What is Managed Long-Term Services and Supports?
Managed Long-Term Services and Supports (MLTSS) is the delivery of physical health, long-term care and in some instances, behavioral health by a Medicaid managed care organization. State Medicaid agencies contract with managed care plans to provide services under an agreed upon fixed monthly (“capitation”) rate per program participant. The plan is responsible for coordinating the delivery of all necessary services including long-term services and supports (LTSS) under that established rate. Because managed care plans are regional entities responsible for the delivery of medical and non-medical services, program participants work with a single entity to coordinate the services and supports in their care plan.
In addition to managed care organizations serving as the participant’s single point of contact, service options within the care plan are customized to meet personal needs with emphasis placed on the individual’s goals and preferences. Throughout the managed LTSS delivery process, programs monitor service quality, effectiveness, and the individual’s satisfaction with them. In the event a participant moves from one area of the state to another, all efforts are made by the MLTSS program to prevent any service disruption.
Some key components of a MLTSS program include:
- Person-centered service planning;
- Services and supports coordination;
- Integration of acute and personal care; and
- Access to qualified providers.