Long-Term Services and Supports Distinction for Health Plans

It is becoming increasingly important for organizations to demonstrate their ability to effectively coordinate services between caregivers, individuals, LTSS providers and clinicians. Organizations that coordinate LTSS should implement best practices for person-centered care planning and effective care transitions, and for measuring quality improvement to support people living optimally in their preferred setting.

NCQA’s LTSS Distinction for Health Plans helps support health plans that provide managed health services and coordinate social services for LTSS. The standards can help your organization meet state needs.

A QUALITY IMPROVEMENT FRAMEWORK

NCQA’s standards provide a framework for organizations to deliver efficient, effective, person-centered care that meets people’s needs, helps keep people in their preferred setting and aligns with state requirements.

Core areas of focus drive organizational effectiveness and efficiency:

• Person-Centered Care Planning.
• Care Transitions.
• Coordination of Services.
• Critical Incident Management System.
• Qualifications and Assistance for LTSS Providers.

How does this Accreditation help my organization?

Earning NCQA Accreditation of Case Management for LTSS can help organizations:

• Become more efficient. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.
• Integrate care better. Standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.
• Provide person-centered care. Standards focus on person-centered services, which can lead to better care planning and monitoring.
• Support contracting needs. Standards align with the state needs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.