An LTSS provider asked for assistance to expand their reach within their current state as well as to other states. They required help in navigating the challenges of health plans in their home state and the needs unique to other states they wished to expand to.
Our team of consultants comprises many former state Medicaid officials, including former directors. Leveraging their expertise, we prepared an overview of the struggle faced by health plans in the targeted states to provide the applicable LTSS service benefit to individuals on Medicaid waivers and how the client could cover the gap being experienced in many states.
As a result of our work, we helped our client establish partnerships with Medicaid Managed Care Organizations (MCOs) which will improve Medicaid service delivery and increase the client’s footprint.