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Managed Long Term Services and Supports

Accreditation:

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 11.5 CE contact hours. Please contact World Congress for your certificate of completion.

With recent regulatory changes related to MLTSS — some for the first time in more than 20 years — being implemented in the next 1-3 years, there are many questions and concerns about how to align with the rules and operationalize the practice in time for implementation. Additionally, managed care plans are taking on more responsibility in managing LTSS amidst the push for more comprehensive integration of health and social services.

The 2nd Annual MLTSS Summit investigates these changes, addresses challenges in case management and coordination of data and services, and describes how to best care for the various populations and their specific challenges while maintaining a person-centered focus.

• Learn how to integrate LTSS into managed care to improve overall health outcomes
• Discuss ways to effectively integrate with community partners to ensure mutual positive outcomes
• Partner with providers to move members along in their care

Join us in Arlington, VA as we work together to advance MLTSS programs through innovation, integration, and care coordination.

KEYNOTE ADDRESSES:

Jordan J. Luke Group Director, Program Alignment and Partnership Engagement Group, Office of Minority Health Centers for Medicare & Medicaid Services (CMS)	Karen Matsuoka, PhD Chief Quality Officer and Director, Division of Quality and Health Outcomes, Children and Adults Health Programs Group Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services (CMS)	James David Toews Principal Acting Deputy Administrator, Administration for Community Living U. S. Department of Health and Human Services

Top Reasons to Attend:

• Learn what CMS expects from states regarding network adequacy for the unique LTSS provider type
• Evaluate the impact of program growth on rate setting and actuarial soundness
• Coordinate physical care with social services to improve overall health outcomes
• Understand the resources available to operationalize a strategy to address health disparities
• Collaborate with nursing facilities and housing developers to improve community integration, transitions of care, and empower members
• Explore different care plan strategies to help save existing resources
• Develop quality measures for LTSS that focus on patient centeredness
• Communicate covered benefits to providers to help them better understand services and resources available to their patients
• Assess areas of improvement in the delivery system to better serve an aging population
• Address staffing challenges in both home care and community residential settings

Featured Session:

CASE STUDY: Assess the Impact of Expansion on Medicaid Managed Care for Long Term Services and Supports in Pennsylvania

As a Medicaid expansion state, Pennsylvania has been a leader and innovator in Medicaid Managed Care for the past several years. Hear about its newest model and partnership with UPMC For You, the Community HealthChoices (CHC) program, which coordinates acute health services with LTSS.

• Review lessons learned from Medicaid expansion in Pennsylvania
• Hear how Community HealthChoices (CHC) will impact the lives of over 400,000 dually eligible members
• Discuss goals of the program and how this may influence the opportunities for partnerships in other states

John G. Lovelace President, Government Programs and Individual Advantage UPMC

Co-Located With: