Center for Health Care Strategies: State Trends and Innovations in Medicaid Long-Term Services and Supports

This brief from the Center for Health Care Strategies highlights states’ continued progress in: 1) rebalancing LTSS options toward home- and communitybased services; and 2) developing and implementing managed LTSS programs to better integrate care. It describes states’ progress in improving quality of care for LTSS and the decision by some states to change program authority for provision of LTSS services from 1915(c) waiver authorities to comprehensive Section 1115(a) demonstration waiver authorities.