Our Issues

The MLTSS Association responded to the CMS Request for Information (RFI) Related to Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH). In our response, we highlight how managed care offers solutions for effective oversight and delivery of HCBS, and how managed LTSS programs support broader Medicaid program integrity efforts while providing essential services to millions of Americans.

On December 31st, 2025, the MLTSS Association responded to a Request for Information (RFI) from the Idaho Department of Health and Welfare (IDHW). This RFI sought input from members, providers, managed care organizations, and pharmacy benefit managers regarding what they would like to see in a comprehensive managed care plan.

On Thursday, March 12th, the MLTSS Association held a national webinar to about our recent report, Unlocking the Value of Enabling Technology in Managed LTSS . On this webinar, the MLTSS Association was joined by select health plan and Partnership Program members who shared promising practices to advance enabling technology from their organizations.

The MLTSS Association's recent report, Unlocking the Value of Enabling Technology in Managed LTSS , explores the policy, operational, and payment challenges that limit adoption of Enabling Technologies and recommendations to overcome them. This report is structured around 5 Key Domains: Evaluating New and Existing Technologies; Streamlining Funding Pathways; Facilitating Member, Caregiver, and Provider Education; Ensuring Member Safety and Empowerment; and Measuring the Impac

The MLTSS Association's recent report, Unlocking the Value of Enabling Technology in Managed LTSS , explores the policy, operational, and payment challenges that limit adoption of Enabling Technologies and recommendations to overcome them. This report is structured around 5 Key Domains: Evaluating New and Existing Technologies; Streamlining Funding Pathways; Facilitating Member, Caregiver, and Provider Education; Ensuring Member Safety and Empowerment; and Measuring the Impac

The MLTSS Association's recent report, Unlocking the Value of Enabling Technology in Managed LTSS , explores the policy, operational, and payment challenges that limit adoption of Enabling Technologies and recommendations to overcome them. This report is structured around 5 Key Domains: Evaluating New and Existing Technologies; Streamlining Funding Pathways; Facilitating Member, Caregiver, and Provider Education; Ensuring Member Safety and Empowerment; and Measuring the Impac

On January 29th, the MLTSS Association submitted comments to the Nebraska Legislature in response to LB832: A bill to extend the prohibition of the addition of long-term care services and supports to the Medicaid managed care program. In our comments, we emphasize the value of managed long-term services and supports (MLTSS) and how managed care can support states to deliver critical services in a way that ensures high-quality care, improves coordination, and uses resources mo

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

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

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

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

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

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

The Special Needs Plan Alliance (SNP Alliance) and the National MLTSS Health Plan Association (MLTSS Association) jointly funded a data...

Value-based contracting (VBC) has the potential to reshape long-term services and supports (LTSS) by aligning payment structures with...

The MLTSS Association submitted comments to the Strategic Framework for a National Plan on Aging .  Our comments praised the framework...

The MLTSS Association submitted recommendations for the Office of Management and Budget (OMB) to establish a distinct standard...

The MLTSS Association continues to elevate the findings and recommendations from the Strengthening the Direct Care Workforce Framework...

In May, CMS finalized significant reforms to Medicaid managed care. Reforms included greater standardization on certain provider wait...