ADvancing States and Impact 120 Release Report on Advancing Equity through MLTSS Programs

WASHINGTON, DC – ADvancing States is pleased to announce the release of a new report, Advancing Equity through MLTSS Programs, co-authored with Impact 120.

The report is the ninth publication from the MLTSS Institute, which was established in 2016 to drive improvements in key MLTSS policy areas, facilitate sharing and learning among states, and provide direct and intensive technical assistance to states and health plans.  

Many consumers who require long-term services and supports (LTSS) through Medicaid experience barriers in achieving their highest quality of life, due to the intersectional impact of disability and age, when combined with race, ethnicity, language, sexual orientation, gender identity, and geography.  This report highlights the numerous ways that managed long-term services and supports (MLTSS) programs can enhance state capacity to create more equitable programs for consumers. Research and interviews identified five key themes, which are explored in detail with recommendations for future action.

Martha Roherty, ADvancing States’ Executive Director, believes this report – one of the few focused on the critical yet evolving topic of equity – is an important addition to the field.  “We are excited to present the first exploration of how MLTSS programs can help states advance equity for their LTSS recipients. We are excited to shine a light on such an important and timely topic and hope that it will spark conversations at the federal, state and local level about the possibilities identified.”

Laura Chaise, Founder of Impact 120 Strategy Consulting, is pleased to be partnering with ADvancing States on this important issue. “By understanding different approaches states and health plans are taking to address equity, our goal is to improve systems and encourage actions that will directly benefit consumers who use LTSS.”

Read the report here.


ADvancing States represents the nation’s 56 state and territorial agencies on aging and disabilities and supports visionary state leadership, the advancement of state systems innovation and the articulation of national policies that support home and community based services for older adults and individuals with disabilities.

Impact 120 is a boutique strategy consulting firm dedicated to promoting health and quality of life across the lifespan, especially for individuals who need LTSS. Impact 120 supports mission-driven organizations to grow, plan, innovate, and inspire system change. For more information, visit


News date: 
Monday, February 13, 2023