Technical Assistance Tool
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.
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Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
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?
Level of Evidence
PromisingWhat does this mean?