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Program Design Choices

In the previous section we discussed the three critical features that are universal to all MLTSS programs.  In each of these areas the methods you use may differ, but the features themselves are always present.

In this section we will look at some of the choices your state will face when designing an MLTSS program specific to your state’s needs and priorities. These include:

  • Target Populations

  • Enrollment

  • Service Coordination

  • Options for Including Medicare

  • Covered Services

  • Provider Networks

  • Consumer Directed Services

  • Financial Incentives
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For each of these potential features we present key policy considerations, applicable federal authorities, sample contract language from other states and additional resources that may be helpful to you.



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