Member Responsibilities

Things you need to do as a member of Western Wisconsin Cares are listed below. If you have any questions, please contact your care team. We are here to help.

  • Become familiar with the services in the Family Care benefit package. This includes understanding what you need to do to get your services.
  • Participate in the initial and ongoing development of your care plan.
  • Participate in the Resource Allocation Decision (RAD) process to find the most cost-effective ways to meet your needs and support your long-term care outcomes. Members, families and friends share responsibility for the most cost-effective use of public tax dollars.
  • Talk with your care team about ways your friends, family or other community and volunteer organizations may help support you or ways in which you can do more for yourself.
  • Follow the care plan that you and your care team agreed to.
  • Be responsible for your actions if you refuse treatment or do not follow the instructions from your care team or providers.
  • Use the providers or agencies that are part of Western Wisconsin Cares unless you and your care team decide otherwise.
  • Follow Western Wisconsin Cares’ procedures for getting care after hours.
  • Notify us if you move to a new address or change your phone number.
  • Notify us of any planned temporary stay or move out of the service area.
  • Provide Western Wisconsin Cares with correct information about your health care needs, finances and preferences and tell us as soon as possible about any changes in your status. This includes signing a “release of information” form when we need additional information you do not have easily available.
  • Treat your team, home care staff and service providers with dignity and respect.
  • Accept services without regard to the provider’s race, color, religion, age, gender, sexual orientation, health, ethnicity, creed (beliefs) or national origin.
  • Pay any monthly costs on time, including any cost share or room and board charges you may have. Let your care team know as soon as possible if you have problems with your payment.
  • Use your Medicare and private insurance benefits, when appropriate. If you have any other health insurance coverage, tell Western Wisconsin Cares and the Income Maintenance Agency.
  • Take care of any durable medical equipment (DME) such as wheelchairs and hospital beds provided to you by Western Wisconsin Cares.
  • Report fraud or abuse on the part of providers or Western Wisconsin Cares’ employees. If you suspect anyone of misuse of public assistance funds, including Family Care, you can call the fraud hotline:

Fraud and Abuse Hotlines

  • MEDICARE 1-800-447-8477 TTY: 1-800-377-4950
  • WISCONSIN MEDICAID 1-877-865-3432
  • SENIOR MEDICARE PATROL  1-800-488-2596 EXT 317
  • IDENTITY THEFT 1-877-438-438  TTY 1-866-653-4261
  • Do not engage in any fraudulent activity or abuse benefits. This may include:
    • Misrepresenting your level of disability
    • Misrepresenting income and asset level
    • Misrepresenting residency
    • Selling medical equipment supplied by Western Wisconsin Cares

Any fraudulent activity may result in disenrollment from Family Care or possible criminal prosecution.

  • Call your care team for help if you have questions or concerns.
  • Tell us how we are doing. From time to time, we may ask if you are willing to participate in member interviews, satisfactions surveys or other quality review activities. Your responses and comments will help us identify our strengths as well as the areas we need to improve. Please let us know if you would like to know the results of any surveys. We would be happy to share that information with you.
  member role    family care