Strengthening Medicaid Long-Term Services and Supports: A Toolkit for States

Guide
Key Questions Answered
  • What are some strategies states have used to improve quality and reduce costs in their Medicaid long-term services and supports (LTSS) systems?
  • What are the results and lessons of these strategies?
Key Themes and Takeaways

This resource is a toolkit that describes strategies for states to reform their Medicaid LTSS systems.

  • Medicaid is the leading payer for LTSS systems, which enable more than 12 million people to meet their personal care needs and live with independence in community and institutional settings.
  • States are seeking to reform their Medicaid LTSS systems to improve the quality of care and contain costs.
  • This toolkit highlights strategies that states are using to deliver high-quality and high-value LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care.
  • For each strategy identified, this toolkit provides the impetus, a description, implementation mechanisms, results to date, and key lessons. Case studies are also included.
Authors
Stephanie Anthony
Arielle Traub
Sarah Lewis
Cindy Mann
Alexandra Kruse
Michelle Herman Soper
Stephen A. Somers
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Promising
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