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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. California does cover skilled nursing facility care in its MLTSS program, but most personal care services (in-home supportive services) are provided under FFS.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. skilled nursing, home health care, behavioral health, etc.)

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