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Quality in Managed Long-Term Services and Supports Programs

November 1, 2013

This report investigates the quality oversight mechanisms in place in 16 states with Medicaid managed long-term supports and services (MLTSS) programs. States vary in the oversight infrastructure and requirements built into their MLTSS programs. Only one state has a real-time electronic visit verification program for home care workers to notify providers when they need to deploy a replacement worker.

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Key Takeaways

The growing transition from fee-for-service to managed care requires the adjustment of quality oversight systems.
There is significant variation in quality oversight among states with MLTSS programs.
Few states have robust oversight requirements related to workers.

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