Managed Long-Term Services and Supports and Caregiving Among Dually Enrolled Older Adults

Did Managed Long-Term Services and Supports (MLTSS) program presence and care hours change for older adults dually enrolled in Medicare and Medicaid who were receiving assistance in the community between 2012 and 2022?This cross-sectional study of 2549 participants in the National Health and Aging Trends Study found that the share of older dual Medicare and Medicaid enrollees receiving assistance in the community and residing in areas with MLTSS program presence increased from 39.4% in 2012 to 71.4% in 2022. Unpaid family caregivers were the predominant source of care hours in all years.The increasing share of older dual Medicare and Medicaid enrollees residing in areas with MLTSS program presence underscores the need for systems to monitor their experiences and those of family caregivers who provide the majority of care hours.

Corresponding Author: Jennifer L. Wolff, PhD, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 1812 Ashland Ave, Ste 376, Baltimore, MD 21205 (jwolff2@jhu.edu).

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