News & Updates

As Managed Long-Term Services and Supports Grow, So Do Opportunities for the Program’s Improvement

October 23, 2019

As Managed Long-Term Services and Supports Grow, So Do Opportunities for the Program’s Improvement


Washington, DC -  The Institute for Medicaid Innovation (IMI), the non-profit, nonpartisan Medicaid research and policy group, released a new report, “Leveraging Opportunities in Medicaid Managed Long-Term Services and Supports (MLTSS).” In it, IMI highlights how MLTSS is growing rapidly- already outpacing total LTSS spending- and outlines clinical, research, and policy opportunities to help improve quality of care and ensure the success of the program over time.

Managed Long-Term Services and Supports (MLTSS) are an arrangement between a managed care plan and a state Medicaid program, as opposed to using a fee-for-service model in LTSS. Considering the complexity of the program, the states rely on the expertise of Medicaid managed care organizations to coordinate and deliver these services and supports to eligible individuals. Currently, 23 states use at least one MLTSS program.

IMI has pinpointed several opportunities to enhance the MLTSS program including in the areas of data collection, care coordination, and flexibility in program designs. For instance, the IMI notes that implementing a better mechanism for data collection has the potential to improve cost-effectiveness and data reliability. Additionally, IMI discusses in the new report that fragmentation in service delivery and rigid program structure restrict opportunities for improved design and can lead to poorer quality care.

Access IMI’s new MLTSS report in full here and the report’s fact sheet here.

The new report is the second in a series on long-term services and supports in Medicaid. The first report is a primer on Long-Term Services and Supports and can be accessed here along with its complementary fact sheet here.


About the Institute for Medicaid Innovation

The Institute for Medicaid Innovation (IMI) is a 501(c)3 nonprofit, nonpartisan research and policy organization that provides independent, nonpartisan information and analysis to inform Medicaid policy and improve the health of the nation.


Media contact:

Lydia Tonkonow