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Comparing New Flexibilities in Medicare Advantage with Medicaid Long-Term Services and Supports: Final Report

Publication Date
Molly Knowles, Jennifer Howard, Amarilys Bernacet, Cleanthe Kordomenos, Edith Walsh

The Centers for Medicare & Medicaid Services (CMS) has recently given new flexibilities to Medicare Advantage (MA) plans to provide supplemental benefits that address long-term services and supports (LTSS) needs and social determinants of health (SDOH) among their members. However, limited information is available about the extent to which plans have provided or plan to provide these expanded supplemental benefits. Furthermore, Medicaid managed care plans may be concurrently offering similar benefits to Medicaid beneficiaries. This potential duplication is particularly relevant for dual eligible beneficiaries accessing services from Medicare and Medicaid managed care plans. This report synthesizes information gathered from an environmental scan and case studies to provide an overview of early implementation of the expanded supplemental benefits.

This research was conducted under contract #HHSP233201600021I between HHS’s ASPE/BHDAP and Research Triangle Institute. Please visit for more information about ASPE research on long-term services and supports (LTSS), or BHDAP at

Available Report