
Velatura Public Benefit Corporation is proud to support the Missouri Department of Mental Health (DMH), Division of Developmental Disabilities (DD), in the statewide expansion of the Electronic Long-Term Services and Supports (eLTSS) project. This initiative, now in Phase 2, represents a national first: implementing real-time, standards-based sharing of person-centered care plan data for individuals with intellectual and developmental disabilities (IDD) across health and social care settings.
Earlier this month, Velatura joined state officials, Health Information Networks (HINs), providers, and technology partners in Missouri for the in-person Phase 2 kickoff. Our involvement in this project reflects our continued leadership in health information exchange, interoperability, and strategic implementation of nationally recognized standards like HL7® FHIR®.
A Scalable, Standards-Based Approach to Connected Care
eLTSS is powered by the FHIR Implementation Guide and designed to integrate person-centered care plan data from Missouri’s Individual Support Plan (ISP) across home- and community-based services (HCBS), acute, emergent, and primary care settings. This approach ensures that all members of an individual’s care team can access actionable, up-to-date information—improving coordination, quality, and outcomes.
Velatura is working alongside Tiger Institute for Health Innovation, Lewis & Clark Information Exchange, and KONZA National Network to operationalize this vision through Missouri’s HIE ecosystem. Our role includes supporting the technical infrastructure required for seamless FHIR-based API connections, ensuring privacy and security standards are met, and enabling interoperability across provider organizations.
Delivering Results Through Public-Private Collaboration
This project is more than a technical implementation. It’s a mission-driven effort to address long-standing fragmentation in the healthcare and social services landscape. Individuals with IDD frequently receive care from a range of providers operating on disconnected systems. eLTSS bridges that gap, equipping providers with timely, relevant data that supports better, more coordinated care.
The Phase 2 launch builds on early success and stakeholder engagement. Key goals include:
- Making eLTSS data accessible and actionable across the full care team.
- Improving care coordination for over 15,000 individuals with IDD receiving services through DMH-DD.
- Enhancing data quality and usability using nationally recognized data exchange standards.
- Ensuring scalability and sustainability by aligning with federal and state interoperability policies.
This collaborative model, powered by partnership among government agencies, HINs, providers, and technology partners, sets a replicable precedent for other states pursuing FHIR-based solutions to social and clinical care integration.
Leading with Experience and Innovation
Velatura brings decades of implementation experience, health IT expertise, and policy insight to projects like eLTSS. As one of the four core HINs engaged in Missouri’s rollout, we’re not just implementing infrastructure—we’re shaping the strategy, defining success metrics, and helping the state and its partners build trust in the data-sharing process.
We understand that success means more than going live. It means providers actively using data to improve outcomes, overcoming adoption barriers, and creating a solution that’s built to last.
Setting the Standard for What’s Next
The eLTSS initiative is funded in part by a CMS HCBS enhanced FMAP grant, with support from the U.S. Department of Health and Human Services’ Leading Edge Acceleration Project in Health IT. As the first statewide implementation of the eLTSS FHIR IG, it positions both Missouri and Velatura as national leaders in delivering person-centered, interoperable care.
We are proud to be on the ground for this important work and look forward to continuing to drive innovation and impact through collaborative, standards-based health information exchange. As Phase 2 gets underway, we remain committed to supporting the individuals, providers, and partners who make connected care a reality.
Learn more about Missouri’s eLTSS initiative here:https://dmh.mo.gov/dev-disabilities/eltss