MedicaidPrior AuthMedium impact
Family Care, Partnership, and IRIS Expand in Dane County
Wisconsin Medicaid (ForwardHealth)·WI · Family Medicine, General Practice, Internal Medicine +3 more·Medical Policy
Effective date
Feb 1, 2018
We identified it
Jun 20, 2026
Summary
Beginning February 1, 2018, Family Care, Partnership, and IRIS long-term care programs expanded in Dane County, Wisconsin. Healthcare providers serving Medicaid-eligible patients with long-term care needs must now obtain prior authorization from designated managed care organizations before rendering services.
Action Required
By February 1, 2018: Providers serving Dane County Medicaid patients with long-term care needs must join MCO provider networks (Care Wisconsin, My Choice Family Care, iCare) and obtain prior authorization before rendering Family Care or Partnership services. For IRIS services, complete Medicaid provider agreements with participant fiscal employer agents. Always verify patient enrollment status before services using WiCall (800-947-3544), enrollment verification vendors, or ForwardHealth Portal.