Managed Long-Term Supports and Services

Medicaid pays for nearly 50% of the nation’s total spending on long-term supports and services, creating a significant incentive for states to better manage the long-term supports and services needs of Medicaid beneficiaries. Managed long-term supports and services help people who need health and long-term care services, such as home care or adult day care, stay in their homes and communities as long as possible.

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Title and Description	Date	Type
Balancing Incentive Program: Strengthening Medicaid Community-Based Long-Term Services and Supports 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.		Technical Assistance Briefs & Tools
State Trends and Innovations in Medicaid Long-Term Services and Supports This brief highlights states' continued progress in: 1) rebalancing Medicaid LTSS options toward home- and community-based services; and 2) developing and implementing managed LTSS programs to better integrate care.	December 2012	Policy & Issue Briefs
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.	October 2012	Staff Presentations
Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services 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.	May 2012	Policy & Issue Briefs
Long-Term Services and Supports: Opportunities in the Affordable Care Act 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.	December 2011	Technical Assistance Briefs & Tools
Implementing the Roadmaps: Innovations in Long-Term Supports and Services Through support from The SCAN Foundation, CHCS is providing targeted technical assistance to help 10 states develop and test innovative models for better managing and rebalancing LTSS.	June 2011	Initiative
Profiles of State Innovation: Roadmap for Managing Long-Term Supports and Services 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.	November 2010	Reports
Profiles of State Innovation: Roadmap for Rebalancing Long-Term Supports and Services 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.	November 2010	Reports
Rate Setting for Medicaid Managed Long-Term Supports and Services: Best Practices and Recommendations for States This resource paper describes the rate-setting systems currently being used by Medicaid managed long-term supports and services programs, highlighting the major decisions states must make in setting rates for these programs, and summarize the lessons from these experiences.	March 2008	Resource Papers
Managed Long-Term Supports and Services: Meeting One Presentations The first Managed Long-Term Supports and Services Purchasing Institute meeting brought participating states together to discuss the elements needed to implement and/or expand Medicaid managed care programs for populations requiring long-term supports and services.	October 2007	Meeting Highlights
Managed Care Models for Long-Term Care Supports and Services Download resources from this CHCS webinar which featured state and health plan best practices for managing the long-term care of Medicaid beneficiaries, integrating acute and long-term care for adults solely covered by Medicaid, as well as those dually eligible for Medicaid and Medicare.	June 2007	Webinar Resources
Improving Health Outcomes for High-Risk Long-Term Care Consumers Labeled as Non-Compliant Family Care, a long-term care pilot program in Wisconsin, developed a curriculum to assist staff in improving outcomes of members who are historically “non-compliant” with treatment recommendations for management of diabetes and/or taking multiple medications.	September 2005	Resource Papers