Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit

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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States has been developed with support from The SCAN Foundation and the Milbank Memorial Fund.

The toolkit provides a targeted menu of LTSS reform strategies adopted by state innovators that may be replicated by other states. In addition, it identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance their LTSS reforms. Opportunities and challenges that states faced in designing and implementing reforms are highlighted. The toolkit's two main sections are:

  • Rebalancing Medicaid LTSS: Matching Care Settings to Individuals’ Needs; and
  • Advancing Integration of LTSS with Physical and Behavioral Health Services through Managed Care


To download the toolkit, click here.