As more states shift to managed long-term services and supports (LTSS) for their Medicaid programs, your organization may need to contract with health plans. Health plans may be accustomed to contracting for institutional-based acute care services but may not have

Your organization may be required to change billing practices upon contracting, or entering into an agreement, with a health plan. Submitting a formal medical billing claim form may be a new experience for your organization. Your organization may be used

Community-based resources may address the needs of members dually eligible for Medicare and Medicaid that are sometimes not met through formal relationships with providers. This is particularly relevant for health plans deploying navigation, care coordination, and peer support programs in-house.

Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes and communities rather than in institutional settings. If your health plan operates in states

As your health plan becomes engaged with persons eligible for both Medicare and Medicaid – particularly those with behavioral health needs, developmental disabilities, or substance abuse challenges – you may find it necessary to provide behavioral health long-term services and

Long-term services and supports (LTSS) comprise the range of home and community-based services and supports that allow participants to reside in their home and engage in their community. In the context of disability-competent care, planning LTSS involves identifying functional needs

More states are contracting with health plans to manage Medicaid long-term services and supports (LTSS). As a result, you may find yourself working with health plans instead of the state to provide care for your Medicaid clients. Contracting with a

Many states are implementing managed long-term services and supports (LTSS) to better coordinate care for Medicaid recipients. This may change the way your organization provides Medicaid services by requiring you to contract or enter into an agreement with one or

A person-centered approach is key in disability-competent care coordination. Care coordinators help participants with disabilities and chronic health conditions manage risk within the context of their personal preferences as well as their health and safety needs. Sam and Deb’s story

A person-centered approach is key in disability-competent care coordination. Care coordinators help participants with disabilities and chronic health conditions manage risk within the context of their personal preferences as well as their health and safety needs. Camille’s story illustrates the