Managed Long Term Services & Supports FAQs

The Centers for Medicare & Medicaid Services (CMS) has contracted with Mathematica Policy Research¹ and its partner, the National Committee for Quality Assurance, to develop measures for people receiving long term services and supports through managed care organizations and prepaid inpatient health plans. These measures provide information about assessment and care planning processes with Managed Long Term Services and Supports (MLTSS) plan members, as well as Long Term Services and Supports use and rebalancing, that can be used by states, managed care plans, and other stakeholders for quality improvement purposes.

These frequently asked questions provide additional information and address common questions about these measures. View a printer-friendly version of these frequently asked questions.

¹Measures developed as part of CMS contract: Quality Measure Development and Maintenance for CMS Programs Serving Medicare-Medicaid Enrollees and Medicaid-Only Enrollees, HHSM-500-2013-13011I, Task Order #HHSM- 500-T0004.

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Care managers often do not document data elements in the assessment and care plan measures unless the member has "a problem." For example, they may not document that they assessed the member's vision or need for an assistive device if no problem was identified. How can states or plans address this issue?

March 1, 2019

Managed Long Term Services and Supports (MLTSS) plan managers should provide training on proper documentation practices to care managers and other delegated staff. States and MLTSS plans could consider including data field entry options to remind care managers to record all results of the assessment, even if findings are negative, that is, the member does not have a problem or need assistance or services. For example, states and plans could include a question in the member’s record that requires the care manager to document both whether an assessment was performed and whether a problem was identified, along with another required field to include the details of the problem if there was a problem identified.

FAQ ID:89046

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