How States Structure MLTSS Programs Differently and Why It Matters
LTSS programs can look very different from state to state. Learn how design choices shape access, coordination, accountability, and the consumer experience.
Healthcare Payers
Pennsylvania Updates Assistive Technology Limits for IDD Waivers
Pennsylvania shifts assistive technology funding for IDD waivers from a $10,000 lifetime cap to a $3,000 annual limit to improve flexibility for participants.
Who Is MLTSS Designed For? Understanding the Populations States Prioritize in Managed LTSS
MLTSS programs are designed for different populations across states, from older adults and people with physical disabilities to dual-eligible members and individuals with I/DD or behavioral health needs.
Colorado Medicaid Costs Surge, Raising Concerns Over Sustainability
Colorado Medicaid spending is rising rapidly, creating budget pressure and forcing lawmakers to consider cuts, reforms, or new funding options.
New York Lawmakers Consider Medicaid Behavioral Health Carve-Out Amid Access Concerns
New York lawmakers are considering a Medicaid behavioral health carve-out that would return services to a fee-for-service model.
Indiana Ends Managed Care for Long-Term Medicaid Nursing Home Residents
Indiana will move Medicaid nursing home residents out of managed care after 100 days, returning to a fee-for-service model amid cost and payment concerns.
Medicare Spending Expected to More Than Double by 2036, CBO Projects
The Congressional Budget Office projects Medicare spending will more than double by 2036 while Medicaid spending is expected to increase by nearly 50%.
MLTSS 101: What Managed Long Term Services and Supports Really Means for Consumers, States, and Providers
MLTSS is one of the most consequential design choices in Medicaid. This overview explains where it came from, what it covers, why it matters, and how value-based payment is increasingly shaping MLTSS contracts.
Telemedicine Visits Linked To Fewer Follow-Up Appointments And Lower Health Care Costs
A recent study finds telemedicine visits were associated with 23% fewer follow-up visits and significantly lower health care costs during a 30-day episode of care.
Most Medicaid Long-Term Care Users Now Receive Services at Home, But Access Still Varies Widely by State
A federal analysis finds 87.1% of Medicaid long-term care users receive home- and community-based services (HCBS), though access varies significantly across states.