Abstract
Using case study approach, this presentation will compare and contrast two model states with high performing LTSS systems, Minnesota and Wisconsin, which ranked 2nd and 6th on the 2017 AARP LTSS scorecard respectably. Both systems offer an array of Medicaid and state-funded home and community-based services with the majority of spending toward HCBS, and operate as managed LTC programs, but without the involvement of for-profit HMOs, and both depend on Aging Network service providers for community based care. The systems are different, however, in that Minnesota administers a dual eligible managed care system designed to integrate Medicare and Medicaid systems while Wisconsin’s program is for Medicaid beneficiaries only. The two systems are each responsive to the unique political and policy histories of each state which provide critical context for understanding the origins of the two systems and their implications for Medicaid MLTC in other states.