The Centers for Medicare and Medicaid Services (CMS) has released long-awaited guidance for states and stakeholders on the use of managed care for long-term services and supports (LTSS).  The guidance sets forth 10 elements that CMS believes should be incorporated into managed LTSS (MLTSS) programs, along with significant detail regarding each of those elements.  This guidance will be vitally important for any consumer advocacy regarding MLTSS.  NSCLC prepared a summary of provisions that may be of most interest and use to advocates working with states to design MLTSS programs.