Promoting Access in Medicaid and CHIP Managed Care: Managed Long-Term Services and Supports Access Monitoring Toolkit

Promoting Access in Medicaid and CHIP Managed Care: Managed Long-Term Services and Supports Access Monitoring Toolkit

Published: Jun 30, 2022
Publisher: Baltimore, MD: Division of Managed Care Policy, Center for Medicaid and CHIP Services, CMS, U.S. Department of Health and Human Services
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Associated Project

Medicaid and CHIP Managed Care: Tools and Technical Assistance to Support Federal and State Oversight

Time frame: 2012-2023

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Division of Managed Care Policy

This toolkit provides guidance and examples of how state Medicaid and CHIP agency staff can effectively monitor access to long-term services and supports (LTSS) provided through Medicaid and the Children’s Health Insurance Program (CHIP) managed care plans, as required by federal regulations. The toolkit describes the history and growth of Managed Long Term Services and Supports (MLTSS) programs and recent federal requirements concerning state responsibilities for monitoring access to services covered by MLTSS programs. It also highlights promising practices and state examples.

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