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Medicaid managed care for long term services and supports (MLTSS) is now in use or being considered in over half of the country. Medicaid managed care makes managed care organizations (MCOs) responsible for the delivery of LTSS to older adults and people with physical or intellectual or developmental disabilities. Early implementation often focused on the delivery of care for older adults and people with physical disabilities, leaving a gap in experience for its use with people with intellectual or developmental disabilities (IDD). Approximately 20% of states currently use MLTSS for the IDD population. Since utilization of managed care for people with IDD is still relatively low, there is little research about what quality standards should be used for oversight and payment models such as value-based reimbursement for this population.
To explore this issue further, The Council on Quality and Leadership (CQL) conducted research informed by focus groups and a symposium of thought leaders to develop a framework of measures to address health, safety and quality of life. Join us as Kathy Carmody, CEO of the Institute on Public Policy for People with Disabilities describes how quality is used and managed in MLTSS and Carli Friedman, PhD with CQL describes their roadmap for key measures which would support people with IDD to receive high quality services and supports.
• Understand how states, plans and community based organizations view value-based reimbursement.
• Understand what characteristics are defined as key quality indicators for the IDD population.
• Understand how your CBO can impact quality.