a61ef615__Department_of_Health_Services__Current_System
[Redesigned System] In the new system, community care and nursing home care will be on an equal footing. People will have real choices about where and how they get needed care. [Current System] 
In 1997, after 15 years of COP being in place, only 21% of public long-term care spending for people with physical disabilities is for COP, Waivers and other flexible community programs. Forty percent of spending is still in institutions. Another 39% is in other Medicaid card services. (See figures below.)
Family Care History - Why People with Physical Disabilities Need Family Care | Wisconsin Department of Health Services
Current System