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.
LTSS
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.
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.
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.
A Look Back at 2025: Insights on Value-Based Care, LTSS, and Dual-Eligibility
XtraGlobex reflects on a year of advocacy, analysis, and innovation across value-based payment, LTSS, and dual-eligible policy through The VBP Blog, DEHQ, and Paying for Outcomes.
States Warn of Major Barriers Ahead of Federal Medicaid Work Requirements
A new national survey reveals expansion states expect serious administrative and financial challenges as federal Medicaid work requirements take effect in 2027.
From Innovation to Action: What CMMI’s VBP Models Can Teach Us About the Future of LTSS
The VBP Blog concludes its series on CMMI models with key takeaways for LTSS reform, spotlighting models that moved the needle on equity, integration, and accountability.
Managed Care Reduces Nursing Home Populations, But Low-Need Residents Remain
A recent study shows managed care reduces overall nursing home use but fails to transition low-need residents into less restrictive long-term care settings.
The Rise and End of MA-VBID: Lessons from Medicare Advantage’s Value-Based Insurance Experiment for LTSS
The VBP Blog concludes its CMMI series with lessons for LTSS reform, spotlighting models that advanced equity, accountability, and whole-person care.
Florida Expands Medicaid IDD Program, Sees Enrollment Growth in Managed Care
Florida’s ICMC Medicaid program for individuals with IDD expanded statewide in 2025, leading to a membership increase for Florida Community Care. Learn more about the program’s impact.