In a letter sent on August 6 to the Center for Medicaid and CHIP Services, the National Association of Medicaid Directors (NAMD) provided recommendations to modernize and strengthen federal policies and business procedures for managed long-term supports and services (MLTSS). The four guiding principles recommended by NAMD are to:
- Streamline the structure and improve the timeliness of federal reviews of MLTSS programs;
- Maintain existing state flexibility to design and implement MLTSS programs in coordination with national goals to ensure access to member-centered, quality-driven, efficient, cost-effective care in the most integrated setting;
- Maintain state flexibility to define a meaningful and productive stakeholder engagement process; and
- Ensure collaboration between federal and state partners in developing a framework for ongoing quality improvement and performance measurement.
The letter expands upon each of these principles with specific examples and recommendations to help states better design their systems to achieve desired outcomes.