Our Issues

On January 25, 2026, the MLTSS Association submitted comments on the Contract Year 2027 Medicare Advantage and Part D Proposed rule. Many of the changes contemplated for CY 2027 in this proposed rule represent meaningful shifts in enrollment policy, contracting requirements, quality measurement, and plan operations. To be successful, these changes must be implemented on timelines that allow health plans and states sufficient opportunity to understand final requirements, make

The National MLTSS Health Plan Association  is pleased to announce the release of a new resource , Unlocking the Value of Enabling Technology in Managed LTSS . This report examines how enabling and assistive technologies can support independence, strengthen community-based care, and improve quality of life for individuals receiving long-term services and support while also helping states, plans, and providers respond to workforce shortages, rising demand, and fiscal constrain

The MLTSS Association has created a resource 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 resource, we outline the implications of this issue

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 key domains. This educational resource highlights the key features, benefits, and challenges of each model. Ultimately, the MLTSS Association believes that D-SNPs are the only truly integrated and scalable model available for dually eligible individuals. We believe that the expertise, experience, and expansive reach of the D-SNP model can

The MLTSS Association has created a brief that that highlights the intersection between behavioral health and long-term care needs. This...

State Medicaid Agency Contracts (SMACs) are contracts between states and Medicare Advantage Organizations (MAOs) operating Dual Eligible...

Are you a graduate student interested in learning more about Medicare, Medicaid, or long-term services and supports (LTSS)? Our Atkins...

On July 14 th , the MLTSS Association submitted comments on the Preserving Medicaid Funding for Vulnerable Populations-Closing a Health...

On June 27th, the MLTSS Association submitted comments in response to the draft  2025-2026 Medicaid Managed Care Rate Development Guide...

Sophia is pursuing a Master of Public Health in Health Policy at the Harvard T.H. Chan School of Public Health, where she focuses on Medicaid policy. She holds a bachelor’s degree in Public Policy Analysis/Anthropology from Pomona College in Claremont, California. Sophia brings to LTQA and the MLTSS Association experience in behavioral healthcare, health policy consulting, and state-level quality assurance initiatives. Her research and policy interests include long-term care

On June 12th, the MLTSS Association sent a letter to members of Congress urging them to consider the impact of the reconciliation package...

On May 12th, the MLTSS Association submitted comments on a  Request for Information  (RFI) from the Office of Management and Budget (OMB)...

On April 29th, the MLTSS Association sent a letter to Abe Sutton (Director, Center for Medicare and Medicaid Innovation) and Gary Bacher...

The MLTSS Association has submitted a letter to members of Congress that provides an overview of the Association and the populations we...

The MLTSS Association has created two new educational resources, including an overview of the MLTSS Association and a primer on MLTSS &...