New Hampshire is looking for help on implementing a managed long-term services and supports (MLTSS) program.
The state has issued a request for proposal for a consulting firm that will help fold long-term services and supports into its Medicaid care management program.
Until recently most state Medicaid programs have excluded people with disability from managed care because of their complex needs. But that's changing as states seek to curb rising healthcare costs and increase budget predictability. Twenty states now have MLTSS programs compared with eight in 2004. Medicaid spent a total of $146 billion on LTSS in fiscal 2014, according to the CMS.
The number of MLTSS beneficiaries has grown from 105,000 in 2004 to 1.6 million in 2014. Almost all users of Medicaid-funded long-term supports and services over age 65 are dually eligible for Medicaid and Medicare and about half of LTSS users under age 65, according to the research firm Mathematica.
Overall Medicaid spending in New Hampshire went from $1.1 billion in fiscal year 2013 to $1.7 billion last year.
Launching an MLTSS program is the next step in moving New Hampshire's Medicaid population into managed care. The first phase kicked off in 2013. Approximately 135,479 individuals now receive their healthcare from one of two Medicaid managed care organizations.
Responses to the MLTSS consulting RFP are due Dec. 21, and New Hampshire officials hope to award the contract by Feb. 1, 2017. Once an MLTSS strategy is developed, the state will rebid its managed care contracts with the inclusion of long-term services.
The two plans that won renewal of their contracts last year, N.H. Healthy Families or Well Sense Health Plan, will receive $1.6 billion through June 30, 2017.