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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 (ADRC) model vary greatly. States should streamline eligibility determinations for LTSS programs.
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.
Federal law and regulations specify the general eligibility and coverage requirements for mandatory and optional Medicaid long-term services and supports (LTSS).
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.
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 multiple service systems.&nb