Why we track state activity...

On the Verge: The Transformation of Long-Term Services and Supports, a 2012 report by AARP, ADvancing States and Health Management Associates, found that on the heels of the Great Recession, many states are on the verge of transforming the financing and delivery of long term services and supports (LTSS). The report describes a “dizzying array” of Medicaid reforms throughout the country. In this changing environment, tracking state level initiatives is a challenge. Because of this, ADvancing States will update the State Medicaid Integration Tracker each month.