Click Here to View the Brief Due to the predicted growth in the population eligible for long-term services and supports (LTSS), states continue to explore ways to reduce budget risk, improve the delivery of services, and meet individuals’ preferences to

Click Here to View the Tip Sheet This tip sheet both identifies the broad range of social determinants of health (SDOH) and health-related social needs (HRSN) data collection toolkits and offers additional guidance around using these resources most effectively. Specifically,

Click Here to View the Brief Quality measurement in home and community-based services (HCBS) supports states, health plans, and providers in ensuring members are receiving HCBS that reflect their preferences, assuring health and welfare, improving health outcomes, and promoting effectiveness

Click Here to View the Brief 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, rather than in institutional settings such as nursing

This summary provides an overview of building partnerships between providers, health plans, health systems, and community-based organizations, to meet the varied health and social needs of individuals with disability. Steps to assess and establish partnerships are also described. Click here

Behavioral health long-term services and supports (LTSS) such as health navigation peer support, and developmental therapy assist members by coordinating care and integrating appropriate supports. The services are designed to assist members with mental illness, addiction, and developmental disabilities and

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.

Behavioral health long-term services and supports (LTSS), such as health navigation, peer support, and developmental therapy, assist members in maintaining independence by coordinating resources and care, serving as mentors and personal models of recovery, and integrating appropriate developmental supports.  As