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.
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.
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Massachusetts and Colorado offer strong MLTSS programs that help Medicaid beneficiaries receive in-home care rather than entering nursing facilities. Their programs provide personal care, home health services, and caregiver support to promote independent living.
Managed Long-Term Services and Supports (MLTSS) help Medicaid enrollees receive in-home care rather than institutional care. These programs focus on independence and quality of life for individuals with long-term care needs.
Innovations in health care technology like remote monitoring, telecommunication, and care delivery technologies have been developed in recent years and make delivering healthcare at home possible.
The political landscape and CMS policies are shifting to support the transition of healthcare at home.
The political landscape and CMS policies are shifting to support the transition of healthcare at home.
An integrated approach to managed care in Delaware is creating true value-based care systems for the state’s LTSS communities
We take a look at Arkansas’ provider-led network as a groundbreaking new model for Medicaid consumers. Their whole-person approach is a true example of what value-based care can offer consumers and providers.