Managed Long Term Services and Supports

Many states are addressing challenges relating to finance and delivery of long-term services and supports (LTSS) by moving to managed care and/or using opportunities in the Affordable Care Act to integrate and coordinate services. Medicaid integration occurs in many forms, under many plans and actions, mostly because LTSS for elders and people living with disabilities are administered at the state level. Programs using managed care plans or other coordinated forms of care are called managed long-term services and supports (MLTSS) programs.

MLTSS Technical Assistance
NASUAD provides states with telephonic and limited in person consultation on the development of MLTSS programs in their states. Training and support can include providing states:

  •  An overview of MLTSS.
  • ​Explanations of possible roles that the aging and disabilities networks could play in MLTSS—including case management; choice/options counseling; oversight; quality; etc.
  • State examples of the role the aging and disabilities networks have played in MLTSS.
  • Readiness Assessment tools for participation in MLTSS for aging and disability networks.  The readiness assessment tools will include review of an agency’s compliance with emerging protocols for conflict-free case management; evaluation of an agency’s ability to track patient status and manage to outcomes; and assessment of the compatibility of existing aging and disability IT systems with MCO network data requirements.  The main purpose of the Readiness Assessment Tools will be to supply aging and disability agencies with a “gap analysis” they can use to retool their business model, adjust staffing and IT capabilities and undertake strategic planning.
  • Providing states with conversation starters for state aging and disability commissioners for discussions with the single state Medicaid agencies and MLTSS contractors, including the transition to performance-based contracting and outcome-based care management.

To request technical assistance or to learn more about our work in MLTSS, please contact Camille Dobson.