Representing the Interests of Medicaid through Advocacy Managed Long-Term Services and Supports Long-term services and supports (LTSS) covers a broad range of day-to-day services and supports needed by people with long-term conditions, disabilities, or frailty. States are increasingly shifting to managed care models for LTSS, known as MLTSS, which enables states to deliver higher quality care and improve health outcomes of Medicaid recipients. Together with the National MLTSS Association, MHPA is raising awareness of the value of MLTSS in patient outcomes and within the Medicaid managed care delivery model. View our educational campaign here.