Speaker Name(s): Judith E. Frye
Description: Presenter(s): Tom Lawless, Anne Olson, Marci Katz Managed Care Section Division of Disability and Elder Services Department of Health and Family Services This webcast is the first in a series of briefings to assist long-term care planning grantees and others interested in expanding managed long-term care in Wisconsin. Federal Medicaid managed care rules require states to calculate actuarially sound capitation rates. The State also requires managed care contractors to maintain risk reserves to ensure their financial solvency. This briefing will describe the Department's approach to rate setting and risk reserves with respect to managed long-term care expansion. The speakers will also highlight lessons learned from operating the current managed long-term care programs, Family Care and the Wisconsin Partnership Program.