Long-Term Services and Supports (LTSS)
At Carolina Complete Health, we are here to support you with Long-Term Services and Supports (LTSS). It is a Medicaid program for those who need a more hands-on, flexible, and custom care plan. With LTSS, we are giving our members more control over their health and the care they receive.
Every year, millions of Medicaid enrollees of all ages use and rely on LTSS, from supported employment to personal care services.
The Value of LTSS
Here are some of the ways LTSS takes care of members:
Care managers help members manage and create their care plan and are available to everyone enrolled in LTSS. They are also available to help answer any questions or concerns members might have about their benefits.
Personal Care Services assist members in need with everyday tasks like bathing, dressing, toileting, ambulation, meal prep and cleaning.
Private Duty Nursing (PDN) provides skilled nursing care in the home. Prior approval is required for PDN services.
Limited Nursing home coverage allows members to be in a 24/7 facility that provides a full range of health care services.
Home Infusion Therapy (HIT) covers self-managed infusion therapy and enteral supplies if members live in a private or an adult care home. The covered services include:
- Total parenteral nutrition (TPN)
- Enteral nutrition (EN)
- Intravenous chemotherapy
- Intravenous antibiotic therapy
- Pain management therapy
Emotional support and resources for members’ family and caregivers.
Non-Emergency Medical Transportation (NEMT) include free rides to doctors’ offices, pharmacies, and programs near our members.
myStrength is an emotional health program available to members who may need extra support during times of stress and worry.
This program helps members get some medications and other health items. These items may also be available through mail delivery. To view the Over-the-Counter Catalog, please visit the Manual and Forms page.
An employment support program that helps members identify and remove employment obstacles. Benefits include added ride coverage, GED prep and career advice.
Hospice services provide medical, supportive and palliative care to terminally ill members and their families and caregivers.
Note: These benefits and services vary based on specific insurance plans and your health assessment.
If you think you may qualify for LTSS Care Management or if you are interested in learning more, please contact Member Services at 1-833-552-3876 (TTY: 711).
Using Your Plan
Once you are enrolled in LTSS Care Management you will:
- Get a welcome call to talk about your care needs.
- Go through a health assessment to help build your plan.
- Get access to all your benefits.
- Feel more confident and comfortable with your care.
Caregiver Resources
We know how hard it can be to be a caregiver. That is why we have a care team dedicated to making your life easier. From educational resources to support groups to a customized care plan, our team is here to answer your questions and help you every step of the way.
Contact
Member Services: 1-833-552-3876 (TTY: 711)
Available Monday-Saturday 7 AM - 6 PM EST
Nurse Advice Line: 1-833-552-3876 (TTY: 711)
Call our free 24/7 nurse advice line for help with your health-related problems or questions.