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As of January 2023, there were 28 Medicaid managed long-term services and supports (MLTSS) programs operating in 24 states:

Arizona
Arkansas
California
Delaware
Florida
Hawaii
Idaho
Illinois
Iowa
Kansas
Massachusetts
Michigan
Minnesota
New Jersey
New Mexico
New York
North Carolina
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
Wisconsin

The remaining 26 states, and District of Columbia, do not operate a MLTSS program or offer MLTSS benefits. The total estimated enrollment in MLTSS programs was approximately 3.2 million, representing roughly 3.5% of the total Medicaid population. There are four MLTSS models: freestanding, integrated, full benefit, and limited benefit . . .

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Managed Care Financing & Service Delivery Systems