MANAGED LONG-TERM SUPPORTS AND SERVICES IN LOUISIANA

Louisiana Developmental Disabilities Council

THE COUNCIL’S VISION

» MLTSS in LA should:˃ Include all populations (dual eligibles, ICFs/DD, HCBS Waivers, and

Chisholm class members˃ Savings invested in reducing the waiting list. Over 13,000!˃ Include employment supports˃ Allow members to retain their current providers during initial

enrollment˃ Integrate LTSS with primary, acute and behavioral health services.˃ Include strict accountability standards for MCOs, including financial

incentives and penalties˃ Stress that selection is the right of the individual enrollee and not of

the MCOs˃ Ensure that MCOs comply with Olmstead, HIPPA, ADA and other laws

STATUS AND INTENTIONS

» Louisiana is still in the development phase of MLTSS˃ Department of Health and Hospitals (DHH) issued Request for Information

in November 2012.˃ DHH issued concept paper which has been updated and concept briefs on

transitioning to MLTSS and sought stakeholder input˃ DHH established an Advisory Group which consists of providers, families,

and advocates

» The DHH has stated that it intends to:˃ Pursue Medicaid 1115 Waiver˃ Pursue two procurements: Aging and Adult On-Set and Developmental

Disabilities. Aging and Adult On-Set 1st. Developmental Disabilities 2nd. ˃ Include all populations˃ Mandatory enrollment˃ Integrate LTSS with primary, acute, and behavioral health

CONCERNS

» Adequate PMPM Rates and Network Adequacy» Capture savings to serve people on the waiting

list» Competitive Employment » People with expensive and complex needs» Stakeholder input at all phases of MLTSS

WHAT NEXT?

» Anticipate MLTSS for Individuals with Developmental Disabilities to start in 2016.

» RFP expected to be issued in late 2014 to allow providers time to build their provider network and learn Developmental Disabilities System

MLTSS IN LA

» For more information about MLTSS in LA, visit www.makingmedicaidbetter.com.

» For information about the LA Council and MLTSS, visit our Current Issues page at http://www.laddc.org//content.cfm?id=421