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The federal government should permit states to opt out of Medicaid estate recovery.
The federal government should require all states to implement medically needy programs for people who need LTSS in all settings.
The federal government should increase the minimum PNA for Medicaid participants in nursing facilities and residential care settings.
Programs that link Medicaid eligibility to the purchase of long-term care insurance (LTCI) should not limit the availability of Medicaid benefits for people with low incomes who need long-term serv
Partnership programs should require LTCI policies to provide comprehensive benefits and strong consumer protections, particularly regarding non-forfeiture, inflation protection, and premium stabili
Programs should require those selling partnership policies to educate consumers to make informed decisions about whether a partnership policy is right for them.
The federal government should assume a much stronger role in ensuring the quality of services paid for by Medicaid in residential care settings.
Federal agencies should monitor the progress of state efforts in developing common definitions of, and minimum standards for, services and facilities in assisted living residences and other residen
The Centers for Medicare & Medicaid Services, the states, and all other regulators should vigorously enforce all regulations in long-term services and supports (LTSS) facilities and home care w