MLTSS Program Evaluation

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.

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.

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