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This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers.
Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in
State Medicaid programs are increasingly transitioning long-term services and supports (LTSS) and LTSS service users from fee-for-service into managed care. In 2004, eight states had managed long-term services and supports (MLTSS) programs; by 2012 the number had doubled to 16; and by the end of 2014, almost half the states (24) are expected to have MLTSS programs.
As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities).