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Promoting Community Integration Through Long-Term Services and Supports

Approximately 4.8 million Medicaid beneficiaries received long-term services and supports (LTSS) in 2011.1 Further, people with LTSS needs account for about one third of all Medicaid expenditures.2 The Medicaid Innovation Accelerator Program (IAP) offered technical assistance to Medicaid agencies seeking to promote community integration for Medicaid beneficiaries using LTSS.

Based on state and stakeholder feedback, IAP offered technical assistance to states in two distinct areas: Housing-Related Services and Partnerships as well as Value-Based Payment in Home and Community Based-Services. Selected states in these two areas shared common interests and goals that align with IAP’s broader goals for Community Integration- Long-Term Services and Supports:

  • Increase state adoption of individual tenancy sustaining services to assist Medicaid beneficiaries.
  • Facilitate partnerships with housing agencies.
  • Increase state adoption of strategies that tie together quality, cost, and outcomes in support of community-based services LTSS programs.

1 Eiken S, Sredl K, Saucier P, and Burwell B. Medicaid Long-Term Services and Supports Beneficiaries in 2011 Truven Health Analytics, September 22, 2015 and Saucier P, Kasten J, Burwell B, and Gold L. The Growth of Managed Long-Term Services and Supports (MLTSS) Programs: A 2012 Update Truven Health Analytics, July 2012.

2 Eiken S, Sredl K, Burwell B, and Saucier P. Medicaid Expenditures for Long-Term Services and Supports (LTSS) in FY 2013: Home and Community-Based Services were a Majority of LTSS Spending Truven Health Analytics, June 30, 2015.