DMAS Releases an Update on the Implementation of MLTSS

December 23, 2015

The purpose of this memorandum is to provide follow-up information on the Commonwealth Coordinated Care (CCC) and Medicaid Managed Long Term Services and Supports (MLTSS) initiative proposed by the Department of Medical Assistance Services (DMAS), specifically, the Commonwealth Coordinated Care (CCC) program. Throughout the summer, DMAS has been looking at a variety of strategies to transition approximately 107,000 fee-for-service (FFS) Medicaid enrollees, the majority of whom receive long term services and supports (LTSS), into a coordinated and integrated managed care program. As mentioned in the September notice to Medicaid Stakeholders about MLTSS, DMAS has determined the most efficient and effective way to implement MLTSS is to leverage the strengths from the CCC program and transition successful CCC program components and members into the MLTSS Program. Consistent with Virginia General Assembly directives in years 2011 through 2015, over the next couple of years, DMAS will transition the majority of the remaining Medicaid fee-for-service (FFS) populations into a managed long term services and supports (MLTSS) program. DMAS intends to launch a mandatory MLTSS Program that provides a coordinated system of care that focuses on improving quality, access, and efficiency. The full Memo (14 December, 2015) can be found at in the Medicaid Memos section under the Provider Services tab.