CMS has announced the availability of an additional resource on Medicaid managed long-term services and supports (MLTSS) to support states and enhance the quality of these services. MLTSS gives states a flexible set of program design options and can be used to promote a wide variety of initiatives such as Money Follows the Person , and participant-directed services.
CMS posted “a road map for states to use in interpreting and applying existing External Quality Review (EQR) protocols when assessing MLTSS program compliance.” Because of federal laws, Medicaid agencies that contract with managed care organizations (MCOs) must develop a state quality assessment and improved strategy that is consistent with the U.S. Department of Health and Human (HHS) standards. The law also requires HHS to establish protocols for use by independent, external quality review organizations(EQRO) to “assess on the quality and timeliness of, and access to, care and services provided by Medicaid MCOs and prepaid inpatient health plans (PIHPs).”
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