Site Visit

Community-Based Long-Term Care: Wisconsin Stays Ahead
August 8–10, 2007


Judith D. Moore, Carol V. O'Shaughnessy, MA & Lisa Sprague, MBA


This report describes a site visit to Wisconsin in August 2007 that focused on the use of home and community-based services, both public and private, to delay or avoid the need for institutional care. Wisconsin was chosen because it has long been a leader among states in developing such services for the elderly and persons with disabilities. At the time of the visit, a managed long-term care program, Family Care, was operating on a pilot basis in five counties. The Partnership Program, a four-site demonstration integrating acute and long-term care for the dual eligible population (both frail elderly and younger persons with disabilities who are eligible for Medicare and Medicaid), was in the process of transitioning to a set of Medicare Special Needs Plans. Site visit participants visited Partnership operations in Madison and talked with representatives of Family Care in rural Richland County. Researchers from the University of Wisconsin, state officials, service providers, caregivers, and beneficiaries also participated in panel sessions and informal discussions.

Related Materials

For details on participants' impressions, see the Site Visit Report, published December 14, 2007. See also the report from a follow-up visit to Milwaukee (August 2008).

Other related Forum products include "National Spending for Long-Term Services and Supports (LTSS), 2012," (The Basics, March 27, 2014); Forum sessions on Medicaid managed long-term care (April 2008), consumer direction and Money Follows the Person (November 2008), and informal caregiving (September 2007); and a background paper on the Aging Services Network.

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