Keeping Watch: Building State Capacity to Oversee Medicaid Managed Long-Term Services and Supports

Growing numbers of state Medicaid agencies are developing or expanding risk-based managed care programs that cover long-term services and supports for older adults and people with disabilities, individuals with costly and complex health care needs. This study was conducted for the AARP Public Policy Institute to examine how eight state Medicaid agencies, experienced in overseeing these programs, monitor the performance of plan contractors to ensure they provide optimal care to enrollees.