As of January 2018, nearly half of states (23) deliver long-term services and supports (LTSS) through managed long-term services and supports (MLTSS) programs. However, only eight states have created MLTSS programs for individuals with intellectual and developmental disabilities (IDD).
In 2017, MACPAC contracted with Health Management Associates (HMA) to better understand the unique needs of individuals with IDD and determine the extent to which MLTSS programs including this population have been tailored to meet those needs. HMA recently completed that work, which consisted of background research, a review of contracts between states and health plans, and interviews with states, beneficiary advocates, plan representatives, and provider organizations.
This session provided an overview of findings from that work. HMA found that IDD-specific contract provisions were more common in programs that only included individuals with IDD compared with those that enroll all LTSS populations. Interviewees cited an incremental approach and a high degree of stakeholder engagement as factors in the successful implementation of MLTSS for this population.