We recently reported on several important changes in managed long-term services and supports (MLTSS)—Virginia Medicaid Launches Mandatory MLTSS Enrollment; Specialty Behavioral Health Services Included, MassHealth Selects Community Partner Organizations For ACOs - 8 For LTSS & 18 For Behavioral Health, and Nebraska Medicaid LTSS Redesign Calls For Phased Carve-In Starting January 2020. And over the past couple of months, we have written about the I/DD population in the midst of this change—For IDD, The Question Isn't Managed Care Or Not-It's Residential Care Or Not, Disruption (& Strategic Planning) Come To The I/DD . . .

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Disability Support & Long Term Care Services

Disability and long-term care refers to institutional and community-based care that support individuals with activities of daily living and services related to age or disability. Over the past decade, there has been an increase in the changes and challenges affecting the disability support and long-term care market markets—the move to managed care and subsequently value-based care, the shift to home- and community-based care, the increase in the aging population, and new workforce challenges.


Approximately 44.68 million U.S. civilians of all ages living in the community reported one or more disabilities in 2023, representing 13.5% of the noninstitutionalized population. Among adults aged 18 and older, the rate rises to approximately 16%. The analysis is based on data from the U.S. Census Bureau’s 2023 American Community Survey (ACS), which reaches approximately 4.7 million people annually with a response rate of about 85%. The most commonly reported disability type was ambulatory… Read