Understanding Family Care in Wisconsin: How It Can Help Pay for Assisted Living and Memory Care Services

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Family Care is a Medicaid-managed care program in Wisconsin designed to provide services for elderly individuals in need. Services under Family Care are provided through regional organizations called Managed Care Organizations (MCOs), which coordinate and pay for services.

 

Who Is Eligible for Family Care? 

To qualify for Family Care, individuals must meet the following criteria:

  1. Age and Residency: Be at least 18 years old and a Wisconsin resident.

  2. Functional Eligibility: Require assistance with daily living activities, such as bathing, eating, or mobility.

    • This is determined through a functional screening process.

  3. Financial Eligibility: Meet Medicaid income and asset requirements.

    • As of 2025, single applicants typically must have less than $2,000 in assets, though some exemptions apply (e.g., a primary residence or personal vehicle).

If you’re unsure whether you or your loved one qualifies, your local Aging and Disability Resource Center (ADRC) can assist with the application process.

Click Here To Find an ADRC Near You

 

What Services Does Family Care Cover?

Family Care provides a broad range of services, including:

  • Personal care and hygiene assistance

  • Transportation for medical appointments and daily activities

  • Meal preparation and nutrition support

  • Household chores and maintenance

  • Therapies and specialized medical equipment

  • Memory care services for individuals with dementia or Alzheimer’s

Family Care can cover a portion of room-and-board expenses and care-related services for those in assisted living or memory care facilities.

 

Using Family Care to Pay for Assisted Living and Memory Care


Step 1: Contact Your Local ADRC

The first step is to reach out to your county’s ADRC. These centers offer free information about long-term care options and assist you with the Family Care application process.

 

Step 2: Apply for Financial and Functional Eligibility

Eligibility assessments involve two main steps:

  1. Financial Assessment: Ensure your income and assets meet Medicaid guidelines.

  2. Functional Screening: Evaluate your care needs using standardized tools.

 

Step 3: Enroll in a Managed Care Organization (MCO)

Once approved, you’ll select an MCO in your region. The MCO will coordinate your care and provide access to assisted living and memory care services.

 

Step 4: Work with Your Care Manager

Every Family Care participant is assigned a care manager and nurse, who work together to create a customized care plan. This plan outlines the services you need and ensures they’re delivered efficiently.

 

Step 5: Pay for Services

Family Care funds can be used to cover the costs of assisted living and memory care. While they may not cover 100% of room-and-board fees, they often subsidize a significant portion of care-related expenses, making these services more affordable. 

Wisconsin’s Family Care program offers essential support for families seeking financial and logistical assistance for assisted living and memory care services. By working with your local ADRC and MCO, you can ensure your loved one gets the high-quality care they deserve without facing overwhelming financial burden.

 

For more information, visit the Wisconsin DHS website or contact your local ADRC.

 

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