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Increasing Numbers of States (16 in 2012)are Using Managed Long

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Increasing numbers of states (16 in 2012)are using Managed Long Term Services and Supports (MLTSS), a CMS Medicaid program, as a strategy for expanding home- and community-based services to ensure quality and increase efficiency.


Definitions:

Difficult Child

describes a child who exhibits challenging behaviors more frequently or intensely compared to typically developing peers, often requiring additional strategies for management and support.

Easy Child

A temperament style identified by developmental psychologist Stella Chess and Alexander Thomas, characterized by regular bodily functions, positive mood, and adaptability to new situations.

Slow-To-Warm-Up

A temperament seen in some children who are typically cautious, quiet, and more introverted, requiring time to adapt to new situations or changes.

Quiet Child

Refers to a child who exhibits introverted or less vocal behavior compared to peers, often observing rather than engaging in social interactions.

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