The documents and resources listed below contain useful information about key long-term services and supports (LTSS) programs that will be impacted by the duals demonstration.
General LTSS Resources
- The Growth of Managed Long-Term Services and Supports (MLTSS) Programs: A 2012 Update (CMS/July 2012) This document contains an analysis of all current MLTSS programs and includes a projection of future programs with state specific information.
- Analysis and Recommendations for the Implementation of Managed Care in Medicaid and Medicare Programs for People with Disabilities (National Council on Disability/2012) This document contains an overview of critical elements necessary to manage health care costs while improving care to this population.
- Where is Long-Term Care Provided in California? (The SCAN Foundation/August 2012) This is a useful fact sheet that highlights the settings in which long-term care is provided in California.
- Recipients of Home and Community-Based Services in California (California Medicaid Research Institute/June 2012) This is a detailed report about Californian’s who utilize long-term supports and services. This report is unique because the results bring together data from a variety of state and federal systems. The SCAN Foundation recently released an accompanying fact sheet summarizing the report.
- A Long Term Strategy for Long Term Care (Little Hoover Commission/April 2011) This document contains California specific recommendations that can be used to guide the integration process.
- Long-Term Services and Supports Performance Measurements & Standards (NASUAD/June 2012) This document contains a comprehensive list of existing performance measures for LTSS.
- Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home-and Community-Based Services, Hendrickson and Mildred, January 2012
- Trends in Medicaid Home and Community Based Programs and Policies, Center for Personal Assistance Services, UC San Francisco, November 29, 2011 — webinar
- Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers, The SCAN Foundation, AARP, The Commonwealth Fund, September 2011
- A Health Care System Designed to Serve Adults with Disabilities
- The ADA and Olmstead Enforcement: Ensuring Community Integration for Individuals with Disabilities
- State Budgeting Practices to Increase Access to HCBS (January 2012) This document highlights flexible accounting, a budgeting technique that the state can utilize to incentivize the use of non-institutional programs like LTSS.
In-Home Supportive Services (IHSS)
- IHSS Integration into Medi-Cal Managed Care (March 2012) This document summarizes the history of IHSS, including relevant policy and court decisions that have impacted this LTSS program. The latter half of the document also contains insight about tools that could potentially be used to measure IHSS outcomes and to assure quality.
Multipurpose Senior Services Program (MSSP)
- The Future of Care Coordination in California: A Synthesis of “Beyond the MSSP Waiver” Convening (The SCAN Foundation/May 2009) This document provides an overview of system challenges that MSSP faces and also presents a framework to improve care coordination.
- California Department of Aging Website – MSSP Overview
Community-Based Adult Services (CBAS)
- Settlement Sets New Course for Adult Day Health Care (California Healthline/November 2011)
- ADHC Transition Frequently Asked Questions (DHCS/October 2011)
1915(c) Waiver Resources
The 1915c waiver programs will not be included in the demonstration. To learn more about these services provided through these waiver programs, the following background documents may be helpful.
- Description of Medi-Cal Waivers (September 2010) This document provides information about the eight 1915(c) Home & Community Based Service Waivers
- Assisted Living Waiver (ALW) website
- In-Home Operations (IHO) waiver website