Content by Keyword: Long-Term Care

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APPENDIX P. WASHINGTON MEDICAID INTEGRATION

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix P. Washington Medicaid Integration Partnership

  Element     Description/Notes   State and Lead Agency Washington Department of Social and Health Services (DSHS) Program
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APPENDIX O. TEXAS STAR+PLUS

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix O. Texas Star+plus

  Element     Description/Notes   State and Lead Agency Texas Health and Human Services Commission (HHSC)
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APPENDIX N. TENNESSEE TENNCARE CHOICES

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix N. Tennessee Tenncare Choices

  Element     Description/Notes   State and Lead Agency Tennessee Department of Finance and Administration, Bureau of TennCare, Division of Long-term Services and Supports
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APPENDIX M. PENNSYLVANIA ADULT COMMUNITY AUTISM

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix M. Pennsylvania Adult Community Autism Program

  Element     Description/Notes   State and Lead Agency Pennsylvania Office of Developmental Programs, Bureau of Autism Services
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APPENDIX L. NORTH CAROLINA MENTAL HEALTH/

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix L. North Carolina Mental HEALTH/DEVELOPMENTAL DISABILITIES/SUBSTANCE Abuse Services Health Plan Waiver

  Element     Description/Notes   State and Lead Agency North Carolina Department of Health and Human Services (DHHS), Division of Medical Assistance (DMA)
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APPENDIX K. NEW YORK MEDICAID ADVANTAGE PLUS

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix K. New York Medicaid Advantage Plus

  Element     Description/Notes   State and Lead Agency New York State Department of Health (SDOH), Division of Long-Term Care
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APPENDIX J. NEW MEXICO COORDINATION OF LONG-TERM

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix J. New Mexico Coordination of Long-term Services

  Element     Description/Notes   State and Lead Agency New Mexico Human Services Department (HSD) New Mexico Aging and Long-Term Services Department (ALTSD)
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APPENDIX I. MINNESOTA SENIOR CARE PLUS AND

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix I. Minnesota Senior CARE Plus and Minnesota Senior Health Options

  Element     Description/Notes   State and Lead Agency Minnesota Department of Human Services
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APPENDIX H. MICHIGAN MEDICAID MANAGED SPECIALTY

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix H. Michigan Medicaid Managed Specialty Supports and Services

  Element     Description/Notes   State and Lead Agency Michigan Department of Community Health (MDCH)
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APPENDIX G. MASSACHUSETTS SENIOR CARE OPTIONS

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix G. Massachusetts Senior CARE Options

  Element     Description/Notes   State and Lead Agency Massachusetts MassHealth, Office of Long Term Care, Executive Office of Health and Human Services (EOHHS)
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APPENDIX F. KANSAS KANCARE

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix F. Kansas Kancare

  Element     Description/Notes   State and Lead Agency Kansas Department of Health and Environment (KDHE)
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APPENDIX E. ILLINOIS INTEGRATED CARE PROGRAM

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix E. Illinois Integrated CARE Program

  Element     Description/Notes   State and Lead Agency Illinois Department of Healthcare and Family Services (HFS)
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APPENDIX D. HAWAII QUEST EXPANDED ACCESS

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix D. Hawaii Quest Expanded Access

  Element     Description/Notes   State and Lead Agency Hawaii Department of Human Services, MED-QUEST Division
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APPENDIX C. FLORIDA LONG-TERM CARE COMMUNITY

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix C. Florida Long-term CARE Community Diversion Pilot Project

  Element     Description/Notes   State and Lead Agency Florida Department of Elder Affairs Contract covering 2012 through August 2013
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APPENDIX B. DELAWARE DIAMOND STATE HEALTH PLAN-

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix B. Delaware Diamond State Health Plan-plus

  Element     Description/Notes   State and Lead Agency Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance
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APPENDIX A. ARIZONA LONG-TERM CARE SYSTEM

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendix A. Arizona Long-term CARE System

  Element     Description/Notes   State and Lead Agency Arizona Health Care Cost Containment System (AHCCCS)
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APPENDICES

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Appendices

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NOTES

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. Notes

Saucier, P., J. Kasten, B. Burwell and L. Gold. 2012. The Growth of Managed Long Term Services and Supports (MLTSS) Programs: A 2012 Update . Centers for Medicare and Medicaid Services. http://www.medicaid/gov/Medicaid-CHIP-Program-Information/By-Topics/Deli... . Accessed August 8, 2013.
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III. SCAN HIGHLIGHTS

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. III. Scan Highlights

Below we highlight what the scan revealed about the quality requirements MLTSS states choose to include in contracts with MCOs. In some instances there is wide diversity in what the contracts require and in others more convergence. Also, contracts may require the same quality element but one may be very prescriptive and specific about how the requ
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II. SCAN METHODOLOGY

Environmental Scan of MLTSS Quality Requirements in MCO Contracts. II. Scan Methodology

Our source data for the scan were the standard contracts that states use to engage MCOs to provide MLTSS in their Medicaid programs. These documents are available on state websites and other public domains.

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