Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

This guide describes considerations for states seeking to adopt VBP models for home- and community-based services in Medicaid managed long-term services and supports (MLTSS) programs. It examines approaches used by five states for promoting high-quality MLTSS programs while supporting Medicaid beneficiaries who need LTSS to live in their communities. The guide also describes considerations for selecting quality metrics and payment models, and common challenges that these states have faced in implementing these models and strategies to address them.