Long-Term Services & Supports (LTSS)

As one of the largest Medicaid managed care organizations in the country, Centene is the national leader in managed long-term services and supports (LTSS), serving more than 338,000 LTSS members in 15 states*.
*As of January 2025

We know that healthcare isn’t one-size-fits-all, and every individual and community faces unique challenges. With a wide range of innovative healthcare solutions and key community partnerships, our approach to care focuses on empowering our members by providing the right resources to meet their unique physical, social, and behavioral health needs. Through collaboration with state governments, community-based organizations, LTSS providers, and other stakeholders, we provide solutions for improved quality of life and better health outcomes.

Training

Stories

Resources

Local Approach for Better Outcomes

The best support is close to home. That’s why each of our health plans is developed and staffed locally, with members and providers from the community serving as our chief advisors. Our significant footprint allows us to leverage our experience and scale while delivering care locally.

Watch how Centene's National Disability Advisory Council brings together disability advocacy leaders who help us improve how we work as a company and design solutions that meet our members’ unique health needs.

For additional videos, see our LTSS Stories.

What is LTSS?

Long-term services & supports (LTSS) encompasses a range of services for individuals who have functional limitations due to age, chronic illness, or disability. LTSS services are typically provided on an ongoing and often daily basis, with the goal of supporting individuals' independence, inclusion, and access to needed care and resources.

These essential services assist individuals with daily living activities such as bathing, dressing, and eating, as well as instrumental tasks like grocery shopping, meal preparation, and housework. LTSS uses a whole-person, person-centered approach that promotes dignity and independence by addressing the broader needs of individuals.

Two employees talking in the office

Woman participating in a video call on laptop

Home and Community-Based Services (HCBS)

Long-term services and supports include both home and community-based services, as well as institutional and residential care. HCBS helps individuals live independently in their preferred communities and living arrangements, avoiding institutional care whenever possible.

Supporting Members at Home and Beyond

Centene empowers individuals to live independently through programs that include:

Person-centered planning, driven by the member and their chosen circle of support
Integrated care management/service coordination teams
Transition, employment, and housing support
Health and wellness programs, including preventative care
Assistive technology and home modifications to increase independence and quality of life
Family and caregiver education and support

Person-Centered Thinking

Person-centered thinking is an approach rooted in the belief that people know best about their own lives. It emphasizes listening to and respecting individuals’ preferences, values, and goals. Key principles include respect for choice and control, collaboration, and the use of tools that support meaningful engagement and continuous learning. This approach is embedded in Centene’s core business operations, including LTSS, guiding how services are designed and delivered across the organization.