The short answer is, maybe. If your state has adopted or will soon adopt managed long term services and supports (MLTSS), reach out to the managed care organizations (MCOs) bidding on or contracting with the state to manage its MLTSS program and discuss opportunities to work together. Do your homework and to be certain you understand what LTSS the state is including and, if available, what the state’s rate is for that service(s).
Be prepared to discuss your CBO’s value proposition and why the MCO should contract with you to provide the covered service(s) to its members. Be creative! States typically apply performance and patient outcome measures that focus on achieving better care, better health and lower costs. Be certain you understand these incentives and how your CBO’s proposed services can help that MCO improve their clients’ health, increase satisfaction, and lower health care costs.