Spotlight on States: LTSS In Action

June 27, 2017 · Amy Maciejowski

There have been exciting developments at NCQA in the past few month, including our new Long-Term Services and Supports accreditation and distinction programs. NCQA LTSS programs measure what matters most to people with specific health care needs, such as older adults and individuals living with disabilities. Our evidence-based standards align with federal, state and Medicaid managed care requirements, and provide a framework for delivery of efficient, person-centered care.

See how three states are already using NCQA LTSS programs:

Virginia

Virginia’s Department of Medical Assistance Services requires Medicaid managed care plans to obtain NCQA LTSS Distinction within 36 months of the onset of delivering care to members. (p. 151)

Pennsylvania

Pennsylvania’s Department of Human Services requires Community HealthChoices plans to be accredited, and accepts NCQA Accreditation for Case Management for Long-Term Services and Supports. (p. 64)

Massachusetts

The MassHealth Office of Long Term Services and Supports requires its adult foster care providers to be accredited and accepts NCQA Accreditation for Case Management for Long-Term Services and Supports. (p. 5)

To learn how NCQA LTSS programs can support your state efforts, email NCQA Public Policy at publicpolicy@ncqa.org.