MLTSS

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Collaborating to Address HCBS Workforce Challenges in MLTSS Programs

This report is the third in a series of publications from the MLTSS Institute. The report identifies the challenges and promising practices in addressing the mismatch between supply and demand for direct care workers in long term services and supports programs, all viewed through the lens of MLTSS programs. This report is co-authored by ADvancing States and Sage Squirrel Consulting, LLC.

Short URL: http://www.advancingstates.org/node/71262

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Value-Based Payment in Medicaid Managed Long-Term Services and Supports: A Checklist for States

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

Short URL: http://www.advancingstates.org/node/71057

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A comparison of nursing home usage in states with and without Medicaid Managed LTSS

This study from Milliman highlights the success that MLTSS programs have had in reducing institutional care for older adults and people with disabilities compared to states operating a fee for service system, both in absolute numbers as well as the acuity level of consumers receiving services in nursing facilities.

Short URL: http://www.advancingstates.org/node/70858

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Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide outlines considerations for adopting value-based payment (VBP) to promote high-quality MLTSS programs. It combines insights from five states - Minnesota, New York, Tennessee, Texas, and Virginia - with input from national health policy experts.

Short URL: http://www.advancingstates.org/node/70745

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Managed Long-Term Services and Supports: Status of State Adoption and Areas of Program Evolution

This chapter is part of MACPAC's June 2018 Report to Congress on Medicaid and CHIP. It reports on the trend of states using managed long-term services and supports (MLTSS). The chapter discusses program outcomes, the added complexity of long-term services and supports in Medicaid managed care, and different directions being explored in MLTSS. It also identifies issues for further examination.

Short URL: http://www.advancingstates.org/node/70555

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Do Managed Care Programs Covering Long-Term Services and Supports Reduce Waiting Lists for Home and Community-Based Services?

This paper examines whether there is evidence that MLTSS programs increase access to home and community-based services (HCBS). One theory states that MLTSS programs may reduce costs associated with the use of institutional services, thereby allowing states to expand HCBS services and reduce waiting lists. This brief uses this theory and examines changes in a state's HCBS waiting list as one way to measure access to HCBS.

Short URL: http://www.advancingstates.org/node/70487

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How do Managed Long-Term Services and Supports (LTSS) Programs Interact With Federal LTSS-Related Initiatives?

This paper explores how state MLTSS programs interact with federal LTSS initiatives. It examines this interaction in four states: Illinois, Iowa, New York, and Ohio. It specifically focuses on the the interaction of these states' MLTSS programs with the Money Follows the Person (MFP) demonstration, the Balancing Incentive Program, the Health Home State Plan Option, and the Financial Alignment Initiative (FAI).

Short URL: http://www.advancingstates.org/node/70486

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The Impact of Managed Long-Term Services and Supports (MLTSS) Policies on Access to LTSS

This paper looks at the impact of various MLTSS policies on access to LTSS. It looks specifically at four states and the policies which these states identify as important to ensuring access. All four states identified network adequacy standards, transition of care, provider reimbursement, and level of care criteria as important factors. In addition, the paper examined participant-directed services policies and care coordination models.

Short URL: http://www.advancingstates.org/node/70485

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MLTSS for People with Intellectual and Developmental Disabilities: Strategies for Success

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.

Short URL: http://www.advancingstates.org/node/70437

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Managed Long-Term Services and Supports: Interim Evaluation Report

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.

Short URL: http://www.advancingstates.org/node/70413

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