This report from the Kaiser Family Foundation idenitifies the important role that case management services have played in long-term services and supports, while also exploring how these servies have changed since originally being covered by Medicaid. Among these changes, the authors note that case management is more people-centric, allowing individuals receiving the services to have more say in the decisions that are made.

From the executive summary:

The Medicaid program is a source for many innovative practices in making long-term services and supports (LTSS) available to consumers. Jointly financed by the states and the federal government, Medicaid pays for 40 percent of LTSS spending the United States. Case management services have been integral to Medicaid community-based LTSS programs since their inception, but as the programs have grown and evolved, particularly as options for care have increased and consumers have taken a more active role in directing services, the functions performed by case managers have changed. Drawing on the professional literature and interviews with state officials, this brief describes current case management efforts in states and activities and policies that can enhance states’ efforts to help consumers manage the services and supports they need.

Full Report: Helping Consumers Manage Long-Term Services and Supports in the Community: State Medicaid Program Activities (PDF | 508 KB) 

Kaiser Family Foundation. (2011). Helping consumers manage long-term services and supports in the community: state Medicaid program activities.