“Many people with disabilities rely on long-term supports and services (LTSS)—like job coaches, transportation help, and in-home helpers—to live independently. Managed care is one of the ways that states can run their LTSS programs. When it’s done right, managed LTSS can help people move out of institutions and get better support in the community. But when it’s done wrong, people who rely on these supports and services will be negatively affected. Many more states are starting to make plans to switch to managed LTSS programs—and we can help make sure those programs work for us!