Molina/My Choice Partnership presenters describe care team model and new supplemental benefits for dual‑eligible members

Representatives from Molina/My Choice described the Family Care Partnership product, enrollment considerations in Winnebago County and supplemental benefits available to dual‑eligible members.

Jenny Butler and Tara Landowski introduced the program and provided background: the Family Care model covers long‑term services while Family Care Partnership also includes primary and acute care and integrates nurse practitioners and physician assistants into member care teams. Presenters said these clinicians participate in care team meetings, perform at‑home visits and help coordinate discharges and medication reviews; the program emphasizes transitions of care and a person‑centered plan developed with care managers and nurses.

The presenters traced organizational history (Care Wisconsin → My Choice Family Care → Molina acquisition in 2023) and said they are retaining the My Choice Wisconsin name in the region. They described member supports such as case aides who help schedule transportation and connect members to services, and noted annual quality reviews with high scores on measures including chronic condition management and member satisfaction.

Presenters outlined supplemental benefits for dual‑eligible members: an approximately $4,000 dental benefit, hearing aid coverage (two preselected hearing aids every two years), a $300 eyewear allowance plus a $0 annual eye exam, and a monthly flexible stipend on a benefit card. They explained the stipend amount varies by county (examples given of $2.20 or $1.85) and stated that Winnebago County members would receive $1.85 per month on the card to spend on eligible items including healthy food, OTCs, utilities and transportation not already covered in a member’s care plan.

Committee members raised concerns about facility contracting in Winnebago County and the difficulty ADRC counselors face helping members choose plans when provider lists are incomplete or unclear. Presenters acknowledged contracting gaps can deter enrollment and offered to work with contracting teams and to return for site visits or website walkthroughs for ADRC staff to improve enrollment counseling and reduce confusion for members.

Presenters also described eligibility checks (including SSDCI qualifiers) and vendor/point‑of‑sale limits; they invited staff to flag missing practitioners or facilities so contracting or network lists can be updated. They emphasized outreach and willingness to follow up privately with ADRC staff to prioritize contracting discussions.

The session closed with staff requests for the Molina team to return for more technical assistance and to provide materials that ADRC specialists can use in options counseling.