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Long-term Services and Supports Distinction for Case Management Organizations

As the population ages, more states are seeking to increase accountability, improve quality and promote a cost-effective service delivery system. States and MCOs need assurance that their partners can coordinate care effectively across medical, behavioral and social services and help keep people in their preferred setting—often, their home and community.

NCQA’s Long-term Services and Supports Distinction is designed to support organizations that provide comprehensive clinical case management services and coordinate social services for long-term services and supports (LTSS) populations.

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.

The program evaluates organizations in core areas such as:

  • Conducting comprehensive assessments.
  • Managing care transitions.
  • Performing person-centered assessments.
  • Planning and managing critical incidents.
  • Qualifications and assistance for LTSS providers.

HOW DOES MY ORGANIZATION BENEFIT?

Earning NCQA Accreditation 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 needs of states and MCOs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.
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WHY ACCREDITATION OF CASE MANAGEMENT FOR LTSS?

  • Improve operational efficiencies

    The standards are based on industry-best practices. A focus on coordinated care, training and measurement can help organizations reduce errors and duplicated services.

  • Integrate care better

    The standards can help organizations improve communication between individuals, caregivers, providers, payers and other organizations that coordinate care.

  • Better care planning and monitoring

    Standards focus on person-centered services, which can lead to better care planning and monitoring.

  • Support contracting needs

    Standards align with the needs of states and MCOs. NCQA-Accredited organizations demonstrate that they’re ready to be trusted partners in coordinating LTSS services.

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