Monday, February 22, 2016

When New Wisconsin Family Care IRIS 2.0 Goes State Wide


                                                        NEW FAMILY CARE IRIS 2.0

-          The Centers for Medicare and Medicaid authorize a waiver for Wisconsin

Department of Health Services

-          Department of Health Services authorizes the Aging and Disability Resource Centers  

To screen consumers for eligibility for Family Care IRIS 2.0 benefits

-          The Aging and Disability Resource Centers refer consumers eligible for Family Care IRIS 2.0

To Integrated Health Agencies

-          Integrated Health Agencies are contracted with the Department of Health Services and

The Office of Commissioner of Insurance to administer the defined benefits

-          Integrated Health Agencies will contract with a claims processor entitled to co-manage the

Family Care IRIS 2.0 fund

-          The provider will likely be required to contract with the Centers for Medicare and Medicaid,

The assigned claims processor and the Integrated Health Agencies

-          Being deemed eligible for the Family Care IRIS 2.0 program benefits does not assure

Access to staff that can help

-          The transition across the system to establish productive operating links involves time-

In which eligible consumers will utilize the higher cost skilled medical service for care

-          Please watch as DHS publishes initial Family Care IRIS 2.0 transition plans on their website

In the first week of March

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