Family Care and IRIS are Wisconsin's home-and-community-based Medicaid programs, covering care services in a CBRF, RCAC, adult family home, or private residence. Nursing home Medicaid is a separate institutional long-term-care Medicaid benefit category with its own income and asset rules, for residents in a licensed skilled nursing facility.
Different settings, different rules
Family Care and IRIS keep someone in the community — a CBRF, RCAC, adult family home, or their own home — but generally do not pay room and board. Nursing home Medicaid is an institutional benefit for residents already in a licensed nursing facility, and covers both room and board plus nursing care once financial eligibility is met.