.96
Lakeland Care District (Fond du Lac County)$2,627.26$646.05
Community Health Partnership$3,391.34$672.17
Milwaukee County CMO$2,689.44$665.06
Northern Bridges$3,087.75$672.17
Southwest Family Care Alliance$2,885.37$681.08
Western Wisconsin Cares$2,783.16$626.79

 

Family Care
MCONursing HomeNon-Nursing Home
Creative Care Options of Fond du Lac County$ 2,441.23$ 715.12
Western Wisconsin Cares$ 2,564.33$ 646.02
Milwaukee County Department on Aging$ 2,400.28$ 718.90
Community Care of Central Wisconsin$ 2,846.20$ 696.87
Southwest Family Care Alliance$ 2,695.44$ 692.19
Community Care, Inc. (Kenosha/Racine)$ 3,031.48$ 718.32
Community Care, Inc. (Teal Region)$ 2,993.39$ 718.32
Care Wisconsin$ 2,927.16$ 703.11
Community Health Partnership$ 3,489.47$ 703.11
Northern Bridges$ 2,699.29$ 703.11
Partnership and PACE
MCORate
Community Care Health Plan: PACE$ 2,894.15
Community Care Health Plan: Milwaukee$ 2,949.95
Community Care Health Plan: Expansion$ 3,139.10
Partnership Health Plan$ 3,403.77
Care Wisconsin Health Plan$ 3,216.77

 

Family Care
CMO CountyNursing HomeNon-Nursing Home
Fond du Lac$ 2,324.17$ 691.71
La Crosse$ 2,238.09$ 656.11
Milwaukee$ 2,220.56$ 724.55
Portage$ 2,496.02$ 666.28
Richland$ 2,360.78$ 713.47
Community Care, Inc.
(Serves Kenosha and Racine Counties)
$ 2,957.33$ 689.33

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 2,233.20$ 691.35
La Crosse$ 2,186.22$ 691.35
Milwaukee$ 2,093.20$ 691.35
Portage$ 2,505.63$ 691.35
Richland$ 2,256.00$ 691.35
Community Care, Inc.
(Serves Kenosha and Racine Counties)
$ 2,670.23$ 691.35

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 2,157.53$ 691.35
La Crosse$ 2,022.50$ 691.35
Milwaukee$ 2,055.01$ 691.35
Portage$ 2,410.74$ 691.35
Richland$ 2,140.30$ 691.35

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 2,120.74$ 691.35
La Crosse$ 1,828.82$ 691.35
Milwaukee$ 2,055.01$ 691.35
Portage$ 2,320.75$ 691.35
Richland$ 2,140.30$ 691.35

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 1,881.07$ 674.49
La Crosse$ 1,764.17$ 674.49
Milwaukee$ 1,810.61$ 674.49
Portage$ 2,255.32$ 674.49
Richland$ 1,970.98$ 674.49

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 1,948.00$ 657.40
La Crosse$ 1,809.00$ 657.40
Milwaukee$ 1,765.09$ 657.40
Portage$ 2,390.60$ 657.40
Richland$ 2,004.24$ 657.40

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 1,897.04$ 640.74
La Crosse$ 1,748.84$ 640.74
Milwaukee$ 1,720.63$ 640.74
Portage$ 2,491.01$ 640.74
Richland$ 1,941.49$ 640.74

 

Family Care
CMO CountyComprehensiveIntermediate
Fond du Lac$ 1,844.30$ 628.79
La Crosse$ 1,709.12$ 628.79
Milwaukee$ 1,721.77$ 628.79
Portage$ 2,516.51$ 628.79
Richland$ 1,910.15$ 628.79

 

Family Care
CMO CountyComprehensive
Fond du Lac$ 1,651.32
La Crosse$ 1,583.86
Milwaukee$ 1,466.64
Portage$ 2,435.57

Glossary

 
Last revised April 23, 2024