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 State of the States Clearinghouse

 

One stop shop for key Medicaid and Medicare information.

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Medicaid Managed Long Term Services and Supports

​In June 2013, AHCA released its first analysis of existing Medicaid Managed Long Term Services and Supports (MLTSS) structures in the U.S. The analysis found that the managed long term care model has unclear cost savings and quality outcomes for residents, patients, and providers. States have limited experience with MLTSS, and implementation brings a different set of challenges in the long term and post-acute care setting.
 
AHCA released its MLTSS analysis in conjunction with a toolkit that members can use when evaluating or enhancing current MLTSS programs in their state and 9 guiding principles.
 
​​​​Read the Press Release​.
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 Resources

 
Guiding Principles
These 9 principles help guide MLTSS implementation in states, with a focus on residents and patients. They are designed to ensure access, improve quality, and enhance choice in a managed care environment.
 
Analysis
This analysis provides an overview of MLTSS programs and discusses implications for the Centers for Medicare and Medicaid Services' Financial Alignment Initiative and explores state experiences with MLTSS and managed acute care.
 
Toolkit - Members Only (Login Required)
This toolkit is based on 9 guiding principles that AHCA believes must be part of any Medicaid MLTSS program. It includes suggestions for statutory, regulatory, or contractual agreement language and a checklist for MLTSS plan contracts.
 
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