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Care Coordination:

Consumer Direction:

Covered Services:

Defining MLTSS:

Enrollment:

Federal Laws and Regulations

This link takes you to the Table of Contents for Title XI.  Use it to find any reference to an “1100” section of the law, including Sections 1115 and 1115A.

This link takes you to the Table of Contents for Title XIX.  Use it to find any reference to a “1800” section, including Sections 1859 and 1894. 

Note that the so-called 402/222 Medicare waiver authority does not appear in the Social Security Act itself.  It is codified at 42 U.S.C. § 1395b-1: http://frwebgate.access.gpo.gov/

This link takes you to the Table of Contents for Title XIX.  Use it to find any reference to a “1900” section, including Sections 1902; 1903; 1915(a), (b), (c), (i), or (k); 1932; and 1934.

  • Federal Medicare Advantage Regulations (42 CFR 422):

http://www.access.gpo.gov/nara/cfr/waisidx_10/42cfr422_10.html
This link takes you to the Table of Contents for Part 422, the Medicare Advantage regulations.  Use it to find any section within Part 422.

  • Federal Medicaid Managed Care Regulations (42 CFR 438):

http://www.access.gpo.gov/nara/cfr/waisidx_10/42cfr438_10.html
This link takes you to the Table of Contents for Part 438, the Medicaid Managed Care regulations.  Use it to find any section within Part 438. 

  • Federal Medicaid Services Regulations (42 CFR 441):

http://www.access.gpo.gov/nara/cfr/waisidx_10/42cfr441_10.html
This link takes you to the Table of Contents for Part 441, the Medicaid Services regulations.  Note that Home and Community Based Services Waiver requirements begin at 441.300.

Financial Incentives

Including Medicare:

National Status of MLTSS:

Person-Centered Approach:

  • Wunderlick and Kohler, eds. Improving the Quality of Long-Term Care. Institute on Medicine Committee on Improving Quality in Long-Term Care. Washington, D.C.: National Academy Press, 2001.

  • M.J. Koren. "Person-Centered Care For Nursing Home Residents: the Culture-Change Movement," Health Affairs 29 (2), February 2010.

  • The Pioneer Network

Quality Management Systems:

Stakeholder Engagement: