Colorado and Virginia’s Medicaid programs provide examples of states engaging communities to improve health outcomes.

The Independence at Home demonstration showed mixed results for Medicare savings and utilization, but participating patients and caregivers reported high satisfaction with the home-based primary care that they received.

Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.

Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.

This resource explains how states can improve their Medicaid LTSS systems.