November 30, 2015

On November 18, the Assembly Aging and Long Term Care Committee held an information hearing on Medicaid Managed Care – Family Care and IRIS 2.0. Two statewide advocacy organizations, Disability Rights Wisconsin (DRW) and the Board for People with Developmental Disabilities (BPDD), worked with Representative Tom Weatherston, the Chair of the Committee and a legislator from Racine, to arrange for four speakers to testify, including two national experts on disability services:


  • Ari Ne’eman, President of the Autistic Self-Advocacy Network (ASAN) and former appointee to the National Council on Disability, and
  • Patti Killingsworth, Assistant Commissioner and Chief of Long Term Services and Supports in Tennessee, a state that has had Medicaid managed care since 1994 and more recently moved to managed long term care.


Both provided informative testimony about national trends and specific state experiences. Ari focused on the key factors states should consider in moving to managed, integrated care models, which are also referred to as Managed Long Term Services and Supports (MLTSS). He noted that 22 states have MLTSS programs as of May 2015. Several more are planning for MLTSS over the next few years.


Patti Killingsworth focused on the experience and lessons learned from her state of Tennessee. She said that TennCare, the state’s Medicaid managed care program, has evolved and is a very different program today than when it started two decades ago. The TennCare CHOICES program for home and community based long term care services has a self-direction option that Patti said will expand when people with intellectual/developmental disabilities become part of MLTSS in July 2016.


You can view their recorded testimony and the Committee’s questions on WisconsinEye, the public affairs network, at this link:



November 2, 2015


We invite you to read TMG’s Concept Paper on the Future of Self-Direction in Wisconsin’s Long Term Care System. This paper is TMG’s response to the Wisconsin Department of Health Service’s request for written comments to help inform the Department’s work on the new model that will integrate long term care with physical and behavioral health care.


As our paper indicates, we see integrated care as an opportunity to leverage the value of self-direction with the benefits of health care coordination to create a better experience for the person and a more sustainable long term care system for the state. We look forward to working with the Department, the Legislature and other stakeholders to ensure self-direction continues as a fundamental component of Wisconsin’s long term care system.



August 6, 2015


If you are interested in more information on the state budget, here are some additional resources.


The complete budget document that was passed by the Legislature and signed by the Governor can be found at the link below (see pages 638-640 for the provisions related to IRIS and long term care):



The Governor’s veto message can be found at the link below (see page 33 of the message for the vetoes related to long term care):