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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.

Many chronic illnesses and other health conditions—such as heart disease, cancer, multiple sclerosis, arthritis, diabetes, and emphysema—can result in functional limitations

Federal and state governments should develop comprehensive, coordinated approaches to financing and delivering care to individuals whose needs are currently met through mult

Many states are enrolling Medicaid participants in capitated, risk-based managed care plans designed to coordinate all their care, including long-term services and supports

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, as well

Government and providers of long-term services and supports (LTSS) use various approaches to promote service quality and protect consumers’ rights.

States should enact licensing or comparable certification requirements for all long-term services and supports (LTSS) providers, including assisted living residences and oth

Enforcement should include swift and meaningful penalties for substandard care.

States should fund sufficient quality monitors to inspect all providers at least annually.