Implementation of medicaid managed long-term services and supports for adults with intellectual and/or developmental disabilities in Kansas

Heather J. Williamson, Elizabeth A. Perkins, Bruce L. Levin, Julie A. Baldwin, Amie Lulinski, Mary I. Armstrong, Oliver T. Massey

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Many adults with intellectual and/or developmental disabilities (IDD) can access health and longterm services and supports (LTSS) through Medicaid. States are reforming their Medicaid LTSS programs from a fee-for-service model to a Medicaid managed LTSS (MLTSS) approach, anticipating improved quality of care and reduced costs, although there is limited evidence of MLTSS effectiveness. This study's objective was to contribute to the growing MLTSS research literature by describing MLTSS implementation in Kansas for adults with IDD. Thirty-one stakeholders completed in-depth semi-structured interviews, representing state or regional groups, service coordination providers, and family caregivers. Findings identify key aspects of the Centers for Medicare and Medicaid Services' new MLTSS regulations in the design and implementation of MLTSS programs.

Original languageEnglish (US)
Pages (from-to)84-96
Number of pages13
JournalIntellectual and developmental disabilities
Volume55
Issue number2
DOIs
StatePublished - Apr 1 2017

Keywords

  • Best practices
  • Disability
  • KanCare
  • Long-term care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Education
  • Developmental and Educational Psychology
  • Community and Home Care
  • Psychiatry and Mental health

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