Historical Overview Traces Medicaid's Six-Decade Evolution in Disability Services and LTSS

Sellers Dorsey's issue brief examines how Medicaid has developed from its inception through major policy milestones including HCBS waivers, the Olmstead decision, and managed LTSS models to become the primary coverage source for 35% of Americans with disabilities. The analysis covers both historical innovations in person-centered care and self-direction as well as ongoing operational challenges like workforce shortages that affect service delivery. For MCO executives and state Medicaid leaders, the piece provides context on how disability policy and LTSS have become central to managed care obligations and program design.

LTSS · Long-Term Care · Managed Care

This is outside commentary from Sellers Dorsey, not part of Medicaid Monitor's independently scored news coverage.

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