At ProspHire, we partner with health plans to design, launch and operationalize Managed Long-Term Services and Supports (MLTSS) programs that balance compliance, cost control and, most importantly, member dignity and independence.
Our team supports payers across the MLTSS lifecycle, from early readiness and procurement through implementation, stabilization and optimization. We help plans navigate the complexity of LTSS populations, state requirements, provider networks and community-based services while building programs that are scalable, sustainable and member-centered.
What We Help Plans Do
Assess & Prepare
- Evaluate organizational readiness across operations, care management, provider networks, data and vendor ecosystems
- Identify gaps in LTSS capabilities, staffing models and workflows
- Align MLTSS strategy to state requirements, timelines and procurement expectations
Design & Implement
- Support MLTSS program design with a focus on person-centered planning and community-based care
- Build and operationalize care management models that support high-need, high-risk populations
- Enable integration across medical, behavioral health, LTSS and social supports
- Support vendor selection, integration and oversight (care management platforms, EVV, community partners)
Stabilize & Optimize
- Strengthen day-to-day execution post go-live
- Improve care coordination, service authorizations and transitions of care
- Reduce avoidable hospitalizations and institutional placements
- Enhance quality performance, reporting and oversight
Our Approach: Person-Centered, Equity-Driven, Execution-Focused
MLTSS success requires more than program design; it requires disciplined execution across complex systems and vulnerable populations.
Our implementation approach emphasizes:
- Person-centered solutions that prioritize independence, dignity and member choice
- Health equity by addressing access gaps, cultural needs and social risk factors
- Care in the home and community whenever possible, reducing reliance on institutional settings
- Operational clarity so care teams, providers and vendors understand roles, workflows and accountability
We help plans expand their continuum of care in ways that are practical, measurable and aligned to both member outcomes and financial sustainability.
Outcomes We Drive
Our MLTSS engagements are designed to help plans:
- Improve access to long-term services and community-based supports
- Strengthen care coordination for members with complex, long-term needs
- Support independence at home and in community settings
- Reduce preventable hospitalizations and institutional utilization
- Build durable MLTSS programs that meet state expectations and scale over time
How ProspHire Can Help
See how ProspHire can help address the key issues facing your organization.
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Readiness Assessment & Gap Analysis
Evaluate implementation drivers to ensure successful program start-up.
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Quality Management
Initiation, execution and management of initiatives focused on value-based care, provider adequacy, vendor performance and member outcomes.
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Rebalancing of Services
Enhance opportunities for community-based living for participants and enable tailored person-centered services plans.
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Provider Networking
Assessment of network adequacy followed by new partnerships and value-based contracting to establish or enhance unique provider network.
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Business Integration
Support organizational readiness and post-implementation risk management across shared services and technology.
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MLTSS Program Innovations
Develop and implement programs to address social determinants of health and other health related social needs of the MLTSS population.
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Process Improvement & Program Efficiencies
Analysis of LTSS and plan operations to increase efficiencies and effectiveness of person-centered service planning and whole person coordinated care.
