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The operations and functions of each organization in an Aging and Disability Resource Center (ADRC) model vary greatly. States should streamline eligibility determinations for LTSS programs.

A centralized state LTSS agency or coordinated agencies should: 

Conflict-free care management should be an essential part of any LTSS system.

States should ensure all LTSS programs use a person- and family-centered service planning process that reflects individuals' preferences and goals.

People should be eligible for LTSS on the basis of functional needs. 

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan. It should be used in all state LTSS programs. 

Federal and state governments should develop comprehensive, coordinated approaches to financing and delivering care to individuals whose needs are currently met through multiple service systems.&nb

No person should be enrolled in a Medicaid-managed long-term services and supports (LTSS) plan without first receiving an assessment of their needs and preferences.

States should enact licensing or comparable certification requirements for all long-term services and supports (LTSS) providers.

Enforcement should include swift and meaningful penalties for substandard care.