Long Term Services and Supports

The report highlights the commitment of participating states toward measuring and improving the quality of their long-term services and supports (LTSS) systems that serve seniors and adults with physical disabilities.

This report from Truven Health Analytics describes Medicaid long-term services and supports (LTSS) expenditures. The report shows federal fiscal year 2015 data, along with updates for FY 2012 through 2014 spending. Along with discussing trends in Medicaid LTSS expenditures, the report includes numerous data tables that summarize national and state-level expenditures by service category and state.

This report examines Minnesota's home care workforce and highlights trends in the broader sector. The report offers recommendations, including interventions that "elevate the role of the aide," and calls for better wages, higher reimbursement rates in state funding, and improved training, as well as approaches tailored to rural areas, such as new technologies in home care and transportation-related supports.

This paper provides concrete examples of how seven No Wrong Door Systems are promoting person- and family-centered practice. This resource includes a toolkit of resources and contacts for states to learn more and replicate these practices. A checklist also provides a roadmap for states to ensure that No Wrong Door Systems operate in a person- and family-centered way.

The annual summary of the latest statistics on the older population, A Profile of Older Americans:2016 covers 15 topical areas including population, income and poverty, living arrangements, education, health, and caregiving. Principal sources of data for the Profile are the U.S. Census Bureau, the National Center for Health Statistics, and the Bureau of Labor Statistics. The Profile incorporates the latest data available.

This product is a PDF and PowerPoint slide presentation of US maps for selected characteristics of residential care communities and their residents. Characteristics include community ownership and chain status, disease-specific programming, practices, and revenue sources; and resident functioning, health conditions, and adverse events.

ADvancing States released a document summarizing the major components of the ACA that impact the provision of long-term services and supports (LTSS) to older adults and people with disabilities. These provisions may not be impacted by a repeal of the ACA, but some proposals include restriction or elimination of programs that provide these services and supports.

On February 8th, the Government Accountability Office publicly released a report on Medicaid managed care and Long-term Services and Supports. The report examined MLTSS program goals, payment structures, financial incentives for plans, and federal monitoring programs. The report makes several recommendations for CMS.

The Center for Health Care Strategies, Inc. released a technical assistance brief, funded through support by the Robert Wood Johnson Foundation, titled "State Medicaid Managed Long-Term Services and Supports Programs: Considerations for Contracting with Medicare Advantage Dual Eligible Special Needs Plans."

On Wednesday, July 20, 2016, the Center for Health Care Strategies, Inc. (CHCS) published a new brief, “State Trends in the Delivery of Medicaid Long-Term Services and Supports.” With support from The SCAN Foundation, seven states (Arizona, California, Kansas, Minnesota, New Jersey, Tennessee, and Texas) were selected to provide insights into current trends in both managed long-term services and supports (MLTSS) program refinement and long term services and supports (LTSS) system reform.