Managed Long-Term Services and Supports Meeting Meeting
The meeting focused on updates regarding the Managed Long-Term Services and Supports (MLTSS) program implementation in the Southeast region, which is scheduled to go live on January 1st. Key discussion points included enrollment plan selection progress, where enrollment rates were tracking to potentially exceed the Southwest region's national record, and updates on participant communication and education efforts, including outreach to service coordinators. Provider education included addressing billing nuances for the brain injury community and discussing transportation logistics, evidenced by a transportation summit held on November 16th. Readiness review confirmed that policies and procedures were in good shape, although ongoing work focused on finalizing provider network adequacy, particularly concerning hospitals and nursing facilities. Updates on the Southwest operations included monitoring corrective action plans related to person-centered care planning and the rollout of approved denial notices for UPMC and Pennsylvania Health Wellness. Monitoring reports for call volume, complaints, grievances, and changes in service plans were also reviewed.