Medicaid Managed Long Term Services Supports (MLTSS) pertains to the arrangement between State Medicaid programs and managed care organizations (MCO) whereby the MCOs receive capitated payments from Medicaid for the delivery of long term services and supports.
MCOs deliver MLTSS benefits such as personal care; home delivered meals; personal emergency response systems; mental health and addiction services; assisted living; community residential services; and nursing home care.
More and more states are now using MLTSS as a strategy for expanding home-based and community-based services. It is intended to lower the costs of services, support integrated delivery, prevent hospitalizations and nursing home admissions, and extend the amount of time beneficiaries can live independently in their communities.
MLTSS programs can vary widely from state to state. A person must meet certain financial, clinical, age and/or disability requirements to qualify for MLTSS.
Medicaid Managed Long Term Services and Supports (MLTSS) – Medicaid.gov