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Low-income adults who need and use long-term services and supports (LTSS) are among the most complex, expensive, and fast-growing populations covered by Medicaid. One of the greatest challenges state officials face is how to organize and pay for these services in ways that allow older adults and adults with disabilities to live full and satisfying lives.
Developed to address this challenge, this toolkit, written by Manatt Health and the Center for Health Care Strategies with support from The SCAN Foundation and the Milbank Memorial Fund, provides a targeted menu of LTSS reform strategies adopted by state innovators that may be replicated by other states. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms, while highlighting opportunities and challenges states faced in implementing reforms. The toolkit is a resource for anyone developing state strategies for this increasingly important issue.
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