MLTSS Program Evaluation

Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

This report provides a national overview of long-term services and supports (LTSS) rebalancing and highlights 10 states – Missouri, Massachusetts, New York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada, and Arkansas – that have made the greatest progress in decreasing institutional spending. The profiles include state characteristics (e.g., LTSS spending per state resident, participation in rebalancing initiatives, etc.) and strategies states utilized in their progress towards rebalancing their LTSS systems.

Integrated Care Updates - August 2019

August 2019 Contents:

  • New ICRC Brief on Implementation of D-SNP Information Sharing Requirements
  • CMS Releases New Proposed Rule on Durable Medical Equipment
  • CMS Report on State Balancing of Medicaid Long-Term Services and Supports
  • MACPAC Releases Compendium of State Fee-for-Service DME Polices
  • August 2019 Enrollment in Medicare-Medicaid Plans
  • August 2019 Enrollment in PACE Organizations
  • New Resources on the ICRC Website
  • Key Upcoming Dates

Medicaid Managed LTSS, Medicaid 1115 Demonstrations Interim Evaluation Report

This report presents preliminary findings from an evaluation of two state Medicaid managed long-term services and supports (MLTSS) programs (New York and Tennessee) that examined: (1) how per-user MLTSS spending changes over time; (2) how utilization of specific services by MLTSS enrollees compares to that of fee-for-service beneficiaries using LTSS, including dually eligible and non-dually eligible enrollees.

Training Strategies and Lessons Learned


This webinar discusses the training strategies and lessons learned from the implementation of Tennessee's Medicaid managed long-term services and supports program.

Minnesota Managed Care Longitudinal Data Analysis

This report compares utilization of community-based services by dually eligible beneficiaries enrolled in a fully integrated managed care program to those of beneficiaries receiving Medicare and Medicaid services from separate delivery systems. Fully integrated care was shown to yield higher beneficiary satisfaction and community-based service use when compared to the fragmented care delivery.

Measuring HCBS Quality in MLTSS Programs

This webinar highlights efforts in two states: (1) findings from an external evaluation in Illinois tracking the transition to MLTSS and considering home and community-based services measures as the program integrates LTSS; and (2) how New York is planning to measure outcomes in its new MLTSS program for individuals with intellectual and developmental disabilities.