MedicaidAdministrativeLow impact
Family Care and IRIS Expansion
Wisconsin Medicaid (ForwardHealth)·WI · Geriatrics, Physical Therapy, Occupational Therapy·Medical Policy
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Summary
Wisconsin is expanding Family Care and IRIS long-term care programs to five additional counties (Florence, Forest, Oneida, Taylor, Vilas) effective July 1, 2017. Providers must join specific MCO networks for Family Care services and meet IRIS waiver requirements to render services to eligible Medicaid members in these counties.
Action Required
By July 1, 2017: Wisconsin providers serving the five new counties must join appropriate MCO networks (Community Link, Lakeland Care, or Care Wisconsin) to render Family Care services. For IRIS services, complete provider agreements with participants' fiscal employer agents and ensure all services are pre-authorized by IRIS consultants before rendering care. Always verify member enrollment before providing services using WiCall (800-947-3544) or ForwardHealth Portal.