In contrast to the rapid growth of Medicaid managed acute care programs, there has been much slower development of Medicaid managed long-term care (MLTC) defined as: "any arrangement in which a Medicaid program contracts with an organization to provide a package of benefits which includes at least some long term care benefits on a risk basis" (Saucier et al. 2005:4). Despite slow growth in Medicaid MLTC generally, the number of enrollees receiving home and community-based services (HCBS) such as home health is predicted to increase in the next couple of years through a combination of expansions to existing programs and the development of new initiatives. This part of the website provides an introduction to the development of Medicaid MLTC that delivers HCBS. The first section first reviews the (typically longer-standing) Medicaid MLTC programs that provide, at least some, HCBS. The second section discusses Medicaid MLTC programs that have been developed specifically to provide HCBS.