State Policy · WI
Wisconsin Expands Family Care Managed LTSS to 9,000 Members in 2027
Wisconsin's Department of Health Services will expand managed long-term care options to over 9,000 Medicaid members in southeastern Wisconsin starting in 2027. The expansion affects enrollees in Family Care and Family Care Partnership, the state's managed LTSS programs for older adults and people with disabilities. Implementation begins in 2027, though specific effective dates were not provided in the July 2026 announcement. The expansion increases managed care penetration in Wisconsin's LTSS delivery system and may trigger network adequacy requirements and contract amendments for participating MCOs.
Why it mattersThis expansion increases the number of Medicaid LTSS members subject to managed care requirements and will likely require MCOs to expand provider networks and update capitation arrangements in southeastern Wisconsin counties.