Where Are We With Managed Long-Term Services & Supports?

In 2013, we saw the majority of long-term services and supports funding shift from institutional care to home- and community-based services (HCBS) for the first time ever (see Over 50% Of Medicaid LTSS Expenditures For HCBS In 2013). And this is not the only shift affecting the long-term services and supports (LTSS) market – there is increased implementation of managed long-term services by state Medicaid programs.

Managed long-term services and supports (MLTSS) programs finance and deliver institutional care and/or HCBS through managed care organizations (MCOs). Historically these services, in particular HCBS, have been provided through . . .