Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Wisconsin?
Last verified October 17, 2026 · All Wisconsin resources
Wisconsin delivers long-term services and supports through 6 managed care plans in Family Care and Family Care Partnership (IRIS self-direction is the alternative). Wisconsin delivers long-term care for frail elders and adults with physical or developmental disabilities mainly through Family Care and Family Care Partnership managed care organizations. Agencies contract with the MCOs that operate in their region. Members who choose IRIS self-direct their services instead, and those services are not run by an MCO.
Which plans are there?
- Anthem
- Community Care, Inc.
- Inclusa
- Lakeland Care
- My Choice Wisconsin
- iCare (Family Care Partnership only)
Family Care MCOs are assigned by geographic service region, with one to four MCOs per region (DHS map P-01790, May 2026). Partnership is offered by Community Care, Inc., My Choice Wisconsin and iCare in specific counties (P-01789).
For the programs that pay for home care, see Wisconsin Medicaid waivers.
What should you confirm with the state?
Anthem appears on the May 2026 Family Care region map as a newer MCO; check which MCOs serve your counties.
More for Wisconsin
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.