Explainer

WI Family Care Waiver

Published on
June 4, 2024
Last updated
June 4, 2024
Written by
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Katie Wilkinson
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This program provides support services to individuals ages 65 or older, individuals with physical or other disabilities ages 18-64 years, and individuals with developmental disabilities or intellectual disabilities ages 18 or older who meet a nursing facility or ICF/IID level of care.
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The Wisconsin Family Care Waiver is a Medicaid initiative aimed at assisting elderly and disabled adults in maintaining their independence within their communities. This program emphasizes providing personalized care and support to eligible individuals to prevent the need for institutionalization. It targets a specific demographic, focusing on those who require long-term care due to physical, intellectual, or age-related conditions.

Eligibility Requirements

Eligibility for the Wisconsin Family Care Waiver is determined by a combination of factors including income limits, disability criteria, and residency requirements. Applicants must meet certain financial thresholds and demonstrate a need for long-term care. The program also considers the severity of disability and the individual's ability to perform daily activities independently.

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Services and Supports

The Wisconsin Family Care Waiver offers a comprehensive range of services and supports tailored to meet the unique needs of each individual. The goal is to provide holistic and personalized care to enhance the quality of life and promote independence. Here are some key services and supports offered under the waiver:

  1. Nursing Services:
    • Professional nursing care to manage health conditions, administer medications, and provide medical treatments.
    • Regular health assessments and monitoring to ensure ongoing health and well-being.
  2. Personal Care:
    • Assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, and toileting.
    • Support with instrumental activities of daily living (IADLs) including meal preparation, housekeeping, and transportation.
  3. Therapies:
    • Physical therapy to improve mobility, strength, and physical function.
    • Occupational therapy to enhance the ability to perform daily tasks and improve overall independence.
    • Speech therapy to address communication and swallowing disorders.
  4. Community-Based Services:
    • Adult day care services providing social activities, meals, and medical care in a community setting.
    • Respite care offering temporary relief to primary caregivers.
    • Home-delivered meals ensuring access to nutritious food for those unable to prepare meals themselves.
  5. Assistive Technologies:
    • Provision of devices and equipment such as wheelchairs, walkers, and hearing aids to support daily functioning and mobility.
    • Installation of home modifications like ramps, grab bars, and stair lifts to enhance safety and accessibility.
  6. Care Management:
    • Personalized care planning and coordination by a dedicated care manager.
    • Regular reviews and adjustments to care plans based on changing needs and preferences.
  7. Behavioral Health Services:
    • Counseling and support for mental health issues, including depression and anxiety.
    • Behavioral interventions to manage challenging behaviors associated with intellectual or developmental disabilities.
  8. Transportation Services:
    • Non-emergency medical transportation to healthcare appointments and community activities.
    • Assistance with scheduling and coordinating rides to ensure timely and safe transportation.
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Compensation for Caregivers

Under the participant-direction option, beneficiaries of the Wisconsin Family Care Waiver can choose their caregivers for certain services. Caregivers can receive compensation by following the necessary documentation and reporting procedures. This ensures that caregivers are adequately compensated while providing personalized care to the beneficiaries.

Limitations and Challenges

While the Wisconsin Family Care Waiver offers numerous benefits, it faces challenges such as ensuring cost-effectiveness and meeting the diverse needs of individuals. There are also limitations in service provision and accessibility that need to be addressed to improve the overall effectiveness of the program.

A Note from Givers

If you or a loved one may be eligible for the Wisconsin Family Care Waiver, we encourage you to explore your options. Fill out a form for further information to understand the potential benefits of the program for eligible individuals and their caregivers. Givers is here to help you navigate the process and maximize the support available to you.

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