As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should
[...]Health plans increasingly will be required to provide oversight for a broader range of services as more states contract for managed long-term services and supports. These services may include personal care services delivered by direct service workers (DSWs). Monitoring the
[...]Health plans increasingly will be required to oversee non-emergency transportation services as more states contract for managed long-term services and supports (LTSS). Oversight often refers to preventing fraud and abuse, which requires ensuring that the services being billed are actually
[...]https://youtu.be/71XcGt9nSFo?si=SGg7LE_kh6RmuL5_ Description: This webinar explores the benefits of partnerships between health plans and community-based organizations to establish a network with local leadership and support community integration for persons with disabilities. Social determinants of health – such as affordable and accessible
[...]Increasingly, health plans are assuming responsibility for providing behavioral health long-term services and supports (LTSS) for your Medicaid clients. In particular, health plans that serve Medicare-Medicaid enrollees may need to address the care needs of individuals with mental illness, developmental
[...]As states expand managed long-term services and supports (LTSS) for their Medicaid enrollees, your health plan may need to engage or contract with a variety of LTSS providers, including existing licensed home and community-based service providers and direct service workers
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