Pennsylvania’s Department of Human Services describes the system of Managed Long Term Services and Supports – MLTSS this way:
“Managed Long Term Services and Supports is the delivery of long-term services and supports (LTSS) through capitated Medicaid managed care programs.
“It refers to an arrangement between Pennsylvania’s Medicaid programs and contractors. The contractors receive capitated payments for LTSS and are accountable for the health and welfare of participants through the delivery of services and supports that meet quality and other standards set in the contracts.”
This November 2015 article has more particulars: “PA Issues Draft RFP for Program to Help Keep Individuals with Physical Disabilities in Their Homes”