Long-Term Supports and Services

As the number of elderly Americans increases, long-term supports and services needs and costs will continue to grow. Paying for and ensuring high quality long-term supports and services in Medicaid are key issues addressed through CHCS programs and resources. The following subtopics link to related CHCS resources and initiatives:

Related Initiatives

Highlights

A Roadmap for Planning and Implementing Medicaid Managed Long-Term Services and Supports

On October 5, 2012, CHCS senior program officer Sarah Barth, JD, presented at a National Health Policy Forum conference entitled Medicaid Managed Long-Term Services and Supports: Lessons from Three States.

Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services

Suzanne Gore and Julie Klebonis, Center for Health Care Strategies

This policy brief discusses strategies for structuring rates for managed long-term services and supports program to encourage the use of home- and community-based services and details state experiences in setting rates for these programs.

Long-Term Services and Supports: Opportunities in the Affordable Care Act

Sarah Barth, Julie Klebonis, and Nancy Archibald, Center for Health Care Strategies

This technical assistance brief describes different program options contained in the Affordable Care Act to assist states in rebalancing the provision of long-term services and supports toward more home- and community-based services and away from institutionally based care.

Profiles of State Innovation: Roadmap for Rebalancing Long-Term Supports and Services

Alice Lind, Suzanne Gore, Stephen A. Somers, PhD, Center for Health Care Strategies

This roadmap draws from state best practices across the country to outline key elements for rebalancing LTSS program to achieve a more equitable balance between institutional and home- and community-based care.

Profiles of State Innovation: Roadmap for Managing Long-Term Supports and Services

Alice Lind, Suzanne Gore, Lindsay P. Barnette, Stephen A. Somers, PhD, Center for Health Care Strategies

This roadmap draws from state best practices across the country to outline options for managing long-term care delivery that provide high-quality, consumer-focused, and cost-effective care. It is part of a series developed to help Medicaid stakeholders design more effective models for long-term care delivery, particularly in light of new opportunities in the Affordable Care Act.

Medicaid-Funded Long-Term Supports and Services: Snapshots of Innovation

Gretchen Engquist, PhD, Cyndy Johnson, and William Courtland Johnson, PhD

This report presents innovative initiatives from across the nation offering alternatives for reforming the delivery of Medicaid-funded long-term care. It includes both innovations that have been implemented as well as promising practices for more effectively delivering community-based long-term supports and services.