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Disabled individuals receiving long-term support are losing services as they transition from fee-for-service to managed Medicaid, according to research by the National Council on Disability, a federal agency that advises the White House and Congress on issues affecting Americans with disabilities.
Historically, managed-care arrangements have excluded people with disabilities who use long-term services and supports because of their complex needs. Now, however, some states are moving this population to managed care.
For decades, Medicaid programs paid long-term-care providers on a fee-for-service basis even as they moved more nondisabled beneficiaries into managed care. But as of 2014, 26 states were using managed long-term care, up from eight in 2004, according to the CMS. The number of beneficiaries in managed long-term care has grown from 105,000 in 2004 to 389,000 in 2012.
For the past two years, the NCD has hosted 10 community forums around the country with over 650 people sharing experiences with managed Medicaid. The audiences were made up of beneficiaries, advocates, providers, state government agency workers, and managed care organizations. The report is built on feedback heard at the events.
Overwhelmingly, disabled beneficiaries said they lost access to care. Participants reported that MCOs frequently deny long-term care services and supports that were previously provided by the Medicaid FFS system.
Historically, managed-care arrangements have excluded people with disabilities who use long-term services and supports because of their complex needs. Now, however, some states are moving this population to managed care.
For decades, Medicaid programs paid long-term-care providers on a fee-for-service basis even as they moved more nondisabled beneficiaries into managed care. But as of 2014, 26 states were using managed long-term care, up from eight in 2004, according to the CMS. The number of beneficiaries in managed long-term care has grown from 105,000 in 2004 to 389,000 in 2012.
For the past two years, the NCD has hosted 10 community forums around the country with over 650 people sharing experiences with managed Medicaid. The audiences were made up of beneficiaries, advocates, providers, state government agency workers, and managed care organizations. The report is built on feedback heard at the events.
Overwhelmingly, disabled beneficiaries said they lost access to care. Participants reported that MCOs frequently deny long-term care services and supports that were previously provided by the Medicaid FFS system.