Many states are implementing managed long-term services and supports (LTSS) to better coordinate care for Medicaid recipients. This may change the way your organization provides Medicaid services by requiring you to contract or enter into an agreement with one or

As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should

https://youtu.be/71XcGt9nSFo?si=SGg7LE_kh6RmuL5_ Podcast: This webinar is available as podcasts on SoundCloud and iTunes. Description: This webinar explores the benefits of partnerships between health plans and community-based organizations to establish a network with local leadership and support community integration for persons with disabilities. Social

Increasingly, health plans are assuming responsibility for providing behavioral health long-term services and supports (LTSS) for your Medicaid clients. In particular, health plans that serve Medicare-Medicaid enrollees may need to address the care needs of individuals with mental illness, developmental

Adequate oversight of the delivery of personal care services in participant-directed programs is vital so that members’ individual service plans are carried out correctly and prevent fraud and abuse. However, monitoring the provision of services in participant-directed programs can be

As more states move to managed long-term services and supports (LTSS), your provider organization may need to change how it structures its operations and care delivery.  Instead of contracting directly with a state, your provider organization will contract with health