Building Inclusive Managed Care Models for Individuals with Intellectual and Developmental Disabilities

Comprehensive service models where individuals direct their healthcare services and have full access to integrated settings are not a reality for many with intellectual and developmental disabilities. New Medicaid authorities and states’ expansion of managed care set the table for a more inclusive approach. This session will discuss how to influence an integrated service focus within managed care through self-advocacy that promotes independent, self-directed LTSS. As a result of this session participants will be able to: 1) discuss emerging integrated Long-Term Services and Supports (LTSS) models for individuals with intellectual and developmental disabilities being pursued by state Medicaid programs, 2) summarize the federal regulatory changes and new Waiver and State Plan authorities that are promoting integration and inclusion, and explain how states can and/or leverage them, 3) explain the need for and value of integration, inclusion and independence from a state and member perspective, 4) define the component parts of an integrated LTSS model through managed care, and 5) identify ways to advocate and influence the elements of design and implementation for an integrated, independent and self-directed LTSS model in your state.

Merrill Friedman, Connie Garner