Long Term Care Programs and Funding

Family Care and Include, Respect, I Self-Direct (IRIS) are Medicaid long-term care programs for frail elders, and adults with physical, developmental, or intellectual disabilities. People in the program receive long-term care services to help them manage their home and community-based long-term care needs. If individuals do not have their own long-term care insurance and meet the qualifications for Medicaid, they are eligible to receive either Family Care or IRIS, which help to fund the cost of long term care services. More information about each program is provided below. To learn more about Long Term Care funding or to receive options counseling please contact the ADRC at 262-741-3400.

  1. Family Care
  2. I.R.I.S.

Family CareFamily Care Options for Long-Term Care

The Family Care program is facilitated through managed care organizations, however enrollment in the program is provided through the Aging and Disability Resource Center (ADRC). Anyone interested in learning more about their options for long-term care, including applying for Family Care should contact their local ADRC.  

To be eligible for Family Care a person must have long-term care service needs, be an older adult or an adult with a disability, and meet financial eligibility requirements. Medicaid-eligible individuals automatically meet the financial eligibility criteria for Family Care. People receiving the Family Care benefit may be required to pay a cost share to their managed care organization.

If you choose to become a Family Care member you will have a care management team that will help you create goals and set up services to help you with your long term care needs.

Other Funding Options

  1. National Family Caregiver Support Program (NFCSP)
  2. Alzheimer's Family Caregiver Support Program (AFCSP)

NFCSP funds a range of supports that assist family and informal caregivers to care for their loved ones at home for as long as possible. Funding may be used for respite care, caregiver training, or supplemental services (on a limited basis). Participants are limited to 112 hours of respite care per year. 

Caregivers eligible to receive services:

  • Adult family members or other informal caregivers age 18 and older providing care to individuals 60 years of age and older
  • Adult family members or other informal caregivers age 18 and older providing care to individuals of any age with Alzheimer’s disease and related disorders
  • Older relatives (not parents) age 55 and older providing care to children under the age of 18; and
  • Older relatives, including parents, age 55 and older providing care to adults ages 18-59 with disabilities

Care person's eligibility:

  • Has significant cognitive or mental impairment or requires help with two or more activities of daily living
  • Resides in home setting (not facility)
  • Is age 60 or older – or has Alzheimer’s or other dementia, any age
  • No income or asset limts
  • Priority is given to low-income individuals and those with a diagnosis of dementia