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Florida’s MLTSS Model: How the State’s Long-Term Care Program Works for Consumers
Florida’s managed long-term care model offers structure and scale, but the consumer experience depends on how well people can move through screening, eligibility, and enrollment to actually access services.
How States Measure MLTSS Performance: Quality, Oversight, and Accountability
MLTSS is expected to do more than simply move long-term services and supports (LTSS) into managed care. States also use these models to improve coordination, strengthen accountability, and support care in home and community-based settings.
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CMS Issues New Medicaid Work Requirement Rules, Signaling Major Changes for States and Managed Care Plans
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
Ohio Suspends Payments to 49 Home Health Providers in Medicaid Fraud Investigation
Ohio has suspended Medicaid payments to 49 home health providers after identifying suspicious billing patterns, marking a major step in the state’s effort to combat fraud and protect taxpayer dollars.
Study Finds Many Medicaid Managed Care Sanctions Remain Unresolved Across States
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.
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