State Medicaid programs are turning to managed care as one of several strategies to improve care coordination and manage costs for populations with complex health care needs and disproportionately high Medicaid expenditures. As of January 2018, nearly half of states (24) operate managed long-term services and supports (MLTSS) programs, up from just eight in 2004. Given the growing role of managed care in serving LTSS users, the Commission has undertaken a variety of activities in recent years to better understand this change.
This presentation provides an overview of the draft chapter on MLTSS for the Commission’s June report to Congress. It reviews which states have adopted MLTSS, describes characteristics of state programs, and presents results of MACPAC’s initial work in this area. It concludes by identifying areas where the Commission may engage in further research to fill knowledge gaps.