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

New MLTSS Assessment and Care Planning Quality Measures: Implementation Issues for States and Integrated Care Plans

This webinar describes four new quality measures specifically designed for use by Medicaid managed long-term services and supports (MLTSS) plans, which address comprehensive assessments, comprehensive care plans, shared care plans with primary care practitioners, and reassessments and care plans after an inpatient discharge.

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.

Measures for Medicaid Managed Long Term Services and Supports Plans Technical Specifications and Resource Manual

This manual includes four quality measures for states to consider when using a managed care delivery system for providing long-term services and supports.

Training Strategies and Lessons Learned

August-12

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

Raising Expectations, 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

This second edition of the scorecard measures state-level performance on five dimensions: (1) affordability and access; (2) choice; (3) quality; (4) support for family caregivers; and (5) effective transitions.

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.

Medicaid Section 1115 Managed Long-Term Services and Supports Waivers: A Survey of Enrollment, Spending, and Program Policies

This report presents findings from a 2015 survey about § 1115 MLTSS waiver enrollment, spending, and program policies.

Measurement Opportunities & Gaps: Transitional Care Processes and Outcomes Among Adult Recipients of Long-Term Services and Supports

This report provides an overview of the LTQA Quality Measurement Workgroup's approach to identifying and disseminating quality measures for long-term services and supports that promote effective care transitions, improve health and quality of life, and reduce costs.