Our Issues

Today approximately 10 percent of individuals who are dually eligible for both Medicare and Medicaid are enrolled in managed care plans that fully integrate their Medicare and Medicaid coverage. The remaining dually eligible individuals must navigate a complex system of overlapping coverage and disconnected services. Despite significant regulatory and legislative activity around advancing integrated care models at both the state and federal level, many barriers remain. The N

The MLTSS Association has written a letter to CMS highlighting an operational issue in state Medicaid policy affecting some Dual Eligible Special Needs Plans (D-SNPs) that are Applicable Integrated Plans (AIPs), where timing gaps in enrollment can delay alignment with an individual's Medicaid plan. These gaps may cause temporary coverage misalignment, member confusion, and risk plans’ compliance with CMS AIP requirements. In this letter, we outline the implications of this is

The MLTSS Association has launched a new workgroup focused on Self-Direction in MLTSS. This effort reflects the Association's commitment...

Maryssa Pallis is pursuing a PhD in Gerontology at the University of Massachusetts Boston, where she also earned a Master of Science (MS)...

On September 22nd, the MLTSS Association submitted written comments to the New Hampshire LTSS study committee as they consider...

The MLTSS Association has released a new resource comparing different integrated care options for dually eligible individuals across nine...