Managed Long-Term Care Services and Support

From 2005 to 2013, the number of states offering managed long-term services and supports (MLTSS) more than doubled, from six to 14 states, and additional states are planning to implement new MLTSS arrangement in future years. By FY 2014, 15% of LTSS expenditures were for services provided by managed care organizations (MCOs). This trend will only accelerate as states integrate dual and home and community based services (HCBS) populations into MCOs.

Medicaid pays almost 50% of the nation's post-acute and long-term care costs, and such costs account for about 35% of total Medicaid spending. Projected growth in long-term care costs in the current Medicaid program — due to the dramatic increase in projected growth in the population of senior citizens — is not sustainable.

We support efforts to increase access to home and community-based services to improve quality of life and choices for people with disabilities. Medicaid health plans are uniquely positioned to serve the elderly and disabled populations by coordinating benefits and support services.

MHPA Fact Sheet: Medicaid Health Plans and Integrated Care for Dual Eligibles

Center for Health Care Strategies, Inc., State Trends in the Delivery of Medicaid Long-Term Services and Supports (July 2016)

TRUVEN Analytics, Improving the Balance: The Evolution of Medicaid Expenditures for Long-Term Services and Supports (LTSS), FY 1981-2014  (June 2016)