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Federal Authorities

Once program design choices have been made, you'll need to develop a federal authority strategy specific to the program being developed in your state. There is a range of federal authorities under which MLTSS programs may be operated.

In this section we'll discuss the program features that are possible under the various federal authorities. Included in this section:

  • Overview of the authorities
  • Authorites that allow managed care
  • Authorities that offer LTSS
  • Authorities for including Medicare
  • Using concurrent authorities

For each of these sections, we provide interactive tables in which you can explore the major features for each authority and what each authority allows.



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