---
title: "Medicaid managed long-term services and supports: Definition"
description: "Medicaid managed long-term services and supports, or MLTSS, is a way states deliver long-term care through managed care plans. The state pays each plan a..."
url: https://homecare.preview.multisites.ai/glossary/medicaid-managed-long-term-services-and-supports/
publisher: HomeCare.com
phone: 800-974-3458
start: https://care.homecare.com/?source=homecare.com
---

State programs

# Medicaid managed long-term services and supports (MLTSS)

Medicaid managed long-term services and supports, or MLTSS, is a way states deliver long-term care through managed care plans. The state pays each plan a fixed monthly amount per member. The plan arranges services such as in-home help. MLTSS mainly serves older adults and adults with disabilities.

## Why it matters for your family

In a managed program, a health plan, not the state, arranges and pays providers. Families usually choose a plan and receive a service coordinator. Some states cover only long-term care this way. Others include most Medicaid services, or fully combine Medicare and Medicaid. Texas STAR+PLUS and Virginia Cardinal Care are examples. A common mistake is to assume all caregivers are covered. Providers often must be in the plan's network. Ask the plan which agencies it works with, and how to ask for a different coordinator. Families can also ask how to change plans if the service is poor.

Source: [medicaid.gov](https://www.medicaid.gov/medicaid/managed-care/managed-long-term-services-and-supports)

[Read more: Paying for care](https://homecare.preview.multisites.ai/paying-for-care/)

## Related terms

-   [**STAR+PLUS (Texas)**STAR+PLUS is a Texas Medicaid managed care program for adults with disabilities and adults age 65 or older.](https://homecare.preview.multisites.ai/glossary/star-plus/)
-   [**Cardinal Care (Virginia Medicaid)**Cardinal Care is the name for Virginia's Medicaid and related health coverage programs, including Medicaid, FAMIS, and Plan First.](https://homecare.preview.multisites.ai/glossary/cardinal-care/)
-   [**MyCare Ohio**MyCare Ohio is Ohio's managed care program for adults age 21 or older who have both Medicare and Medicaid.](https://homecare.preview.multisites.ai/glossary/mycare-ohio/)
-   [**Care coordinator**A care coordinator is a person who organizes a person's care among doctors, agencies, and family.](https://homecare.preview.multisites.ai/glossary/care-coordinator/)
-   [**Home and community-based services (HCBS) waiver**A home and community-based services (HCBS) waiver is a Medicaid program that pays for care at home or in the community instead of in a nursing home.](https://homecare.preview.multisites.ai/glossary/home-and-community-based-services-waiver/)
-   [**Dual eligible**A dual eligible is a person who has both Medicare and Medicaid.](https://homecare.preview.multisites.ai/glossary/dual-eligible/)

[All glossary terms](https://homecare.preview.multisites.ai/glossary/)

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