Getting A Bead On MLTSS

Executive Briefing | October 19, 2017
Athena Mandros We recently reported on several important changes in managed long-term services and supports (MLTSS)—Virginia Medicaid Launches Mandatory MLTSS Enrollment; Specialty Behavioral Health Services Included, MassHealth Selects Community Partner Organizations For ACOs – 8 For LTSS & 18 For Behavioral Health, and Nebraska Medicaid LTSS Redesign Calls For Phased Carve-In Starting January 2020. And over the past couple of months, we have written about the I/DD population in the midst of this change—For IDD, The Question Isn’t Managed Care Or Not-It’s Residential Care Or Not, Disruption (& Strategic Planning) Come To The I/DD Space, and The I/DD Market Evolution). But it’s been a while since we looked at the MLTSS market and the changes effecting that market. As an update, we took a look at...

State Medicaid Programs With MLTSS: The 2017 OPEN MINDS Update

Market Intell Report | October 19 2017
Managed long-term services and supports (MLTSS) refers to state Medicaid programs that choose to finance and manage institutional care and/or home- and community-based services through managed care organizations (MCOs). State Medicaid plan contracting for MLTSS can either be through existing Medicaid MCO contracts – or by creating separate MCO contracts for LTSS. Currently there are 22 states with MLTSS...

Massachusetts Selects Two MCOs, Moving Selected Medicaid Populations To Health Insurance Marketplace

News Report | October 15 2017
On October 3, 2017, the Massachusetts Executive Office of Health and Human Services (EOHHS) announced it had selected two Medicaid managed care organizations (MCOs)—Boston Medical Center Health Plan and Tufts Health Public Plans—that will enroll about 200,000 of the state's 1.9 million Medicaid beneficiaries. The new MCO contracts go live in January 2018 as part of a reform effort authorized...

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