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Managed Long-term Services and Supports

Having a managed long-term services and supports program means FSSA will partner with experienced health plans to coordinate LTSS benefits and an individual’s other benefits such as Medicare. Twenty-five other states already have a managed LTSS program—the first established in 1989—and continue to innovate and refine the concept. FSSA is evaluating the experiences of these states and harnessing best practices from around the nation to achieve shared goals:

  • A cornerstone will be robust care coordination with an emphasis on ensuring that all older Hoosiers have access to quality care and can achieve similar health outcomes regardless of race, ethnicity, geography, etc.
  • LTSS are complex to navigate for older adults and their caregivers, especially for those who are also enrolled in Medicare. These programs are currently disconnected and siloed. Our managed LTSS system will feature seamless coordination of benefits regardless of program or setting and significantly reduce the confusion created by navigating multiple plans. Increased coordination between these programs will make accessing and navigating the entirety of the care/support continuum easier.
  • mLTSS plans can offer enhanced benefits—such as caregiver supports—to help care recipients and their families.
  • Through mLTSS, many states have increased access to services at home, with careful coordination and a responsive approach to helping each individual receive services in the setting of their choosing. Across the nation, now, more than 60% of long-term services and supports are delivered at home and in the community.
  • mLTSS establishes accountability and can tie payment to health outcomes and service delivery across the various settings in which Hoosiers may receive services. This will allow Indiana to better invest in quality care for older Hoosiers and leverage data to ensure our system performs at a high level.

Click here to watch the Nov. 2, 2021, presentation "Managed Long-Term Services and Supports" by our partners at ADvancing States.