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.
Behavioral Health
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.
New York Expands Behavioral Health Access Through Medicaid Reforms
New York announces improved Medicaid managed care compliance for behavioral health services despite weakening federal enforcement on mental health parity.
The VBP Blog 2024 Recap
In 2024, managed care and value-based payment models reshaped healthcare by improving care coordination, enhancing outcomes, and addressing diverse population needs in behavioral health, I/DD care, and home health.
Florida Expands Behavioral Health and Supportive Housing Assistance Pilot
Florida’s Agency for Health Care Administration proposes an expansion of its Behavioral Health and Supportive Housing Assistance Pilot, aiming to provide better access to services for residents with mental health and substance use disorders.
Expansion of The Certified Community Behavioral Health Centers (CCBHC) Model Aimed at Transforming Mental Health Care
In this blog, we’ll explore the origins of the CCBHC model, how it has been implemented, recent expansions, and the benefits it brings.
New Hampshire Joins Nationwide Effort to Boost Behavioral Health Services
New Hampshire has secured CMS approval to provide community-based mobile crisis intervention teams for behavioral health, joining 20 other states in this significant expansion under the Biden-Harris American Rescue Plan.
Navigating the Impact of the 80-20 provision on Home-Based Care
The new 80-20 provision mandates significant wage increases for caregivers but brings challenges for smaller providers. This blog explores the rule’s implications, including the potential for provider closures and the effect on consumer choice in the home-based care sector.