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Optimize Your MLTSS Program to Better Manage Complex Populations
For states and health plans operating managed long-term services and supports (MLTSS) programs, effectively managing individuals with complex, long-term care needs requires more than coordinating services. It demands an integrated, person-centered approach that connects medical, behavioral, and social care, supports member independence, and ensures access to the right services in the right setting.
Achieving better outcomes for these individuals requires comprehensive, coordinated care delivered through interdisciplinary teams and meaningful member engagement throughout the healthcare journey. This approach brings together providers, health plans, and community resources to deliver personalized care that addresses each individual’s unique needs while improving quality, operational efficiency, and cost management.
It also supports a fundamental goal of MLTSS: shifting care from institutional settings to home- and community-based services (HCBS), giving individuals greater choice, more equitable access to care, and opportunities to live as independently as possible.
The incedo8 platform helps MLTSS organizations bring this approach to life by integrating care management, utilization management, and reporting capabilities to streamline operations, strengthen care coordination, and improve outcomes across complex populations.
A Whole-Person Approach Delivers Better Care
MLTSS programs require a holistic approach to improve the quality of life for members with complex needs. This means integrating primary care with other services to address medical, behavioral, and social determinants of health. Collaboration across providers, health plans, and community services supports better decision-making and reduces fragmented care. By addressing the underlying factors affecting health and well-being, care teams can intervene proactively, help prevent unnecessary hospital admissions and emergency department visits, and better support members in their communities.
InfoMC Health brings more than 25 years of experience integrating behavioral health and social determinants of health into a comprehensive, whole-person approach to care. Through incedo8, care is connected across the continuum of medical and behavioral health providers and community services, helping eliminate barriers, improve coordination, and advance health equity for even the most complex populations.
Fully Integrated for Greater Efficiency
Successful MLTSS programs depend on getting the right information to the right people at the right time and in the right setting. Health plans need an efficient way to evaluate member needs, authorize and adjust services, and coordinate the delivery of personalized care.
Integrated care management and utilization management workflows within incedo8, with optional integration of end-to-end behavioral health management, support seamless collaboration across interdisciplinary teams. From initial assessments and authorizations to referrals, member engagement, care planning, and ongoing monitoring, the platform helps connect every stage of the care journey. This integrated approach promotes continuity of care, supports smoother transitions between services and settings, and helps identify and close gaps that can affect outcomes across populations and risk levels.
A secure interoperability framework also supports integration with key systems, helping ensure data is complete, current, secure, and accessible to support care coordination, operational workflows, and reporting.
Improve Quality Reporting and Regulatory Compliance
MLTSS programs require a data-driven approach to monitoring, measuring, and improving performance. Access to integrated data and flexible reporting helps organizations make informed decisions, tailor interventions to individual member needs, and evaluate the effectiveness of those interventions over time.
Program-specific processes and workflows within incedo8 can be aligned with applicable regulatory and accreditation requirements, including CMS, NCQA, URAC, and state guidelines. Flexible reporting capabilities enable organizations to track and trend key data, monitor quality measures, evaluate performance, and identify opportunities for continuous improvement.
With self-service configurability, organizations can also adapt workflows and reporting as program needs and regulatory requirements evolve, helping maintain compliance while supporting greater accountability and operational flexibility.
A Wizard Simplifies Authorization Management and Improves Accuracy
When MLTSS services are reduced, increased, or suspended, authorizations must accurately reflect those changes. Managing these adjustments manually can create unnecessary administrative work and increase the potential for errors.
An intuitive authorization wizard within incedo8 simplifies the process by eliminating the need for manual calculations or creating entirely new authorizations when service levels change. Simply enter the updated dates and units within the existing authorization, and the platform automatically calculates the service quantity and duration. This helps ensure authorizations accurately reflect approved services and supports appropriate service coverage and payment.
The platform also comes preconfigured to automatically generate the authorization letters required for New York State, with the flexibility to customize configurations to support other states and regions.
Ready to Strengthen Your MLTSS Program?
Managing complex populations requires connected systems, coordinated care teams, and the ability to see the whole picture of each member’s needs. With integrated care management, utilization management, and reporting capabilities, incedo8 helps MLTSS organizations streamline operations, improve care coordination, support compliance, and deliver more personalized, effective care.
Ready to learn how incedo8 can support your MLTSS program?
