LTSS 101: Foundations - Core Concepts and Readiness

About this Learning Activity

LTSS 101: Foundations – Core Concepts and Readiness

LTSS 101: Foundations – Core Concepts and Readiness is a self-paced, interactive course designed for learners who are new to Long-Term Services and Supports (LTSS) or are beginning work related to NCQA’s Case Management-LTS (CM-LTSS) Accreditation or one of NCQA’s LTSS Distinctions.

The course introduces essential LTSS concepts and explains how LTSS expectations apply across NCQA programs, including:

• CM-LTSS Accreditation (a stand-alone accreditation), and
• LTSS Distinctions, which are voluntary add-on designations available in:
  • Health Plan Accreditation
  • Behavioral Health Accreditation
  • Case Management Accreditation

Learners will explore what LTSS case management involves, how LTSS differs from medical and behavioral health case management, and what early readiness looks like before pursuing CM-LTSS or an LTSS Distinction. Short lessons, scenarios, and knowledge checks will help learners apply foundational concepts and identify appropriate next steps.

This course serves as the starting point in the LTSS pathway and prepares learners for more detailed, standards-focused LTSS implementation education.

What You Will Learn

• Explain core LTSS concepts and distinguish LTSS case management from medical and behavioral health case management.
• Describe the difference between CM-LTSS Accreditation and LTSS Distinctions, including recognizing LTSS Distinctions as voluntary add-ons to accreditation.
• Identify how LTSS expectations are applied within Health Plan, Behavioral Health, and Case Management Accreditation programs.
• Recognize key components of early readiness, including people, workflows, and documentation – before pursuing CM-LTSS Accreditation or an LTSS Distinction.
• Apply foundational LTSS concepts role-based scenarios to determine appropriate next steps for building LTSS readiness.

Who Should Attend

• Community-Based Organizations (CBO)s beginning LTSS coordination work.
• Health plans, behavioral health organizations, and case management organizations adding LTSS scope.
• New staff supporting LTSS programs or LTSS-related case management.
• Program Managers and operational leaders responsible for early LTSS readiness.
• Quality, compliance, and accreditation staff, new to CM-LTSS or LTSS Distinctions.

Faculty

Authored by Felicia Khaalid

Continuing Education

This is a non-accredited activity.
This course grants # optional Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

*Please note – You must complete the entire program to be eligible for total number of contact hours.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution. For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Faculty:
Felicia Khaalid: None

Additional Planning Committee Members:
Amelia Bedri: None
Joel Nellis: None
Kristen Swift:

This program was developed by NCQA staff.
This program received no commercial support.

Event Type

1. Self Paced