Family Care

The Family Care program is the result of the Wisconsin Department of Health Services (DHS) redesigning the long-term care system in Wisconsin. DHS identified four goals for the Family Care initiative:

  • Choice: Give people better choices about the services and supports available to meet their needs.
  • Access: Improve people's access to services.
  • Quality: Improve the overall quality of the long-term care system by focusing on achieving people's health and social outcomes.
  • Cost-Effectiveness: Create a cost-effective long-term care system for the future.

Family Care has two major organizational components:

  1. Aging and disability resource centers (ADRCs), designed to be a single entry point where older people and people with disabilities and their families can get information and advice about a wide range of resources available to them in their local communities.
  2. Managed care organizations (MCOs), which manage and deliver the new Family Care benefit, which combines funding and services from a variety of existing programs into one flexible long-term care benefit, tailored to each individual’s needs, circumstances and preferences.

Southwest Family Care Alliance is a managed care organization certified by the Office of the Commissioner of Insurance to provide the Family Care benefit to people residing in Crawford, Grant, Green, Iowa, Juneau, Lafayette, Richland and Sauk Counties.

When a person enrolls in Family Care through SFCA, the individual (member) becomes part of a team consisting of the member, a Registered Nurse care manager and a social services care manager. The team works together to identify the member’s goals or outcomes, strengths and needs. The care managers are responsible to support a member’s outcomes and authorize all necessary services to meet the member’s needs. SFCA is responsible to provide a flexible array of services in the defined Family Care benefit package.