Medicaid Managed Long Term Care

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Medicaid Expenditures for Long-Term Services and Supports in FY 2016

This annual report outlines Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. This report covers trends in total LTSS expenditures, LTSS as a Percentage of Total Medicaid Spending, HCBS as a Percentage of Total Medicaid LTSS, and more.

Short URL: http://www.advancingstates.org/node/70524

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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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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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The Growth of Managed Long-Term Services and Supports Programs: 2017 Update

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.

Short URL: http://www.advancingstates.org/node/70315

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Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals’ Needs for Home- and Community-Based Services

The Government Accountability Office (GAO) examined states’ needs assessment processes for provision of long-term services and supports. GAO studied six states that differed in the following ways: assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location. GAO also reviewed federal requirements and documents and interviewed CMS officials and stakeholders.

Short URL: http://www.advancingstates.org/node/70095

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How CBOs Contract, Receive Reimbursement for HCBS in Medicaid Arrangements – A Blueprint for Success

During this webinar, a panel of experts provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs, contract with managed care, and ensure sufficient reimbursements.

Short URL: http://www.advancingstates.org/node/70023

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How to Price Long-Term Services and Supports

This course, which consists of five (5) distinct segments for easy viewing, provides the rigorous yet practical approaches to pricing long-term services and supports. For many of organizations selling their services in order to generate maximum net income is an unfamiliar activity. However, there are many pricing models and approaches that have been deployed in other sectors from which CBO’s can learn. This course teaches profitable commercial pricing strategies.

Short URL: http://www.advancingstates.org/node/69985

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Managed and Integrated Care Bootcamp: Packaging Your Services: Telling Your Value Story

This interactive session, from n4a’s 2016 annual conference, helped participants learn how to tell their organization’s story and package their “products” in ways that will help them get noticed and appreciated by health care payers. Presenters included representatives from health plans who discussed what they look for in a “pitch” from a community-based organization seeking to market its services.

Short URL: http://www.advancingstates.org/node/69980

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