Heather J. Williamson, Northern Arizona University College of Health and Human Services.
Elizabeth A. Perkins, University of South Florida College of Behavioral and Community Sciences.
Intellect Dev Disabil. 2017 Apr;55(2):84-96. doi: 10.1352/1934-9556-55.2.84.
Many adults with intellectual and/or developmental disabilities (IDD) can access health and long-term services and supports (LTSS) through Medicaid. States are reforming their Medicaid LTSS programs from a fee-for-service model to a Medicaid managed LTSS (MLTSS) approach, anticipating improved quality of care and reduced costs, although there is limited evidence of MLTSS effectiveness. This study's objective was to contribute to the growing MLTSS research literature by describing MLTSS implementation in Kansas for adults with IDD. Thirty-one stakeholders completed in-depth semi-structured interviews, representing state or regional groups, service coordination providers, and family caregivers. Findings identify key aspects of the Centers for Medicare and Medicaid Services' new MLTSS regulations in the design and implementation of MLTSS programs.
许多有智力和/或发育障碍（IDD）的成年人可以通过 Medicaid 获得健康和长期服务和支持（LTSS）。各州正在将其 Medicaid LTSS 计划从按服务收费模式转变为 Medicaid 管理的 LTSS（MLTSS）方法，预计会提高护理质量并降低成本，尽管 Medicaid 管理的 LTSS 的有效性证据有限。本研究的目的是通过描述堪萨斯州为 IDD 成年人实施 Medicaid 管理的 LTSS，为不断发展的 Medicaid 管理的 LTSS 研究文献做出贡献。31 名利益攸关方完成了深入的半结构化访谈，代表州或地区团体、服务协调提供者和家庭护理人员。调查结果确定了医疗保险和医疗补助服务中心（Centers for Medicare and Medicaid Services）新的 Medicaid 管理的 LTSS 法规在 Medicaid 管理的 LTSS 计划的设计和实施中的关键方面。
