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CMS Issues Guidance on new MLTSS Essential Elements

Thursday, May 23, 2013

On May 21, 2013, the U.S. Center for Medicare and Medicaid Services (CMS) issued an information bulletin on new guidelines for Managed Long Term Services and Supports (MLTSS) programs. These essential elements were developed based on a review of existing MLTSS that have shown success in providing home and community based services and in cost control. The elements are outlined in two coinciding documents:

CMS will begin evaluating program design for 1115 demonstrations and 1915(b) waiver programs based on the elements outlined in these two documents. CMS has also made available resources that were used to develop the new standards for MLTSS, available in the CMS Information Bulletin.

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