Performance Measures in MLTSS Programs: Research Brief. Endnotes


  1. This Brief draws predominantly on the experience of MLTSS programs in Arizona, Michigan, Minnesota, North Carolina, Pennsylvania, Tennessee, Texas and Wisconsin. More detailed information on performance measures in each of these programs may be found in Jackson et al., Quality in Managed Long-Term Services and Supports Programs, Truven Health Analytics, 2013.

  2. Medicaid managed care regulations may be found in CFR 438. Available at Accessed August 30, 2013.

  3. CMS Center for Medicaid and CHIP Services, 2013. Guidance to States Using 1115 Demonstrations or 1915(b) Waivers for Managed Long Term Services and Supports Programs. Available at Accessed August 30, 2013.

  4. Medicaid 1915(c) HCBS waiver quality requirements are specified in various appendices of Version 3.5 of the waiver application. Available at Accessed August 30, 2013.

  5. Truven Health Analytics (as The MEDSTAT Group, Inc.) for CMS. Participant Experience Survey (PES) Tools. Available at Accessed March 5, 2014.

  6. Available at Accessed October 11, 2013.

  7. Available at Accessed October 23, 2013.

  8. Under development by the National Association of State Units on Aging and Disability (NCI-AD), Expanding the National Core Indicators for Aging and Disability Services was presented at the 2013 National Association of States United for Aging and Disabilities (NASUAD) HCBS Conference. Available at Accessed October 11, 2013.

  9. CAHPS is a family of measure sets, focusing on consumers' experience with different aspects of the health care delivery. Separate CAHPS instruments have been developed and tested for assessing consumer experience of health plans, hospitals, dental services, Medicaid, home health, nursing home, prescription drug plan, clinician and group, behavioral health, patient-centered medical home, and Medicare Advantage plans.

  10. Available at Accessed October 11, 2013.

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