AARP Long-Term Services and Supports Principles

These principles reflect AARP's vision for reforming the financing and delivery of long-term services and supportsLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. ( LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. ) to promote consumer independence, choice, dignity, autonomy, and privacy. They support efforts to ensure that the financing system is fiscally sustainable and affordable to both individuals and the government.

Pursue private- and public-sector solutions financing of LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. —individuals, government, and employers can all play a role in providing a more secure system to finance LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. . Financing LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. should include a public social insurance program Group insurance that serves a social purpose and is operated by the government. Individuals contribute to the program either directly or indirectly through their employer. Tax revenues may also be used to fund these programs. The program protects participants from large or sudden… , supplemented by private expenditures and MedicaidA joint federal/state program that provides health care and LTSS. However, to qualify for Medicaid LTSS, people must have extremely low assets and income, or they have to “spend down” most of their assets. for those with the greatest needs. LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. financing should be equitable and broad-based to ensure that LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. is affordable for all.

Prioritize person- and family-centered careLTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. should be tailored to meet the unique needs of the individuals receiving care and, when appropriate and necessary, their families. Both consumers and families need easy access to unbiased information. It should be culturally and linguistically appropriate. Individuals should also receive assistance in navigating and coordinating services and other supports.

Ensure consumer choice—consumers have the right to determine and direct the LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. they receive. That should include how and where LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. is delivered and who provides them. Services should be comprehensive, in accord with individuals' values and preferences, and be provided in the least restrictive setting possible.

Guarantee timely access to comprehensive LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. eligibility for LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. benefits through a public program or private long-term care insurance should be determined in a timely manner. Eligibility should be based on a person's functional limitations, regardless of their cause. 

Ensure high-quality delivery in all settings—quality assurance must be guaranteed across all LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. settings. Measures should be employed to accurately assess consumer and family experiences. Laws protecting consumers' health and safety must be vigorously enforced. Service coordination with health and social services must be effective, and providers reimbursed adequately.

Protect LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers' rights—consumers should receive timely information concerning services as well as clear and understandable information about how their functional needs will be assessed in the process to determine eligibility for LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. . They should have the right to appeal LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. coverage decisions and express grievances without fear of reprisal. Further, they should have access to advocates and be afforded the right to seek legal redress through the courts. LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers have a right to private accommodations, communications, and visits.

Ensure safety in emergenciesLTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers both in the community and in facilities are among the most vulnerable members of society. In the event of an economic or public health crisis, it must be a state and national priority to ensure that LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers and providers, regardless of the source of payment, have the resources necessary to protect LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers' safety and maintain the delivery of needed services and supports. Emergencies should not be used to limit the rights and self-determination of LTSSLTSS encompasses a broad range of assistance with activities of daily living and health-related tasks for people with functional limitations caused by physical or mental impairments. LTSS may be delivered in institutions or in a person’s home or a residential care setting. consumers.