title: Implementation of Medicaid Managed Long-Term Services and Supports for Adults With Intellectual and/or Developmental Disabilities in Kansas.
abstract: Many adults with intellectual and/or developmental disabilities (IDD) can access health and long-term services and supports (LTSS) through Medicaid. States are reforming their Medicaid LTSS programs from a fee-for-service model to a Medicaid managed LTSS (MLTSS) approach, anticipating improved quality of care and reduced costs, although there is limited evidence of MLTSS effectiveness. This study's objective was to contribute to the growing MLTSS research literature by describing MLTSS implementation in Kansas for adults with IDD. Thirty-one stakeholders completed in-depth semi-structured interviews, representing state or regional groups, service coordination providers, and family caregivers. Findings identify key aspects of the Centers for Medicare and Medicaid Services' new MLTSS regulations in the design and implementation of MLTSS programs.
authors.affiliation: Heather J. Williamson, Northern Arizona University College of Health and Human Services.
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Williamson
authors.affiliation: Elizabeth A. Perkins, University of South Florida College of Behavioral and Community Sciences.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Perkins
authors.affiliation: Bruce L. Levin, University of South Florida College of Behavioral and Community Sciences.
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Levin
authors.affiliation: Julie A. Baldwin, Northern Arizona University College of Health and Human Services.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Baldwin
authors.affiliation: Amie Lulinski, The Arc.
authors.forename: Amie
authors.initials: A
authors.lastname: Lulinski
authors.affiliation: Mary I. Armstrong, University of South Florida College of Behavioral and Community Sciences; and.
authors.forename: Mary I
authors.initials: MI
authors.lastname: Armstrong
authors.affiliation: Oliver T. Massey, University of South Florida College of Behavioral and Community Sciences.
authors.forename: Oliver T
authors.initials: OT
authors.lastname: Massey
mesh_terms: D000328:Adult; D019985:Benchmarking; D002658:Developmental Disabilities / Q000628:therapy*; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D007615:Kansas; D008134:Long-Term Care; D008329:Managed Care Programs; D008484:Medicaid; D014481:United States; D055815:Young Adult
keywords: KanCare; best practices; disability; long-term care