a61ef615__Department_of_Health_Services__Current_System
[Redesigned System] For those who enroll in Family Care, control over Medicaid services like personal care will be moved closer to the consumer. Local agencies will authorize services as part of an overall package of supports for each individual. Opportunities for self-directed care will be available to all enrollees. The current Medicaid fee-for-service system will remain in place; people who prefer it will still be able to get personal care and other Medicaid card services without joining Family Care. [Current System] 
Medicaid fee-for-service supports too cumbersome. Personal care, home health and therapy services under Medicaid are hard to manage. The state sets rates, prior-authorizes services and prescribes what specific kinds of services may be provided in each category.
Family Care History - Why People with Physical Disabilities Need Family Care | Wisconsin Department of Health Services
Current System