Adequate Planning

Has the state allocated adequate time for planning

Before implementing managed LTSS for individuals with I/DD in 2016, Tennessee conducted an 18- month planning and discussion process with stakeholders, including individuals with I/DD and their families, groups who advocate on their behalf, and providers. (see pages 17 and 18 of Tenncare’s State Amendment 27 Request). The state continued to revise the program as it was implemented, based on stakeholder feedback. (see Amendment 37 request).

CMS and its consultant Truven Health Analytics developed a timeline for MLTSS program development

Has the state set clear goals including

Has the state worked with a planning team including

Has the state included these components in its preparations

CMS guidance on MLTSS discusses planning and preparation. (See pages 4-8 of the guidance.)

Has the state assessed the readiness of each managed care organization (MCO) to ensure they have the following

For a more detailed discussion of MCO readiness issues, see Community Catalyst’s report, The Dual Eligible Demonstration Projects: State and Health Plan Readiness.

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