Taxonomy of Long-Term Services and Supports Integration

Key Questions Answered
  • How can a program be assessed in terms of integration of LTSS with medical care and behavioral health?
  • What are the right questions to ask to conduct this assessment?
  • Which characteristics are important to integration?
Key Themes and Takeaways

This resource provides a framework for understanding the nature and extent of integration in programs that integrate LTSS with medical care and behavioral health.

  • This taxonomy is a standardized tool to assess where along a continuum a given program lies with regard to specific components of integration.
  • Integration is not the goal in and of itself, but rather a means of improving care and decreasing the total cost of serving a high-cost, high-risk population. To this end, the taxonomy can be used to evaluate the importance of each component of integration for achieving quality and savings.
  • For a variety of characteristics, this resource provides relevant questions to ask and describes what they would look like with low, medium, and full integration.
  • The characteristics include Member Assessment and Care Planning, Organization and Operation of the Care Team, Communication, Transitions, and Risk Stratification and Targeting.
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 Evidence
Uploaded to The Playbook