Funder: West Health Policy Center

June 2017 | Fact Sheet


Medicaid is the nation’s largest payer of long-term services and supports (LTSS), funding these services for nearly five million Americans. An increasing number of state Medicaid agencies — 22 as of July 2017 — are providing LTSS through capitated contracts with managed care organizations, with roughly 1.2 million individuals enrolled in comprehensive managed care plans that include LTSS or managed LTSS-only plans. These managed LTSS (MLTSS) programs cover services like personal care, home-delivered meals, and transportation that are used by children and adults with functional limitations and/or chronic illnesses who need assistance with bathing, dressing, shopping, and housework, as well as other activities.

This fact sheet provides details on the current state of migration to MLTSS — as well as key goals for these programs and how they can serve as a foundation for furthering Medicare-Medicaid integration efforts.