CHCS - Center for Health Care Strategies

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

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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Engaging Providers in Building Managed Care Delivery Systems: Tips for States

This brief provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.
April 2014 Technical Assistance Briefs & Tools

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.
February 2014 Staff Presentations

Uniform Assessment Practices in Medicaid Managed Long-Term Services and Supports Programs

This brief explores current MLTSS assessment approaches in five states: Arizona, Minnesota, Tennessee, Texas, and Wisconsin to identify what uniform assessment tools are available, how they are administered, and considerations for development and implementation.
August 2013 Technical Assistance Briefs & Tools

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

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.
July 2013 Technical Assistance Briefs & Tools

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

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.
July 2013 Policy & Issue Briefs

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, JDpresented 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

June 2011 - June 2013

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

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