The percentage of MLTSS participants age 18 and older with a care plan that was transmitted to their primary care provider or other documented medical care provider identified by the participant within 30 days of its development.

The number of participants whose care plan was transmitted to their primary care provider or other documented medical care provider identified by the participant within 30 days of the date when the participant agreed to the care plan. The documentation must show transmission at least once between August 1 of the year prior to the measurement year and December 31 of the measurement year. If multiple care plans are documented or updated in the measurement year, evidence of one transmission within 30 days of the participant's agreement to the care plan is sufficient to meet the numerator. Evidence of care plan transmission includes: To whom the care plan was transmitted; The date of transmission; A copy of the transmitted plan or plan sections.

This measure is based on review of long-term services and supports case management records from a systematic sample drawn from the eligible population.

Participants who refuse to allow the care plan to be shared - There must be documentation in the record that the participant refused to allow the care plan to be shared. Notation of verbal refusal is sufficient.

None

Paper Medical Records. Based on review of long-term services and supports case management records from a systematic sample drawn from the eligible population.

Medicaid Managed Long-Term Services and Supports reporting to CMS Not reported on CMS Care Compare or Provider Data Catalogue.

www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-quality/long-term-services-supports-quality-measures/index.html

cmit.cms.gov/cmit/#/MeasureView?variantId=2525&sectionNumber=1 Technical details: www.medicaid.gov/sites/default/files/2023-01/mltss-tech-specs-res-manual-2022-updated.pdf