Long-Term Supports and Services (LTSS) refer to assistance given over a sustained period of time to people who are experiencing long-term inabilities or difficulties in functioning because of a disability. LTSS can be provided in facilities, institutional settings or in the home and community.
According to the Centers for Medicare and Medicaid Services (CMS), "[Managed Long-Term Supports and Services] MLTSS refers to the delivery of LTSS (including both home and community-based services (HCBS) and institutional-based services) through capitated Medicaid managed care programs. These programs can be operated by a variety of health plans, including managed care organizations." There has been a growing movement in this direction across the nation, from eight states in 2004 to 15 in 2013 implementing managed LTSS programs.
We believe that a move to managed care is the next logical step in our long-term supports and services transformation. We believe that a move to MLTSS will help ensure that we are able to more effectively meet the needs and improve the health outcomes of the residents of Louisianans who need long-term supports.
During the last fiscal year, over $2 billion was spent to serve over 73,000 recipients of long-term supports and services in Louisiana.
The key objectives of restructuring LTSS to a system of managed care are to:
No, we have not built any savings or adjustments into the next fiscal year budget for MLTSS.
We have made a concerted effort to involve stakeholders in the process of restructuring LTSS to a system of managed care and gather their feedback, including:
At this time we do not anticipate closing any facilities. One point of our focus will be ensuring that individuals continue to have the option to choose the setting that best meets their needs, including services in a facility.
There is no set timeline for implementation. We anticipate the earliest implementation would be is July of 2015.
The Department, based on feedback from the advisory group, may issue two RFPs - one for individuals with developmental disabilities and one for individuals with age-related disabilities. Our goal is to release both RFPs by late summer or early fall of 2014.