Managed Long-Term Care

Acronym: MLTC

MLTC refers to risk-based arrangements for the delivery of long-term services and supports, including home and community-based care (e.g., adult day care), that permit people to stay in their homes and communities for as long as possible rather than receive care in an institution.25 Some MLTC programs provide only long-term services and supports, but others also include acute medical care. PACE (Program of All-Inclusive Care for the Elderly) is a comprehensive MLTC model in which states provide Medicare and Medicaid medical and social services to frail older adults who would otherwise need nursing home care, using a multidisciplinary team approach. Relevant Federal Legislation or Regulation: Program of All-Inclusive Care for the Elderly or PACE, Social Security Act §1934. If a state chooses to implement PACE, the program must provide health care services to eligible individuals through a comprehensive, multidisciplinary health and social services delivery system that integrates acute and long-term care services. PACE providers are paid on a capitated basis.