Medicaid is the primary payer across the nation for long term care services medicaid allows for the coverage of these services through several vehicles and over a continuum of settings ranging from institutional care to community based long term services and supports ltss. Managed long term services and supports mltss refers to the delivery of long term services and supports through capitated medicaid managed care programs increasing numbers of states are using mltss as a strategy for expanding home and community based services promoting community inclusion ensuring quality and increasing efficiency. Medicaid is the nations major publicly financed health insurance program covering the acute and long term services and supports ltss needs of millions of low income americans of all ages. Medicaid coverage of long term services and supports congressional research service summary long term services and supports ltss refer to a broad range of health and health related services and supports needed by individuals who lack the capacity for self care due to a physical cognitive or mental disability or condition. Abstract this report examines the role of long term services and supports ltss in medicaid it also examines how sociodemographic changes are likely to affect the demand for ltss in the future and as a result medicaid use and expenditures
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