CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

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:


A Snapshot of Uniform Assessment Practices in Medicaid Managed Long Term Services and Supports

This presentation provided an overview of uniform MLTSS assessment efforts in five states.

Developing Provider Networks for Medicaid Managed Long-Term Services and Supports Programs: Considerations for States

Julie Klebonis and Sarah Barth, Center for Health Care Strategies

This technical assistance brief presents considerations for provider network development, reviews recent guidance, and offers examples of state practices for establishing MLTSS network adequacy standards.

Three State Paths to Improve Medicaid Managed Long-Term Care: Florida, New Jersey, and Virginia

Sarah Barth and Brianna Ensslin, Center for Health Care Strategies

This brief looks at the paths pursued by Florida, New Jersey, and Virginia in implementing MLTSS approaches focused on helping individuals to live in their communities rather than nursing facilities.

Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees

Michelle Herman Soper, Center for Health Care Strategies

This technical assistance brief examines key areas where states will need to build their internal capacity as they pursue integrated care programs for Medicare-Medicaid enrollees.

Balancing Incentive Program: Strengthening Medicaid Community-Based Long-Term Services and Supports

Sarah Barth and Alice Lind, Center for Health Care Strategies

To help states better understand the Balancing Incentive Program, this technical assistance brief describes the core structural elements in detail and provides an overview of state considerations and potential approaches to meeting these requirements.

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