Many states are implementing managed long-term services and supports (LTSS) for their Medicaid populations, including those experiencing mental illness, addiction, or intellectual and developmental disabilities. For this reason, health plans in your area may be seeking providers who can deliver

More states are contracting with health plans to manage Medicaid long-term services and supports (LTSS). As a result, you may find yourself working with health plans instead of the state to provide care for your Medicaid clients. Contracting with a

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

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

As your health plan expands its capacity to provide long-term services and supports (LTSS), it will need to consider contracting with provider agencies that utilize core competency training for the direct service workers (DSW) who provide services to your members.

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

Health plans increasingly will be required to provide oversight to a broader range of services as more states contract with health plans for managed long-term services and supports. Oversight often refers to preventing fraud and abuse, which requires ensuring that