Quality Improvement in Long-Term Services and Supports (QuILTSS) is a value-based purchasing initiative led by the Bureau of TennCare to promote the delivery of high quality Long-Term Services and Supports (LTSS), focusing on the performance measures that are most important to people who receive LTSS and their families. This initiative rewards providers that improve the member’s experience of care and promote a person-centered delivery model. The QuILTSS initiative includes outcome-based reimbursement for services such as Nursing Facility Care, Enhanced Respiratory Care, Home and Community Based Services, Behavioral Health Crisis Prevention Intervention, and Stabilization Services. Additionally, QuILTSS offers programs dedicated to the development of the LTSS workforce. The QuILTSS Institute offers online training courses based on the Centers for Medicare & Medicaid Services (CMS) Direct Service Workforce Core Competencies (2014). These competency-based courses are designed to strengthen and enhance Tennessee’s direct service workforce through the ongoing development of the individuals’ knowledge, skills, abilities, and intellectual behaviors. More information about the QuILTSS Institute Training Programs is available here: 

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