Welcome! This resource page provides information related to Medicaid reforms in long term services and supports (LTSS) undertaken across the nation.
Many states are addressing challenges relating to finance and delivery of LTSS by moving to managed care and/or using opportunities in the Patient Protection and Affordable Care Act to integrate and coordinate services. Medicaid integration occurs in many forms, under many plans and actions, mostly because LTSS for elders and people living with disabilities are administered at the state level. Keeping up with changes in LTSS at the state level helps us discover what Medicaid integration looks like and where it is happening.
The National Association of States United for Aging and Disabilities (NASUAD) has developed a tool to track the different ways in which states are integrating Medicaid-funded LTSS. The State Medicaid Integration Tracker © focuses on state actions in managed care for people who receive LTSS and on state initiatives to improve services for "dual eligibles" (people eligible for both Medicare and Medicaid). The Tracker also provides updates on state actions related to other LTSS reforms, such as the Balancing Incentive Program, 1915(i) Medicaid state plan amendments, and the Communities First Choice Option under 1915(k).
National Association of States United for Aging and Disabilites (NASUAD)
Study for CMS on Medicaid managed LTSS
Truven Health Analytics conducted a scan of Medicaid managed LTSS(MLTSS) programs. The study identified existing programs (as of June 2012) as well as future programs being implemented into January 2014, indicating growth in the use of MLTSS as one form of Medicaid integration.
Read the report.
State Oversight of Medicaid Integration
One form of Medicaid integration is Medicaid managed Long-term services and supports (MLTSS). An AARP Public Policy Institute report examines how states can build capacity for oversight of MLTSS to improve quality and program performance.
Read the report.