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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.

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

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. 

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.

States should fund sufficient quality monitors to inspect all providers at least annually. Complaints should be responded to promptly. Inspections should be unscheduled.

States should provide effective complaint systems with prompt resolution.