Strengthening Medicaid Long-Term Services and Supports: A Toolkit for States

Stephanie Anthony
Arielle Traub
Sarah Lewis
Cindy Mann
Alexandra Kruse
Michelle Herman Soper
Stephen A. Somers
Implementation Tool
March 2019

This resource is a toolkit that describes strategies for states to reform their Medicaid LTSS systems.

  • Medicaid is the leading payer for LTSS systems, which enable more than 12 million people to meet their personal care needs and live with independence in community and institutional settings.
  • States are seeking to reform their Medicaid LTSS systems to improve the quality of care and contain costs.
  • This toolkit highlights strategies that states are using to deliver high-quality and high-value LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care.
  • For each strategy identified, this toolkit provides the impetus, a description, implementation mechanisms, results to date, and key lessons. Case studies are also included.
Posted to The Playbook on
Level of Evidence
What does this mean?