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New Assessment, New Risk: Protecting Clinical Accuracy During MLTSS Transitions

For clinical teams in MLTSS, assessments are more than a compliance requirement; they are the foundation for care planning, service authorization, and member outcomes. When a state introduces a new assessment or updates assessment requirements for ...

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Utilization Rate Case Study

November 6, 2025
The Challenge A health plan with 10,000 MLTSS members was facing challenges with inconsistent hour allocations and...

Leveraging Technology for Optimized Utilization Management, Streamlined Workflows, and Better Patient Outcomes.

September 5, 2023
In the swiftly evolving healthcare technology landscape, Managed Long-Term Services and Supports (MLTSS) clinical...

Utilization Management in Long-Term Services and Support

February 26, 2021
There are many different processes that can be used to determine the necessity, appropriateness, and efficiency of...