MLTSS

This report is the second in a series of publications from the MLTSS Institute. There are unique challenges in implementing a managed long-term services and supports (MLTSS) program for people with intellectual and developmental disabilities (I/DD). The report provides context on the intersection of program design and participant advocacy and outlines successful strategies for both states and health plans. It also highlights promising practices from MLTSS programs delivering I/DD services.

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on MLTSS programs. This preliminary report looked closely MLTSS programs in New York and Tennessee and found mixed results regarding the goals of reducing hospitalizations and rebalancing care. Mathematica aims to release a final report on the effectiveness of MLTSS in 2019.

CMS recently released a 2017 update to its 2012 MLTSS inventory, compiled by Truven Health Analytics. This study reviewed available information about the status of Medicaid MLTSS programs, and provides updates on the prevalence of MLTSS programs, total enrollment, and specific program design elements as of August 2017. The report surveys the landscape of MLTSS programs across the country, provides detailed summaries of each MLTSS program, and identifies national trends.

Presentation from the 2017 HCBS Conference on the "Framework for LTSS Quality in Pennsylvania and Virginia".

Presentation from the 2017 HCBS Conference on "Compliance Isn’t Quality: Building an Authentic Quality Framework in Managed Long-Term Services and Supports Programs".

Demonstrating value through the quality of your AAA or CBO services can be an effective way to build and expand new business relationships. This presentation, part of n4a’s 2017 annual conference, focuses on the types of measures you can easily report on, and also how you can provide upstream benefits by impacting the measures that health plans must report on and be evaluated by.

In this presentation, the National Committee for Quality Assurance (NCQA), shared insights from its research on person-centered goals for people with complex care needs and tools for CBOs to become more effective partners with health plans, including how to effectively measure quality improvement and implement quality improvement initiatives.

This toolkit module provides information and tools to help community-based organization (CBO) leaders assess their agency’s readiness to offer vended services to managed care organizations (MCOs), hospitals, and other payers.

These two assessment tools can help a community-based organization (CBO) determine their capacity to enter into health care contracting partnerships.

This is the first major research paper in this emerging field of managed long-term services and supports (LTSS) that addresses family caregivers’ needs. Family caregivers of people with self-care needs often make it possible for the members of managed care plans to live at home rather than in institutions. Managed care plans, therefore, have strong financial incentives to support these family caregivers, thus improving quality of life and reducing the overall cost of care.