Virginia Solicits Comments on Medicaid MLTSS Design

This week, our In Focus section reviews Virginia’s proposed plans for implementing statewide Medicaid managed long-term supports and services (MLTSS) and statewide managed care for dual eligible individuals. Virginia is the third state we have reviewed in as many weeks taking action toward implementing Medicaid managed care for users of LTSS and including other complex Medicaid populations into capitated risk-based managed care. Virginia has proposed to transition approximately 107,000 users of LTSS and dual eligibles into managed care through a phased approach, with a targeted implementation of mid-2016 for the first phase and mid-2017 for the second phase. Below, we review Virginia’s proposed MLTSS approach and provide an overview of the state’s existing Medicaid managed care markets.

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