Contract – Applications
In June 2023, Inclusa entered into an Asset Purchase Agreement with Independent Care Health Plan (‘iCare”), a Humana Inc. subsidiary, pursuant to which iCare acquired substantially all Inclusa’s Family Care assets. iCare is working toward system integration; however, current iCare and Family Care branded Inclusa are operationally independent.
All providers interested in participating in the Family Care (branded as Inclusa) and Family Care Partnership (iCare) programs must complete an application and meet all contracting requirements including execution of a Service Agreement.
Transportation services for Family Care (Inclusa) members will transition to Medical Transportation Management Inc. (MTM) effective April 1, 2026.
If you are interested in providing transportation services for iCare and Inclusa members, we urge you to reach out to MTM’s Network Development Team at: providerswi@mtm-inc.net to learn about the process for joining the MTM network.
Interested in joining our network? Please visit the iCare application page at https://ProviderApplications
Contract Appendix C: Provider Insurance Coverage Minimums
Provider Scope of Service
Scope of Service_Community Supported Living_FC_FCP
Scope of Service_Financial Management Services for SDS_FC_FCP
Scope of Service_Day Habilitation_FC_FCPScope of Service Community Support Program (CSP)
- Adult Day Care
- Assistive Technology
- Communication Assistance
- Community Support Program (CSP)
- Community Supported Living (CSL)
- Competitive Integrated Employment Exploration
- Consultative Clinical and Therapeutic Services
for Caregivers - Consumer Directed Supports (SDS) Broker
- Consumer Education and Training
(includes Mental Health Peer Specialists) - Counseling & Therapeutic Resources (Non-MA)
- Daily Living Skills Training
- Day Habilitation Services (Adult Day Services)
- Environmental Accessibility Adaptations
(Home Modifications) - Financial Management Services – Representative Payee
- Financial Management Services for Self-Directed Supports
- Health and Wellness
- Home Delivered Meals
- Home Health
- Housing Counseling
Scope of Service_Supported Employment Group_FC_FCP
Scope of Service_Supportive Home Care_FC_FCP (1)
- Independent Nursing
- Mental Health-AODA
- Personal Emergency Response System (PERS)
- Physical and Occupational Therapy, Speech & Language Pathology
- Prevocational Services
- Relocation Services
- Remote Monitoring
- Respite Services
- Residential Services – Adult Family Home (AFH)
- Residential Services – Community Based Residential Facility (CBRF) 5-8 bed
- Residential Services – Community Based Residential Facility (CBRF) greater than 8 bed
- Residential Services – Residential Care Apartment Complex (RCAC)
- Supported Employment Group
- Supported Employment Individual
- Supportive Home Care
- Supportive Home Care – Chore Services
- Training for Unpaid Caregivers
- Transportation (Specialized Transportation)
- Vehicle Modifications
- Vocational Futures Planning & Support (VFPS)