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RUNNING HEADER June 2022Promoting Access in Medicaid and CHIP Managed Care: Managed Longer Services and Supports Access Monitoring ToolkitPLANMLTSS ACCESS MONITORING TOOLKITContents Chapter I: Purpose,
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01
Contact the managed long-term services provider to request an application form.
02
Fill out the application form completely and accurately, providing all necessary information about your medical history and current needs.
03
Submit any supporting documentation required by the provider, such as medical records or income verification.
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Schedule an assessment with a representative from the provider to determine your eligibility for managed long-term services.
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Who needs managed long-term services and?

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Individuals who require long-term care services on a regular basis due to chronic illness or disability.
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Families and caregivers who are seeking support and resources to help them care for a loved one with special needs.
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Managed long-term services and supports (MLTSS) provide long-term care services and support to individuals who need assistance with daily activities.
Healthcare providers, caregivers, or individuals receiving long-term services and supports may be required to file MLTSS.
To fill out MLTSS, individuals or their caregivers must provide detailed information about the type of services needed, current health status, and any changes in the care plan.
The purpose of MLTSS is to help individuals maintain their independence, improve their quality of life, and ensure they receive the necessary care and support.
Information such as the individual's medical history, current medications, care needs, and preferences must be reported on MLTSS.
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