Many people need assistance with activities of daily living and caring for their health due to a physical, intellectual or developmental disability or because of the increasing challenges that come with aging. Most long-term care is actually provided by family members, and many people pay privately for the care they receive. However there are many Wisconsin residents who need assistance and who cannot afford to pay for their care on their own.

In 2000, the State of Wisconsin launched the Family Care program as a pilot program in five Wisconsin counties. Milwaukee County was one of the original pilot counties.

Now serving over 8,400 Members in nine Wisconsin counties, the MCO has strengthened its commitment to the communities it serves and is now known as My Choice Family Care. A leader in providing the Family Care program in Wisconsin, My Choice Family Care is a robust and thriving operation celebrating 16 years of successfully serving more than 27,300 Family Care Members. Read more about the history of My Choice Family Care.

Philosophy, Values, Missions

Our Values

Our values guide the development of our mission and our work. We will always put the best interest of our Members at the center of decision making.

Our Values include:

  1. Care that embraces the whole person — We are committed to providing quality care for body, mind and spirit and to preserving quality of life for our Members.
  2. Dignity — We respect the dignity and personal choices of each Member.
  3. Collaboration — We believe in teamwork that includes our Members, their families, support systems and other organizations.
  4. Justice — We believe that all Members must receive fair treatment that is free from discrimination.
  5. Stewardship — We have concern for the careful use of our resources and we value public opinion.
  6. Quality — We will strive to provide the best care for our Members.
  7. Cultural Competence — We honor the cultural values of our Members.

Our Philosophy

My Choice Family Care is committed to working together with Members, families, advocates, friends, and others in a spirit that:

  1. Promotes respect and dignity.
  2. Supports choices of our Members.
  3. Informs Members about the benefits of their choices.
  4. Promotes Member participation.
  5. Uses cost-effective methods.
  6. Works within government policies and regulations.

Our Mission Statement

My Choice Family Care respects the dignity and personal autonomy of each Member by honoring choice and providing high quality, cost-effective services, and supports.


Maria Ledger

Maria Ledger -- Chief Executive Officer

Maria Ledger is the CEO of My Choice Family Care, Inc. She has served as the head of this organization since February 2006. Ms. Ledger is responsible for the overall operations of the Managed Care Organization and for developing and maintaining the necessary systems infrastructure to support the MCO’s mission and vision.

Prior to joining My Choice Family Care, Ms. Ledger served as the Associate Director of the Center on Age & Community (CAC) at the University of Wisconsin-Milwaukee. Ms. Ledger also worked for Milwaukee County for over 15 years, for both the Department of Health and Human Services and the Department on Aging, in a variety of capacities.

Ms. Ledger has a Bachelor of Psychology degree from Marquette University and a Master's degree in Rehabilitation Counseling from Southern Illinois University-Carbondale.

Jim Hodson

Jim Hodson -- Chief Financial Officer

Jim Hodson is a Certified Public Accountant with 25 years of financial management experience in long-term and managed care working for private, nonprofit, and public accounting organizations. Mr. Hodson has extensive knowledge in the area of price and cost based payment systems (State and Federal). As a former partner with BDO Seidman LLP, he provided technical support to clients in the development of financial system infrastructures to improve operational performance and optimize organizational value.

Since 2004, Mr. Hodson has served as the Chief Financial Officer for My Choice Family Care. MCFC serves more than 8,400 Members with an annual budget of more than $307 million.

Under Mr. Hodson's direction, My Choice Family Care is provided with comprehensive financial leadership in directing the accounting, finance, and contracting operations to achieve its goals and objectives, including: strategic planning and forecasting; business development; financial management; systems development; and administrative functions.

Mr. Hodson received both his BS in Accounting and his MBA from Marquette University. He is a member of the Wisconsin Institute of Certified Public Accountants and serves as a board member with the City of Greenfield Community Development Authority Committee.

Betsy Van Heesch

Betsy Van Heesch -- Chief Operations Officer

Betsy Van Heesch brings over 20 years of healthcare administration experience to My Choice Family Care. Ms. Van Heesch earned a BA in Health Services Administration from Concordia University and her career includes a variety of experience in long-term care, managed care, and government sectors.

In her role as Chief Operations Officer with My Choice Family Care, she provides leadership for program operations and oversight of senior level staff across such functions as quality, nursing, medical services, best practice, and enrollment/eligibility. Ms. Van Heesch serves as a member of the executive team, ensuring operations and plans are appropriately integrated with the organization’s strategic plan and maintaining constructive relations with State and Federal partners, legislators, and community partners.

A vibrant leader who infuses energy and spirit, Ms. Van Heesch excels at developing a shared vision among stakeholders and creating/implementing innovative programs designed to drive future growth.

Kevin Collins

Kevin Collins -- General Counsel & Chief Compliance Officer

Kevin Collins serves as the General Counsel and Chief Compliance Officer for My Choice Family Care, Inc. In that capacity he is responsible for all legal and compliance affairs of the organization including governance, contracts, dispute resolution, regulatory compliance, HIPAA privacy and security, and program integrity.

Mr. Collins possesses 20 years of experience as a corporate and health law attorney including private practice and in-house positions in the healthcare, health insurance, and pharmaceutical sectors.

He is a 1997 graduate of the University of Wisconsin Law School.