Three Care Coordination Models Emerging In Medicaid Managed Long-Term Services & Supports Programs

The nature of care coordination is changing from case management to three emerging models as state Medicaid programs implement managed long-term services and supports (LTSS). The emerging models are in-house, shared functions, and delegated. The definition of care coordination is expanding beyond the scope of traditional case management to include comprehensive and coordination of services and informal supports received, including health and social services. Most MLTSS programs require that all members receive some level of care coordination, with the intensity of care coordination increasing with risk of needing institutional care. However, care coordination specifications vary across states.

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