About the National MLTSS Health Plan Association

 The National MLTSS Health Plan Association is an association of managed care organizations (MCOs) that have Medicaid managed care contracts with one or more states and take risk for long-term services and supports (LTSS) provided under Medicaid. 

Nearly every state today contracts with private MCOs to provide Medicaid coverage for women and children in the program.  In recent years, many states have expanded managed care to cover seniors and persons with disabilities.  Today, over half of the states currently provide Medicaid coverage for LTSS through contracts with Medicaid managed care organizations.   

Members of the National MLTSS Health Plan Association include most of the health plans who today receive capitation from one or more states to provide managed LTSS.  Many of these plans also participate in the CMS Financial Alignment demonstration to align Medicare and Medicaid financing for beneficiaries who are eligible for both programs (Dual Eligible beneficiaries) to provide them integrated care including medical, behavioral health, and LTSS.

MLTSS plans assist States in delivering high quality services at the same or lower cost as the fee for service system with a particular focus on ensuring beneficiaries quality of life and ability to live in the community instead of an institution.   LTSS services include all home and community based services (HCBS) such as personal care, adult day, home delivered meals, and transportation services as well as institutional services such as nursing homes.  

MLTSS plans understand that these services are very different than traditional health insurance and have a significant impact on a person’s independence, health, and quality of life.   The National MLTSS Health Plan Association brings together the knowledge and experience of integrated health plans, the unique understanding of LTSS and of the variety of persons of all ages with disabilities and functional limitations who need these services, in order to pursue legislative and regulatory changes in Medicare and Medicaid that enable health plans to better serve their members and achieve the appropriate outcomes.

MLTSS Association Vision Statement
MLTSS Association Value Statement
MLTSS Association Profile
Legislative and Regulatory Priorities



Maureen Pero – Aetna, Vice President, Business Development Aetna, Medicaid
Sharon Alexander – AmeriHealth Caritas, President, Long-Term Services and Supports
Michael Monson – Centene Corporation, Senior Vice President, Medicaid & Complex Care
Chris Palmieri – Commonwealth Care Alliance, President and CEO
Maya Altman – Health Plan of San Mateo, CEO
Garrison Rios – LA Care, Executive Director, MMP and MLTSS
John Lovelace – UPMC, President, Government Programs and Individual Advantage Products
David Rosales – VNSNY CHOICE, Executive Vice President and Chief Strategy Officer
Carl Rashid – WellCare Health Plans, Meridian, Vice President, Government Affairs & Business Development


Executive Director – Mary Kaschak
Policy Analyst – Jared Hite
Senior Advisor – G. Lawrence Atkins
Policy Team Leader – Andrew MacPherson
Senior Policy Advisor – Eddie Garcia
Senior Policy Advisor – Tom Koutsoumpas
Senior Policy Advisor – John Richardson
Policy Advisor – Tzvetomir Gradevski