| TABLE B1. State PD-MLTSS Program Overview | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| State | Program Name (start date) |
Federal Authority | Current MCOs | Target Population | PD-MLTSS Model | Participant-Directed Services | NPA Amended for PD-MLTSS | Estimated Number Self-Directing | Estimated Take-Up Rate | Catchment |
| Arizona | Arizona Long-Term Care System (1989) |
§1115 | Mercy Care Plan, Bridgeway, & Evercare Select | Disabled & Elderly | Employer | Attendant care, homemaker, general supervision, limited skill care | Yes | 200 | 1.2% | Statewide |
| Massachusetts | Senior Care Options (2004) |
§1915(a)/(c) | CCA, NaviCare, United HealthCare & Senior Whole Health | Elders | Employer | Personal care assistance | Yes | 4,582 | 22% | Statewide |
| New Mexico | Centennial Care (2014) |
§1115 | MCOs Pending Readiness Review | Disabled & Elderly, Brain Injury, HIV/AIDS | Employer & Budget | Homemaker, personal care services | No | 800 | 24% | Statewide |
| Tennessee | TennCare/ CHOICES (2008) |
§1115 | United HealthCare, AmeriGroup & Volunteer State Health Plan | Disabled & Elderly | Employer & Budget | Personal care, attendant care, in-home respite & companion services | Yes | 1,020 | 8.9% | Statewide |
| Texas | Texas STAR +PLUS (1998) |
§1115 | AmeriGroup, Molina, Superior HealthPlan (Centene), United HealthCare & HealthSpring | Children, Disabled, & Elderly | Employer & Budget | Personal assistance, primary home care, nursing, physical therapy, occupational therapy, speech, & respite | Yes | 3,040 | 2.5% | Currently in urban areas & surrounding counties. Becoming statewide in 2014. |
| TABLE B2. State Requirements for PD-MLTSS | ||||||||
|---|---|---|---|---|---|---|---|---|
| State | MCO Required to Offer PD-MLTSS | MCO Required to Use PCP | Requires PD-MLTSS Enrollment Targets | Requires Member Training | Requires Worker Training | Requires Back-Up Plan | Requires FMS | Specific Reporting Requirements for PD-MLTSS |
| Arizona | Yes | Yes | No | No | Yes | Yes | Yes | No |
| Massachusetts | No | No | No | No | No | Yes | Yes | No |
| New Mexico | Yes | Yes | No | No | No | Yes | Yes | Yes |
| Tennessee | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Texas | Yes | No | No | No | No | Yes | Yes | Yes |
| TABLE B3. PD-MLTSS Quality Monitoring | ||||||
|---|---|---|---|---|---|---|
| State | Specific Quality Performance Indicators for PD-MLTSS | Specific PD-MLTSS Quality Service Monitoring | Structured Member Input to State | Structured Member Input to MCO | Satisfaction Surveys Include Specific PD-MLTSS Questions | Member Advisory Councils |
| Arizona | No | No | Yes | Yes | No | Yes |
| Massachusetts | No | Yes | Yes | Yes | No | NA |
| New Mexico | No | Yes | Yes | Yes | No | Yes |
| Tennessee | Yes | Yes | Yes | Yes | No | Yes |
| Texas | No | No | Yes | Yes | No | Yes |
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