Realizing the Vision of Medicaid-Funded HCBS: A Framework for Enhancing Access and Advancing Quality in HCBS Provision in Managed Medicaid LTSS

The National MLTSS Health Plan Association offers a framework for states who have managed LTSS programs to assure that state HCBS systems have a first-class provider network and HCBS direct care workforce to successfully meet the support needs of individuals with disabilities and older adults requiring long-term services and supports (LTSS) in the least restrictive setting. Preliminary recommendations were embedded into the Association’s 2017 quality framework. Building on those initial recommendations, please see the full framework and an executive summary below.