Medicaid Managed Long-Term Services and Supports: Key Issues to Consider from the Kaiser Family Foundation

November 29, 2012

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There is increased interest among states in operating Medicaid managed long-term services and support (MLTSS) programs rather than paying for long-term services and supports (LTSS) on a fee-for-service basis, as has been the general practice. This issue brief examines key issues for states to consider if they are contemplating a shift to covering new populations and LTSS benefits through capitated payments to traditional risk-based managed care organizations (MCOs). It draws on current literature as well as discussions conducted during the spring and summer of 2011 with a variety of respondents - federal and state officials, researchers, representatives from managed care organizations, service providers, and consumer advocates.