Long Term Services and Supports

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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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Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

This report from AARP's Public Policy Institute is part of a series of papers focusing on innovative strategies. It explores the benefits of self-directed care and looks at best practices used in Texas, Iowa, Wisconsin, and Florida. The report also provides a toolkit for educational and training purposes to help states improve and expand upon their self-directed LTSS programs.

Short URL: http://www.advancingstates.org/node/70341

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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 Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare Is Needed

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

Short URL: http://www.advancingstates.org/node/70145

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Ensuring Beneficiary Health and Safety in Group Homes Through State Implementation of Comprehensive Compliance Oversight

The Administration for Community Living (ACL), joined the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the HHS Office of Civil Rights to produce a report on ensuring beneficiary health and safety in group homes through state implementation of comprehensive compliance oversight. This report serves as a resource for states to use as a part of efforts to ensure that all group homes are safe and healthy places for people with disabilities.

Short URL: http://www.advancingstates.org/node/70096

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