This week, our In Focus section reviews the Wisconsin Department of Health Services (DHS) concept paper on Family Care and IRIS (Include, Respect, I Self-direct) redesign published this month. Under the 2017-2017 State Budget Act, Act 55, DHS is directed to make changes to the Family Care and IRIS Medicaid long-term services and supports (LTSS) programs. Family Care is the state’s existing MLTSS program, while IRIS allows members to self-direct their long term care services. Under the proposed design of Family Care/IRIS 2.0, integrated acute, behavioral, and LTSS services for more than 55,000 Medicaid beneficiaries with more than $3.4 billion in LTSS costs alone will be coordinated statewide through contracted integrated health agencies (IHAs).