1. Changes for the New Jersey Managed Long Term
Service & Supports Waiver
Jalen Ramos
Laura Hoey, COO
Purpose
Significance
Methodology Outcomes
Conclusion
Acknowledgements
• Analyze the Managed Long Term Service
& Supports (MLTSS) waiver
• Recommend changes that will serve the
needs of clients at Bartley and other long
term care facilities in New Jersey.
• The current MLTSS Program needs to
undergo improvements.
• Implement rate setting system as well as
selection system.
• Base adjustments off of success in other
states.
I would like to thank Phil Scalo, Laura Hoey,
Karen Belfer, and the entire Bartley staff for
providing me with an enjoyable and educational
internship opportunity.
Background photo by Flickr User: https://www.flickr.com/photos/picturesbyann
SWOT Analysis
Cost-Benefit
Analysis
Comparison to
other states
The MLTSS
was
implemented
without full
analysis of
the problems
and benefits
of the old
state system.
The NJDHS
was charged
with
monitoring
Managed
Care
Organizations
and the
MCOs are
doing a poor
job with the
MLTSS
contracts.
This creates a
difficult
relationship
between
managed care
programs and
long-term
care facilities.
Population in 2030
25 yrs & Under 26-40 yrs 41-64 yrs 65+ yrs
• Delay in admissions
• Claim denials
• Late Payments
• Insufficient rate setting system
• System without parameters
• Uncertainty and changes made by MCOs