Long-Term Services and Supports 

We have great depth of experience working side by side with state agencies in developing and implementing significant programmatic changes to serving older adults, people with disabilities, and their caregivers and providers. We specialize in program design, policy analysis, stakeholder engagement, and project management, ensuring clients can provide effective and sustainable services and supports for populations with significant needs. We have supported a variety of work related to LTSS including major transitions from fee-for-service to managed care and identifying opportunities for states to create a more unified vision in home and community-based services. 

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Get to Know Our Experts

Explore the Aurrera Health experts and learn about their focus areas and project contributions. 

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Select Projects

Projects
Medicaid Estate Recovery in Massachusetts
Medicaid-Medicare Integration, Long-Term Services and Supports
Medicaid Estate Recovery in Massachusetts
Medicaid-Medicare Integration, Long-Term Services and Supports
Medicaid-Medicare Integration, Long-Term Services and Supports
Supporting California’s Long-Term Care Carve-In  
Delivery System Reform, Long-Term Services and Supports, Medicaid-Medicare Integration, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Strategic Planning, Technical Assistance, Program Design Implementation and Assessment
Supporting California’s Long-Term Care Carve-In  
Delivery System Reform, Long-Term Services and Supports, Medicaid-Medicare Integration, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Strategic Planning, Technical Assistance, Program Design Implementation and Assessment
Delivery System Reform, Long-Term Services and Supports, Medicaid-Medicare Integration, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Strategic Planning, Technical Assistance, Program Design Implementation and Assessment
Helping Improve Access to Care for Medicaid Beneficiaries by Supporting CMS
Delivery System Reform, Long-Term Services and Supports, Quality and Performance Measurement, Focus Groups and Interviews, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Technical Assistance
Helping Improve Access to Care for Medicaid Beneficiaries by Supporting CMS
Delivery System Reform, Long-Term Services and Supports, Quality and Performance Measurement, Focus Groups and Interviews, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Technical Assistance
Delivery System Reform, Long-Term Services and Supports, Quality and Performance Measurement, Focus Groups and Interviews, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Technical Assistance

Our Experts

Our Experts
Kristal Vardaman
Kristal Vardaman

Managing Principal, Duals & LTSS

Sasha Hulsey
Sasha Hulsey

Deputy Director

Becky Normile
Becky Normile

Director

Karina Virrueta Running
Karina Virrueta Running

Deputy Director

News & Insight
CMS Managed Care Rule Implementation: How Secret Shoppers Can Enhance the Beneficiary Experience
CMS Managed Care Rule Implementation: How Secret Shoppers Can Enhance the Beneficiary Experience
Massachusetts’ Medicaid Estate Recovery: Updates and Opportunities for Further Reform
Massachusetts’ Medicaid Estate Recovery: Updates and Opportunities for Further Reform
Mark Your Calendar: Implementing the Medicaid Managed Care Rule
Mark Your Calendar: Implementing the Medicaid Managed Care Rule
The Countdown Has Started: Implementing the Medicaid Access Rule
The Countdown Has Started: Implementing the Medicaid Access Rule
HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?
HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?
State Options to Reduce the Burden of Medicaid Estate Recovery
State Options to Reduce the Burden of Medicaid Estate Recovery
The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?
The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?
U.S. Senate Working Group Introduces the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024
U.S. Senate Working Group Introduces the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024
Reducing the Burden of Medicaid Estate Recovery: Policy Options for Massachusetts
Reducing the Burden of Medicaid Estate Recovery: Policy Options for Massachusetts
Ensuring a Seamless Transition to Managed Care for Medi-Cal Members with Complex Needs
Ensuring a Seamless Transition to Managed Care for Medi-Cal Members with Complex Needs
Advancing Care Coordination: What’s Ahead for California’s Dual Eligible Members
Advancing Care Coordination: What’s Ahead for California’s Dual Eligible Members
Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules
Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules
Improving Care Coordination for Dual Eligibles with Long-Term Services and Supports
Improving Care Coordination for Dual Eligibles with Long-Term Services and Supports
REPORT: The Future of Care Coordination in California: A Synthesis of the “Beyond the MSSP Waiver” Convening
REPORT: The Future of Care Coordination in California: A Synthesis of the “Beyond the MSSP Waiver” Convening