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States should fund the services needed to meet individuals' LTSS needs and allow them to remain in the community. 

States should coordinate LTSS programs, policies, and budgets, whether in one state agency or across state agencies.

Medicaid is the single largest public funding source for long-term services and supports (LTSS). It is a combined federal-state program.

All federal and state agencies with a key role in financing or delivering LTSS should coordinate their efforts.

States should consolidate or coordinate agencies responsible for LTSS, including Medicaid, state-funded programs, Older Americans Act programs, and the state agency on aging

The operations and functions of each organization in an Aging and Disability Resource Center

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 that all LTSS programs use a person- and family-centered (when desired) service planning process that reflects individuals' preferences

Federal law and regulations specify the general eligibility and coverage requirements for mandatory and optional Medicaid long-term services and supports (LTSS).