Long-Term Services and Supports (LTSS)
Home and Community-Based Settings Toolkit (Centers for Medicare & Medicaid Services/March
2014) This toolkit is designed to assist states in complying with new requirements
in the federal home and community-based services (HCBS) regulations.
Medicaid Home and Community-Based Services (HCBS) Final Rule (Centers for Medicare
& Medicaid Services/January 2014) These regulations detail requirements for states
in providing Medicaid HCBS and may also apply to integrated care initiatives for
Medicare-Medicaid enrollees that rely on Medicaid authorities subject to these requirements.
General Background on LTSS:
Rising Demand for Long-Term Services and Supports for Elderly People
(Congressional Budget Office/July 2013) This report provides data and examines the
financing of long-term services and supports, the functional and cognitive limitations
of seniors in the community, where services are being provided, and possible scenarios
for the future of long-term services and supports.
Medicaid Home and Community-Based Service Programs: 2009 Data Update
(Kaiser Family Foundation/December 2012) This report summarizes the key trends in
expenditures and participation data for Medicaid Home and Community-Based Services
(HCBS) programs – (1) the mandatory home health services state plan benefit, (2)
the optional personal care services state plan benefit, and (3) optional § 1915(c)
HCBS waivers services.
Medicaid and Long-Term Care Services and Supports (Kaiser Family Foundation/June
2012) This updated fact sheet provides an overview of long-term care services, delivery
of such services, and the large role Medicaid plays in financing long-term care.
- Resources for Integrated Care
This website, developed under contract to the Medicare-Medicaid Coordination Office,
supports health plans and providers to deliver more integrated, coordinated care
to Medicare-Medicaid enrollees, especially those individuals with intellectual and
developmental disabilities, physical disabilities, and serious mental illness.
Consumer Direction in Managed Long-Term Services and Supports Programs
(Integrated Care Resource Center/March 2013) In this webinar, a speaker from the
National Resource Center for Participant-directed Services explains participant
direction and how it can be included in contract language, then staff from the Arizona
Health Care Cost Containment System give an example of how Arizona implemented consumer
direction in its long-term care system (ALTCS).
People with Disabilities and Medicaid Managed Care: Key Issues to Consider (Kaiser
Family Foundation/February 2012) This issue brief examines issues in the development
and implementation of managed care programs for Medicaid beneficiaries with disabilities,
particularly policy considerations related to setting rates, developing provider
networks and delivery systems, and ensuring sufficient beneficiary protections and
Capitation Rate Setting:
Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services
(Center for Health Care Strategies/May 2012) This policy brief describes
rate development strategies that states can use to promote home- and community-based
services (HCBS) in MLTSS programs, the role of integrated care programs to help
expand HCBS, and other considerations for developing rates for MLTSS programs.
Managed Long Term Care: Options for New York and Examples from Other States
(Mathematica Policy Research/July 2011) This presentation to the New York
Managed Long Term Care Implementation and Waiver Redesign Work Group outlines options
for combining Medicaid acute and long-term care services for Medicaid-only beneficiaries
and options for including Medicare services for dual-eligible beneficiaries.
Measuring HCBS Quality in MLTSS Programs (National Council on Aging/September
2013) This webinar highlighted efforts in two states implementing new Medicaid managed
long-term services and supports (MLTSS) programs and focused on: (1) findings from
an external evaluation in Illinois tracking the transition to MLTSS and consideration
of 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.
to Quality Measures in Managed Long-Term Services and Supports (National
Council on Aging, Friday Morning Collaborative/February 2012) This webinar provides
an introduction to world of quality measurement. It will provide an overview of
NCQA (National Committee on Quality Assurance), HEDIS (Healthcare Effectiveness
Data and Information Set), and CAHPS (Consumer Assessment of Healthcare Providers
MFP and ACA Opportunities: