This project investigates the effects of Medicaid managed care for long-term services and support (LTSS), comparing outcomes for both people living with dementia and those without dementia. The project focuses on Wisconsin, where a voluntary Medicaid managed LTSS program (Family Care) was gradually rolled out between 2000 and 2019. The project will explore differences in program adoption (relative to traditional Medicaid) across the population, differences in LTSS use before and after program implementation and, specifically, the causal effect of managed LTSS on the use of in-home and community-based services versus nursing home services.