Building The Framework For IDD Quality Measures

Medicaid managed care for long term services and supports (MLTSS) is now in use or being considered in over half of the country. Medicaid managed care makes managed care organizations (MCOs) responsible for the delivery of LTSS to older adults and people with physical or intellectual or developmental disabilities. Early implementation often focused on the delivery of care for older adults and people with physical disabilities, leaving a gap in experience for its use with people with intellectual or developmental disabilities (IDD). Approximately 20% of states currently use MLTSS for the IDD population. Since utilization of managed care for people with IDD is still relatively low, there is little research about what quality standards should be used for oversight and payment models such as value-based reimbursement for this population.