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Kaiser finds more Medicaid managed LTC

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Analysts at the Henry J. Kaiser Family Foundation have found that 10 states will be making major changes to Medicaid managed long-term care (LTC) programs in fiscal year 2013.

The changes are all moves to expand use of managed Medicaid LTC strategies, and the number of states making major moves to expand use of the strategies is increasing from five this year, the analysts said in a review of state Medicaid programs.

The states adopting major managed LTC changes in the coming year include California, Colorado, Illinois, Kansas, Massachusetts, New Jersey, New York, Ohio, Rhode Island and Tennessee.

Some of the states on that list, such as New York, are expanding existing managed LTC programs. Other states, such as Florida, are introducing or preparing to introduce managed LTC programs.

Florida, for example, has started the process of hiring an LTC services manager by issuing an “invitation to negotiate,” the Kaiser analysts said.

In the coming year, 14 states will be experimenting with managing long-term care along with acute care, the analysts added.

In Washington state, Medicaid managers have redesigned Medicaid managed care to include more care coordination for LTC services and other services, the analysts said.

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